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Auditing Management of Acute Pancreatitis Using Comprehensive Quality Indicators
Diana Wee1, Stephanie Izard2, Kara Raphael3
1From the Department of Medicine, Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, New Hyde Park.
Objectives:
Recently, 40 comprehensive quality indicators in various management domains were created. The aim was to determine if these indicators could be used to audit the management of acute pancreatitis.
Methods:
A retrospective study of consecutive patients admitted with acute pancreatitis in 2018 was conducted. Adherence rates with the individual quality indicators were calculated and compared between services.
Results:
A total of 320 patients were included in this study. Twenty-eight of the 40 quality indicators (70%) could be used to audit management retrospectively. The medical service was found to have lower adherence rates for quality indicators 12 (initial assessment and risk stratification domain; 11% vs 22%, P = 0.009), 14 (initial management domain; 72% vs 88%, P = 0.003), and 33 (surgery domain; 83% vs 100%, P = 0.006). The surgical service was noted to have statistically significant lower adherence rates for quality indicators 4, 5, and 6 of the etiology domain (54% vs 72%, P = 0.002; 86% vs 96%, P = 0.004; and 45% vs 71%, P < 0.0001, respectively), and 21 of the nutrition domain (76% vs 93%, P < 0.0001).
Conclusions:
We show that these quality indicators can be used to audit the management of acute pancreatitis in specific management domains.
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