Evidence map›Paper›PMID 31776200›Full record

ArticleBMJ quality & safety2020

Quality of care for acute abdominal pain in children.

Yvonne Zurynski, Kate Churruca, Gaston Arnolda, Sarah Dalton, Hsuen P Ting, Peter Damian Hibbert, Charlotte Molloy, Louise K Wiles, Carl de Wet, Jeffrey Braithwaite

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Article in BMJ quality & safety, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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.

2 · The registry

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3 · Its place in the literature

Who cites it

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

10 authors.

Yvonne ZurynskiAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0001-7744-8717
Kate ChurrucaAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0002-9923-3116
Gaston ArnoldaAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0003-4948-7633
Sarah DaltonAgency for Clinical Innovation, NSW Health, Sydney, New South Wales, Australia.
Hsuen P TingAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Peter Damian HibbertAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0001-7865-343X
Charlotte MolloyAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0001-7451-9751
Louise K WilesAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0002-6557-6196
Carl de WetHealthcare Improvement Unit, Queensland Government Clinical Excellence Division, Brisbane, Queensland, Australia.
Jeffrey BraithwaiteAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia jeffrey.braithwaite@mq.edu.au.ORCID 0000-0003-0296-4957

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess quality of care for children presenting with acute abdominal pain using validated indicators.

designAudit of care quality for acute abdominal pain according to 21 care quality indicators developed and validated in four stages. SETTING AND

participantsMedical records of children aged 1-15 years receiving care in 2012-2013 were sampled from 57 general practitioners, 34 emergency departments (ED) and 28 hospitals across three Australian states; 6689 medical records were screened for visits for acute abdominal pain and audited by trained paediatric nurses. OUTCOME MEASURES: Adherence to 21 care quality indicators and three bundles of indicators: bundle A-History; bundle B-Examination; bundle C-Imaging.

resultsFive hundred and fourteen children had 696 visits for acute abdominal pain and adherence was assessed for 9785 individual indicators. The overall adherence was 69.9% (95% CI 64.8% to 74.6%). Adherence to individual indicators ranged from 21.6% for assessment of dehydration to 91.4% for appropriate ordering of imaging. Adherence was low for bundle A-History (29.4%) and bundle B-Examination (10.2%), and high for bundle C-Imaging (91.4%). Adherence to the 21 indicators overall was significantly lower in general practice (62.7%, 95% CI 57.0% to 68.1%) compared with ED (86.0%, 95% CI 83.4% to 88.4%; p<0.0001) and hospital inpatient settings (87.9%, 95% CI 83.1% to 91.8%; p<0.0001).

conclusionsThere was considerable variation in care quality for indicator bundles and care settings. Future work should explore how validated care quality indicator assessments can be embedded into clinical workflows to support continuous care quality improvement.

Indexed as

Abdominal PainAcute DiseaseAdolescentAustraliaChildChild, PreschoolClinical AuditEmergency Service, HospitalFemaleGeneral PracticeGuideline AdherenceHealth FacilitiesHumansInfantMalePractice Guidelines as Topicclinical practice guidelinesgeneral practicepaediatricsquality improvement

Identifiers

PMID31776200
PMCPMC7286043

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