ArticleBMJ open quality2019
Improving assessment of children with suspected respiratory tract infection in general practice.
Article in BMJ open quality, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
4 citing papers in PubMed, 6 citations in OpenAlex.
- Harnessing the Electronic Health Care Record to Optimize Patient Safety in Primary Care: Framework for Evaluating e-Safety-Netting Tools.JMIR medical informatics · 2022Article
- Optimising GPs' communication of advice to facilitate patients' self-care and prompt follow-up when the diagnosis is uncertain: a realist review of 'safety-netting' in primary care.BMJ quality & safety · 2022Review
- Recording COVID-19 consultations: review of symptoms, risk factors, and proposed SNOMED CT terms.BJGP open · 2020Article
- Quality improvement programme reduces errors in oral medication preparation and administration through feeding tubes.BMJ open quality · 2020Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Upper respiratory tract infection (URTI) in children is one of the most common reasons for general practice (GP) attendance over the winter months. It is crucial to be able to risk stratify and determine the severity of illness in these patients. It is important both to recognise those who are clinically unwell and require treatment escalation, and also to not overprescribe antibiotics due to the ongoing problem of antibiotic overuse and resistance. This quality improvement project was undertaken to improve the way in which these consultations were held and also the way they were documented. It was recognised that key features in assessing a potentially unwell child were to measure their heart rate (HR) and respiratory rate (RR). As children can often deteriorate rapidly and their clinical course may not necessarily be easy to predict, we wanted to make sure that parents were being provided with safety netting information in the event that the child should become more unwell after the consultation. Through the course of our project, we managed to improve the proportion of consultations for URTI or 'viral illness' in children in which HR and RR were documented from 57% to 100%. The proportion of consultations in which safety netting information for parents was discussed and documented improved from 48% to 96%. By using quality improvement strategies, we have succeeded in improving both the safety and efficiency in the way children who present with URTI are assessed in GP.
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Registered trials
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