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Quality of care for acute abdominal pain in children

Yvonne Zurynski1,2, Kate Churruca1, Gaston Arnolda1

  • 1Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.

BMJ Quality & Safety
|November 29, 2019
PubMed

Insights

This study assessed pediatric acute abdominal pain care quality using 21 indicators. Adherence varied significantly by setting, with lower quality in general practice compared to emergency departments and hospitals.

Area of Science:

  • Pediatric Healthcare Quality
  • Clinical Auditing
  • Acute Abdominal Pain Management

Background:

  • Assessing the quality of care for pediatric acute abdominal pain is crucial for improving patient outcomes.
  • Validated indicators are essential for objective quality assessment in healthcare.

Purpose of the Study:

  • To evaluate the quality of care for children with acute abdominal pain using a set of validated indicators.
  • To identify variations in care quality across different healthcare settings.

Main Methods:

  • A multi-state audit of 696 visits for acute abdominal pain in children aged 1-15 years.
  • Utilized 21 validated care quality indicators across three bundles: History, Examination, and Imaging.
  • Data collected from general practitioners, emergency departments (ED), and hospitals.

Main Results:

  • Overall adherence to care quality indicators was 69.9%.
  • Significant variations observed: low adherence for History (29.4%) and Examination (10.2%) bundles, high for Imaging (91.4%).
  • Adherence was substantially lower in general practice (62.7%) compared to ED (86.0%) and hospital settings (87.9%).

Conclusions:

  • Considerable variation exists in the quality of care for pediatric acute abdominal pain across different settings and indicator bundles.
  • Future research should focus on integrating validated quality indicator assessments into clinical workflows for continuous improvement.
Abstract

Keywords:
clinical practice guidelinesgeneral practicepaediatricsquality improvement

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