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Assessing the Quality of the Management of Tonsillitis among Australian Children: A Population-Based Sample Survey
- Source :
- Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 160(1)
- Publication Year :
- 2018
-
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. Refereed/Peer-reviewed
- Subjects :
- Male
medicine.medical_specialty
Adolescent
media_common.quotation_subject
Tonsillitis
General Practice
Sample (statistics)
Risk Assessment
Severity of Illness Index
Child health
03 medical and health sciences
Patient safety
0302 clinical medicine
Sex Factors
Outcome Assessment, Health Care
patient safety
Medicine
Humans
Quality (business)
030223 otorhinolaryngology
guideline adherence
Child
media_common
Quality Indicators, Health Care
business.industry
Age Factors
Australia
Infant
Population based sample
Mean age
Guideline
medicine.disease
tonsilitis
Treatment Outcome
Otorhinolaryngology
030220 oncology & carcinogenesis
Family medicine
Child, Preschool
Health Care Surveys
child health
Surgery
Female
Guideline Adherence
business
health care quality indicators
Subjects
Details
- ISSN :
- 10976817
- Volume :
- 160
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
- Accession number :
- edsair.doi.dedup.....81020913203c74a4741c126c527d896b