Evidence map›Paper›PMID 39214559›Full record

ArticleBMJ paediatrics open2024

Implementation of the WHO Standards to assess quality of paediatric care at the facility level using service users' perspective as source of data: a multicentre quality improvement study in Italy.

Silvia Bressan, Giada Sartor, Paolo Dalena, Elia Balestra, Anna Madera, Federico Marchetti, Maria Carla Finocchiaro, Francesca Tirelli, Enrico Felici, Alessia Marcellino and 10 more

Abstract readMulticenter Study
In one paragraph

Article in BMJ paediatrics open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Observational
  2. Article
  3. Observational
  4. Observational
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

20 authors.

Silvia BressanDepartment of Women's and Children's Health, University of Padova, Padova, Italy.ORCID http://orcid.org/0000-0002-6736-5392
Giada SartorTreviso Hospital, Treviso, Italy.ORCID http://orcid.org/0009-0007-9028-9299
Paolo DalenaInstitute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy paolo.dalena@burlo.trieste.it.ORCID http://orcid.org/0000-0003-2920-9572
Elia BalestraUniversity of Trieste, Trieste, Italy.ORCID http://orcid.org/0000-0002-5492-0166
Anna MaderaDepartment of Pediatric Emergency Medicine, Meyer Children's Hospital IRCCS, Florence, Italy.
Federico MarchettiDepartment of Pediatrics, Santa Maria delle Croci Hospital, Ravenna, Italy.ORCID http://orcid.org/0000-0002-1257-7312
Maria Carla FinocchiaroCannizzaro Hospital, Catania, Italy.ORCID http://orcid.org/0009-0000-9713-6366
Francesca TirelliDepartment of Women's and Children's Health, University of Padova, Padova, Italy.ORCID http://orcid.org/0000-0002-9947-4059
Enrico FeliciAzienda Ospedaliera Nazionale Santi Antonio e Biagio e Cesare Arrigo Alessandria, Alessandria, Italy.ORCID http://orcid.org/0000-0002-5997-7057
Alessia MarcellinoDepartment of Pediatrics Sapienza University of Rome, Santa Maria Goretti Hospital, Latina, Italy.ORCID http://orcid.org/0000-0001-9277-9231
Silvia FasoliDepartment of Pediatrics, "Carlo Poma" Hospital, Mantova, Italy.
Paola CogoSanta Maria della Misericordia University Hospital, Udine, Friuli-Venezia Giulia, Italy.
Roberta ParrinoARNAS Civico Di Cristina Benfratelli, Palermo, Italy.
Benmario CastaldoUniversity of Trieste, Trieste, Italy.
Rosa SantangeloDepartment of Pediatric Emergency Medicine, Meyer Children's Hospital IRCCS, Florence, Italy.
Maristella ToniuttiDepartment of Medicine-Division of Pediatrics, University of Udine, Udine, Italy.
Giuseppina De RosaARNAS Civico Di Cristina Benfratelli, Palermo, Italy.
Valentina BaltagDepartment of Maternal, Newborn, Child and Adolescent Health and Ageing, WHO, Geneva, Switzerland.
Marzia LazzeriniInstitute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.ORCID http://orcid.org/0000-0001-8608-2198
CHOICE Study Group

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectivesThere is little experience in the use of the WHO Standards for improving the quality of care (QOC) for children at the facility level. We describe the use of 75 WHO Standard based Quality Measures to assess paediatric QOC, using service users as a source of data, in Italy. STUDY

designIn a cross-sectional study including 12 hospitals, parents/caregivers of admitted children completed a validated questionnaire including 75 Quality Measures: 40 pertinent to the domain of experience of care; 25 to physical/structural resources; 10 to COVID-19 reorganisational changes. Univariate and multivariate analyses were conducted.

resultsAnswers from 1482 service users were analysed.

conclusionsThe use of the 75 prioritised Quality Measures, specific to service users' perspective, enabled the identification of both general and facility-specific gaps in QOC. Based on these findings, quality improvement initiatives shall focus on a core list of selected Quality Measures common to all facilities, plus on an additional list of Quality Measures as more relevant in each facility.

Indexed as

COVID-19Quality ImprovementQuality of Health CareWorld Health OrganizationAdolescentChildChild, PreschoolCross-Sectional StudiesFemaleHumansInfantItalyMalePediatricsSARS-CoV-2Surveys and QuestionnairesCaregiversQualitative research

Identifiers

PMID39214559
PMCPMC13059899

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.