Evidence map›Paper›PMID 31341705›Full record

ArticleNeurology. Clinical practice2019

Minding the gap in pediatric headache care: Can a focus on quality measures improve outcomes?

Scott Turner, Amanda Foss-Barratt, Jessica Malmberg, Jennifer Disabato

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Neurology. Clinical practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Spotlight on headache.Neurology. Clinical practice · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Scott TurnerSection of Pediatric Neurology (ST), University of Alabama, Birmingham, AL; Neuroscience Institute (AF-B), Children's Hospital Colorado, Aurora, CO; Department of Psychiatry (JM), University of Colorado; and College of Nursing (JD), University of Colorado, Denver, CO.
Amanda Foss-BarrattSection of Pediatric Neurology (ST), University of Alabama, Birmingham, AL; Neuroscience Institute (AF-B), Children's Hospital Colorado, Aurora, CO; Department of Psychiatry (JM), University of Colorado; and College of Nursing (JD), University of Colorado, Denver, CO.
Jessica MalmbergSection of Pediatric Neurology (ST), University of Alabama, Birmingham, AL; Neuroscience Institute (AF-B), Children's Hospital Colorado, Aurora, CO; Department of Psychiatry (JM), University of Colorado; and College of Nursing (JD), University of Colorado, Denver, CO.
Jennifer DisabatoSection of Pediatric Neurology (ST), University of Alabama, Birmingham, AL; Neuroscience Institute (AF-B), Children's Hospital Colorado, Aurora, CO; Department of Psychiatry (JM), University of Colorado; and College of Nursing (JD), University of Colorado, Denver, CO.
Pediatric Nephrology of Alabama · USUniversity of Alabama · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe American Academy of Neurology Headache Quality Measures seek to improve care delivery and outcomes by addressing gaps in care. Our practice identified underperformance in 3 of the 7 measures that apply to children and adolescents. We expected that improved performance on these measures would lead to a reduction in emergency department (ED) visits and improvement in the average disability grade of established patients.

methodsAn interdisciplinary workgroup used the Institute for Healthcare Improvement's Model for Improvement. Quality improvement (QI) interventions focused on the use of Pediatric Migraine Disability Assessment (PedMIDAS), headache action plans (HAPs), nurse triage, and infusion center order sets.

resultsProvider use of PedMIDAS increased from 15% to 55% (

conclusionsQI efforts using team-based strategies and electronic medical record (EMR) integration can improve performance on headache quality measures, although it may be difficult to demonstrate improved patient outcomes. The project's time frame and disability assessment strategy were likely insufficient to detect a change in disability. Optimization of nurse triage and EMR workflows enabled more patients with status migrainosus to receive their treatment in the infusion center rather than the ED with a favorable revenue benefit for the hospital.

Identifiers

PMID31341705
PMCPMC6615653
OpenAlexW2920785551

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.