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Your search keyword '"TING, HSUEN P."' showing total 4 results
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4 results on '"TING, HSUEN P."'

2. Assessing the appropriateness of the management of otitis media in Australia: A population-based sample survey

Author

Clay-Williams, Robyn, Stephens, Jacqueline H, Williams, Helena, Hallahan, Andrew, Dalton, Chris, Hibbert, Peter, Ting, Hsuen P, Arnolda, Gaston, Wiles, Louise, Braithwaite, Jeffrey, CareTrack Kids Investigative Team, and Donaldson, LJ

Subjects
otorhinolaryngologic diseases
Abstract

AIM: Acute otitis media (AOM) is the most common infectious disease for which antibiotics are prescribed; its management is costly and has the potential to increase the antimicrobial resistance of this infection. This study measured the levels of adherence to the clinical practice guidelines (CPGs) of AOM and otitis media with effusion (OME) management in Australian children. METHODS: We searched for national and international CPGs relating to AOM and OME in children and created 37 indicators for assessment. We reviewed medical records for adherence to these indicators in 120 locations, across one inpatient and three ambulatory health-care settings. Our review sample was obtained from three Australian states that contain 60% of the nation's children. RESULTS: We reviewed the records of 1063 children with one or more assessments of CPG adherence for otitis media. Of 22 indicators with sufficient data, estimated adherence ranged from 7.4 to 99.1%. Overuse of treatment, particularly overprescribing of antibiotics, was more common than underuse. A frequent lack of adherence with recommended care was observed for children aged between 1 and 2 years with AOM. Adherence varied by health-care setting, with emergency departments and inpatient settings more adherent to CPGs than general practices. CONCLUSIONS: Our assessment of a number of indicators in the common settings in which otitis media is treated found that guideline adherence varied widely between individual indicators. Internationally agreed standards for diagnosis and treatment, coupled with clinician education on the existence and content of CPGs and clinical decision support, are needed to improve the management of children presenting with AOM and OME.

Published
2019

4. Assessing the Quality of the Management of Tonsillitis among Australian Children: A Population-Based Sample Survey.

Author

Hibbert P, Stephens JH, de Wet C, Williams H, Hallahan A, Wheaton GR, Dalton C, Ting HP, Arnolda G, and Braithwaite J

Subjects
Adolescent, Age Factors, Australia, Child, Child, Preschool, Female, General Practice methods, Humans, Infant, Male, Risk Assessment, Severity of Illness Index, Sex Factors, Tonsillitis diagnosis, Tonsillitis epidemiology, Treatment Outcome, Guideline Adherence, Health Care Surveys, Outcome Assessment, Health Care, Quality Indicators, Health Care, Tonsillitis therapy
Abstract

Objective: The aims of this study were twofold: (1) to design and validate a set of clinical indicators of appropriate care for tonsillitis and (2) to measure the level of tonsillitis care that is in line with guideline recommendations in a sample of Australian children., Study Design: A set of tonsillitis care indicators was developed from available national and international guidelines and validated in 4 stages. This research used the same design as the CareTrack Kids study, which was described in detail elsewhere., Setting: Samples of patient records from general practices, emergency departments, and hospital admissions were assessed., Subjects and Methods: Patient records of children aged 0 to 15 years were assessed for the presence of, and adherence to, the indicators for care delivered in 2012 and 2013., Results: Eleven indicators were developed. The records of 821 children (mean age, 5.0 years; SD, 4.0) with tonsillitis were screened. The reviewers conducted 2354 eligible indicator assessments across 1127 visits. Adherence to 6 indicators could be assessed and ranged from 14.3% to 73.2% (interquartile range 31.5% to 72.2%)., Conclusion: Our main findings are consistent with the international literature: the treatment of many children who present with confirmed or suspected tonsillitis is inconsistent with current guidelines. Future research should consider how the indicators could be applied in a structured and automated manner to increase the reliability and efficiency of record reviews and help raise clinicians' awareness of appropriate tonsillitis management.

Published
2019
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