Assessing the quality of health care in the management of bronchiolitis in Australian children: a population-based sample survey
| Autor: | Claire Gardner, Hsuen P Ting, Charlotte J. Molloy, Gaston Arnolda, Nusrat Homaira, Louise Wiles, Peter Hibbert, Adam Jaffe, Jeffrey Braithwaite |
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| Přispěvatelé: | Homaira, Nusrat, Wiles, Louise K, Gardner, Claire, Molloy, Charlotte J, Arnolda, Gaston, Ting, Hsuen P, Hibbert, Peter Damian, Braithwaite, Jeffrey, Jaffe, Adam |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty General Practice quality measurement Audit compliance 03 medical and health sciences 0302 clinical medicine General Practitioners 030225 pediatrics Surveys and Questionnaires Health care medicine Humans Medical history 030212 general & internal medicine Original Research Quality of Health Care Retrospective Studies Guideline adherence business.industry Health Policy Medical record Australia Infant Population based sample Emergency department medicine.disease 3. Good health Bronchiolitis Family medicine Female Guideline Adherence business Emergency Service Hospital clinical practice guidelines |
| Zdroj: | BMJ Quality & Safety |
| ISSN: | 2044-5423 2044-5415 |
| Popis: | BackgroundBronchiolitis is the most common cause of respiratory hospitalisation in children aged MethodsWe searched for national and international CPGs relating to management of bronchiolitis in children and identified 16 recommendations which were formatted into 40 medical record audit indicator questions. A retrospective medical record review assessing compliance with the CPGs was conducted across three types of healthcare setting: hospital inpatient admissions, emergency department (ED) presentations and general practice (GP) consultations in three Australian states for children aged ResultsPurpose-trained surveyors conducted 13 979 eligible indicator assessments across 796 visits for bronchiolitis at 119 sites. Guideline adherence for management of bronchiolitis was 77.3% (95% CI 72.6 to 81.5) for children attending EDs, 81.6% (95% CI 78.0 to 84.9) for inpatients and 52.3% (95% CI 44.8 to 59.7) for children attending GP consultations. While adherence to some individual indicators was high, overall adherence to documentation of 10 indicators relating to history taking and examination was poorest and estimated at 2.7% (95% CI 1.5 to 4.4).ConclusionsThe study is the first to assess guideline-adherence in both hospital (ED and inpatient) and GP settings. Our study demonstrated that while the quality of care for bronchiolitis was generally adherent to CPG indicators, specific aspects of management were deficient, especially documentation of history taking. |
| Databáze: | OpenAIRE |
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