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Improving Pediatric Follow-Up Documentation Through a Structured Follow-Up Card: A Closed-Loop Quality Improvement
Baraa Mohamed Awadalla Mohamed1, Egbal Sahal Abdelmaged Ibrahim2, Hibatalla Nasreldeen Khalid Siedahmed2
1Medical Education, Hamad Medical Corporation, Doha, QAT.
Cureus
|June 8, 2026
Summary
Implementing a structured pediatric follow-up card significantly improved clinical documentation completeness in a resource-limited setting. This simple intervention enhanced patient safety and care quality by addressing documentation gaps.
Area of Science:
- Healthcare Quality Improvement
- Pediatric Medicine
- Health Informatics
Background:
- Accurate clinical documentation is vital for patient safety and care continuity.
- Resource-limited settings often face inconsistent documentation due to a lack of standardized tools.
- Gaps in care delivery can arise from incomplete medical records.
Purpose of the Study:
- To evaluate the impact of a structured pediatric follow-up card on documentation completeness.
- To improve the quality of pediatric follow-up care in a resource-limited hospital.
- To address system-level documentation gaps through a low-cost intervention.
Main Methods:
- A closed-loop quality improvement project at a pediatric outpatient department.
- Two audit cycles: baseline retrospective review and post-intervention prospective review.
- Implementation of a structured follow-up card and staff orientation.
Main Results:
- Baseline documentation completeness was 0% across all assessed variables.
- Post-intervention, core documentation elements reached 100% compliance.
- Significant improvements were observed in clinical and medication-related documentation (p < 0.001).
Conclusions:
- A structured pediatric follow-up card effectively enhances documentation completeness.
- Simple, low-cost interventions can successfully address documentation gaps in resource-limited settings.
- Improved documentation quality contributes to better patient care and safety.
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