Quality indicators and quality assessment in child health

P L Kavanagh1, W G Adams, C J Wang

  • 1Division of General Pediatrics, Boston University School of Medicine/Boston Medical Center, Boston, MA 02118, USA. patricia.kavanagh@bmc.org

Insights

This review highlights quality indicators for child health in the UK and USA, identifying gaps and recommending advancements in quality measurement and health information technology for improved pediatric care.

Area of Science:

  • Pediatric Health Quality Measurement
  • Healthcare Policy and Management

Background:

  • Quality indicators are crucial for assessing healthcare appropriateness and outcomes.
  • Systematic development of quality indicators is essential for healthcare improvement.
  • Existing quality indicators for children in the UK and USA require comprehensive review.

Purpose of the Study:

  • To review and classify existing quality indicators for child health in the UK and USA.
  • To identify areas within child health lacking quality measures.
  • To assess the current state of health information technology supporting quality efforts.

Main Methods:

  • Systematic review of quality indicators developed by prominent governmental and private organizations in the UK and USA.
  • Classification of identified indicators to map coverage of child health domains.
  • Review of health information technology infrastructure in both countries.

Main Results:

  • A range of quality indicators for child health has been developed in the UK and USA.
  • Specific areas of child health may have limited or no quality measures.
  • Health information technology systems are vital but vary in integration and capability.

Conclusions:

  • Recommendations are proposed to advance the development of child health quality indicators.
  • Integration of quality measurement, indicator development, and information systems can significantly improve child health.
  • Future efforts should focus on comprehensive indicator development and robust health IT infrastructure.

Related Concept Videos

Nursing Assessment01:29

Nursing Assessment

The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments and...
Quality Assurance01:19

Quality Assurance

Quality assurance is the overarching term used to describe the activities employed to ensure the proper performance of a system. These activities can be classified into three categories: quality control, quality assessment, and internal corrective measures. Typically, these activities work cyclically: quality control is performed before and during the analysis, while quality assessment occurs during and after the investigation. Internal corrective measures are implemented based on the findings...
Guidelines For Measuring Vital Signs01:19

Guidelines For Measuring Vital Signs

Following these guidelines can help nurses accurately measure vital signs, assess changes in patient conditions, and provide timely treatment when necessary. Adhering closely to the guidelines ensures the accuracy and reliability of the results.
Before taking a patient's vital signs, a nurse would consider and assess the patient's comfort level and ensure appropriate equipment is available.
Respiratory Assessment: Purpose and Indications01:19

Respiratory Assessment: Purpose and Indications

Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Quality Control01:05

Quality Control

Quality control is one of the three cyclical quality assurance activities that help keep a system under statistical control. Typical quality control activities include creating quality control charts, conducting proficiency testing, and documenting and archiving results.
Quality control helps track data, visualize trends, and identify variations, making it easier to detect deviations that may affect the accuracy of an analysis. One way to do this is by generating a quality control chart, which...
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...