Evidence map›Paper›PMID 33977191›Full record

ArticlePediatric quality & safety

Managing the COVID-19 Pandemic Using Quality Improvement Principles: A New York City Pediatric Primary Care Experience.

Suzanne Friedman, Margaret C Krause, Kalpana Pethe, Steve Caddle, Morgan Finkel, Melissa E Glassman, Connie Kostacos, Laura Robbins-Milne, Edith Bracho-Sanchez, Karen Soren and 2 more

Abstract read
In one paragraph

Article in Pediatric quality & safety. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Suzanne FriedmanColumbia University Irving Medical Center, Department of Pediatrics, Division of Child and Adolescent Health, New York, N.Y.
Margaret C KrauseColumbia University Irving Medical Center, Department of Pediatrics, Division of Child and Adolescent Health, New York, N.Y.
Kalpana PetheColumbia University Irving Medical Center, Department of Pediatrics, Division of Child and Adolescent Health, New York, N.Y.
Steve CaddleColumbia University Irving Medical Center, Department of Pediatrics, Division of Child and Adolescent Health, New York, N.Y.
Morgan FinkelColumbia University Irving Medical Center, Department of Pediatrics, Division of Child and Adolescent Health, New York, N.Y.
Melissa E GlassmanColumbia University Irving Medical Center, Department of Pediatrics, Division of Child and Adolescent Health, New York, N.Y.
Connie KostacosColumbia University Irving Medical Center, Department of Pediatrics, Division of Child and Adolescent Health, New York, N.Y.
Laura Robbins-MilneColumbia University Irving Medical Center, Department of Pediatrics, Division of Child and Adolescent Health, New York, N.Y.
Edith Bracho-SanchezColumbia University Irving Medical Center, Department of Pediatrics, Division of Child and Adolescent Health, New York, N.Y.
Karen SorenColumbia University Irving Medical Center, Department of Pediatrics, Division of Child and Adolescent Health, New York, N.Y.
Melissa StockwellColumbia University Irving Medical Center, Department of Pediatrics, Division of Child and Adolescent Health, New York, N.Y.
Mariellen LaneColumbia University Irving Medical Center, Department of Pediatrics, Division of Child and Adolescent Health, New York, N.Y.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the setting of COVID-19, pediatric primary care in New York City faced multiple challenges, requiring large-scale practice reorganization. We used quality improvement principles to implement changes to care delivery rapidly.

methodsPlan-do-study-act cycles were used, based on primary drivers of consolidation, reorganization of in-person and urgent care, telehealth expansion, patient outreach, mental health linkages, team communication, and safety.

resultsThe average visit volume in pediatrics decreased from 662 per week to 370. Telehealth visits increased from 2 to 140 per week, whereas urgent in-person visits decreased from 350 to 8 per week. Adolescent visits decreased from 57 to 46 per week. Newborn Clinic visits increased from 37 per week to 54. Show rates increased significantly for pediatrics and adolescent (

conclusionsQuality improvement methodology allowed for the consolidation of pediatric primary care practices during the first wave of the COVID-19 pandemic, ensuring care for patients while prioritizing safety, evidence-based practices, and available resources.

Identifiers

PMID33977191
PMCPMC8104146

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.