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Development and Testing of the Pediatric Respiratory Illness Measurement System (PRIMES) Quality Indicators.
Mangione-Smith, Rita; Roth, Carol P; Britto, Maria T; Chen, Alex Y; McGalliard, Julie; Boat, Thomas F; Adams, John L; McGlynn, Elizabeth A.
Afiliación
  • Mangione-Smith R; Seattle Children Research Institute, Center for Child Health, Behavior and Development, Seattle, Washington; rita.mangione-smith@seattlechildrens.org.
  • Roth CP; Department of Pediatrics, University of Washington, Seattle, Washington.
  • Britto MT; RAND Corporation, Santa Monica, California.
  • Chen AY; Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
  • McGalliard J; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
  • Boat TF; AltaMed Health Services, Los Angeles, California; and.
  • Adams JL; Seattle Children Research Institute, Center for Child Health, Behavior and Development, Seattle, Washington.
  • McGlynn EA; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Hosp Pediatr ; 7(3): 125-133, 2017 03.
Article en En | MEDLINE | ID: mdl-28223319
OBJECTIVES: To develop and test quality indicators for assessing care in pediatric hospital settings for common respiratory illnesses. PATIENTS: A sample of 2796 children discharged from the emergency department or inpatient setting at 1 of the 3 participating hospitals with a primary diagnosis of asthma, bronchiolitis, croup, or community-acquired pneumonia (CAP) between January 1, 2010, and December 31, 2011. SETTING: Three tertiary care children's hospitals in the United States. METHODS: We developed evidence-based quality indicators for asthma, bronchiolitis, croup, and CAP. Expert panel-endorsed indicators were included in the Pediatric Respiratory Illness Measurement System (PRIMES). This new set of pediatric quality measures was tested to assess feasibility of implementation and sensitivity to variations in care. Medical records data were extracted by trained abstractors. Quality measure scores (0-100 scale) were calculated by dividing the number of times indicated care was received by the number of eligible cases. Score differences within and between hospitals were determined by using the Student's t-test or analysis of variance. RESULTS: CAP and croup condition-level PRIMES scores demonstrated significant between-hospital variations (P < .001). Asthma and bronchiolitis condition-level PRIMES scores demonstrated significant within-hospital variation with emergency department scores (means [SD] 82.2(6.1)-100.0 (14.4)] exceeding inpatient scores (means [SD] 71.1 (2.0)-90.8 (1.3); P < .001). CONCLUSIONS: PRIMES is a new set of measures available for assessing the quality of hospital-based care for common pediatric respiratory illnesses.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Respiratorias / Evaluación de Resultado en la Atención de Salud / Indicadores de Calidad de la Atención de Salud Tipo de estudio: Diagnostic_studies Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Hosp Pediatr Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Respiratorias / Evaluación de Resultado en la Atención de Salud / Indicadores de Calidad de la Atención de Salud Tipo de estudio: Diagnostic_studies Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Hosp Pediatr Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos