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Patient-reported outcome and experience measures in pediatric perioperative care
Wallis T Muhly1,2, Cameron Graydon3, Paul Lee-Archer4,5
1Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia.
Insights
Developing and validating patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) is crucial for improving pediatric perioperative care. These tools enhance recovery quality assessment and patient support.
Area of Science:
- Pediatric perioperative care
- Patient-reported outcome measures (PROMs)
- Patient-reported experience measures (PREMs)
Background:
- Assessing patient outcomes and experiences in pediatric perioperative care is vital for quality improvement.
- Patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) are increasingly recognized for their value.
Purpose of the Study:
- To review the importance and challenges of PROMs and PREMs in pediatric perioperative care.
- To examine existing validated tools for assessing recovery and experience.
- To explore future directions for PROM and PREM implementation.
Main Methods:
- Systematic review of literature on PROMs and PREMs in pediatric perioperative settings.
- Analysis of the development and validation of current assessment tools.
- Exploration of perspectives from patients, parents, and healthcare providers.
Main Results:
- Increased efforts in developing and validating PROMs and PREMs for pediatric perioperative care.
- These tools help identify adverse events and support families needing additional care.
- PROMs and PREMs enable monitoring of intervention impacts on recovery quality.
Conclusions:
- Validated PROMs and PREMs are significant advancements for pediatric perioperative care.
- These measures facilitate internal and external comparisons to drive care improvements.
- Further refinement and systematic implementation strategies are needed.
Purpose Of Review:
This review aims to discuss the importance and challenges of assessing and measuring patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) in pediatric perioperative care, review currently available validated tools, and explore future directions.
Recent Findings:
In recent years, there have been increased efforts to develop and validate PROM and PREM measures for use in pediatric perioperative care. These tools have been informed by both patient/parent and healthcare provider perspectives. By systematically identifying minor adverse events, which have the potential to diminish the overall quality of a child's recovery, clinical teams can identify children and families in need of additional support. Additionally, these assessment tools allow clinical teams to monitor the impact of interventions introduced to improve the quality of recovery. Given the nascent nature of this field, much work is needed to further refine existing tools and develop strategies to systematically implement and monitor recovery outcomes in pediatric perioperative care.
Summary:
The development of validated PROMs and PREMs to assess the quality of recovery and experience after pediatric perioperative care represents a major step forward. The use of validated tools allows for internal and external comparisons, which can help improve pediatric perioperative care.
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