Clinical indicators for common paediatric conditions: Processes, provenance and products of the CareTrack Kids study

Louise K Wiles1,2,3, Tamara D Hooper1,2,3, Peter D Hibbert1,2,3,4,5,6

  • 1Australian Centre for Precision Health, School of Health Sciences, Cancer Research Institute, University of South Australia, Adelaide, South Australia, Australia.

Plos One
|January 10, 2019
PubMed

Insights

This study developed clinical indicators to assess appropriate paediatric care in Australia. The final set of 234 indicators helps measure healthcare quality for children across various settings.

Area of Science:

  • Healthcare Quality Improvement
  • Clinical Practice Guidelines
  • Paediatric Medicine

Background:

  • Assessing the appropriateness of paediatric care in Australia is crucial for evidence-based practice.
  • Clinical practice guidelines (CPGs) provide a foundation for defining appropriate care standards.

Purpose of the Study:

  • To develop a comprehensive set of clinical indicators for evaluating the appropriateness of care for 21 common paediatric medical conditions in Australia.
  • To establish a framework for measuring healthcare quality in paediatric settings.

Main Methods:

  • Systematic extraction of recommendations from 121 national and international guidelines.
  • Development and refinement of clinical indicators using a modified Delphi process and a collaborative online wiki involving 61 experts.
  • Focus on indicators for under-use of healthcare services, with feasibility as a key selection criterion.

Main Results:

  • A final set of 234 appropriateness indicators was developed, yielding 597 items for medical record audit.
  • The majority of indicators (92%) focused on capturing under-use of care.
  • Indicators were designed for diverse healthcare settings including emergency departments, hospitals, and general practices.

Conclusions:

  • A robust set of clinical indicators for paediatric care appropriateness was successfully developed in the Australian healthcare context.
  • The methodology, employing Delphi and wiki approaches, offers utility for creating consensus-based indicators.
  • The finalized indicators provide a practical tool for clinicians and organizations to audit and improve paediatric healthcare quality.
Abstract

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