Defining Benchmarks in Pediatric Burn Care: Inception of the Pediatric Injury Quality Improvement Collaborative

Patterson, Kelli N.; Fabia, Renata; Giles, Sheila; Verlee, Sarah N; Marx, Dániel; Aguayo, Pablo; Ziegfeld, Susan; Parrish, Carisa; Stewart, F. Dylan; Fritzeen, Jennifer; Burd, Randall S.; Vitale, Lisa; Cloutier, Dawn; Shanti, Christina; Klein, Jessica; Thakkar, Rajan K.

doi:10.1093/jbcr/irab048

Cited by 3 publications

(6 citation statements)

References 17 publications

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“… 11 Due to the psychological, medical, and esthetical implications of burn injuries, these patients require close monitoring by a multidisciplinary team to ensure best outcomes. 19 , 20 A key component to this is attendance of patients to burn clinics following treatment in the ED. However, there have been limited data on the overall outpatient compliance in pediatric burn patients.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Follow-up Compliance in Pediatric Burn Patients During the Time of COVID

Chara

Hodgman

Ziegfeld

et al. 2021

Journal of Burn Care &Amp; Research

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The effect of the COVID-19 pandemic has led to increased isolation and potentially decreased access to healthcare. We therefore evaluated the effect of COVID-19 on rates of compliance with recommended post-injury follow-up. We hypothesized that this isolation may lead to detrimental effects on adherence to proper follow-up for children with burn injuries. We queried the registry at an ABA-verified Level 1 pediatric burn center for patients aged 0-18 years who were treated and released from March 30 to July 31, 2020. As a control, we included patients treated during the same time frame from 2016 to 2019. Patient and clinical factors were compared between the COVID and pre-COVID cohorts. Predictors of follow-up were compared using chi-squared and Kruskal-Wallis tests. Multivariable logistic regression was used to evaluate for predictors of compliance with follow-up. A total of 401 patients were seen and discharged from the pediatric ED for burns. Fifty-eight (14.5%) of these patients were seen during the pandemic. Burn characteristics and demographic patterns did not differ between the COVID and pre-COVID cohorts. Likewise, demographics did not differ between patients with follow-up and those without. The rate of compliance with 2-week follow-up was also not affected. Burn size, burn depth, and mechanism of injury all were associated with higher compliance to follow up. After adjusting for these variables, there was still no difference in the odds of appropriate follow up. Despite concerns about decreased access to healthcare during COVID, follow-up rates for pediatric burn patients remained unchanged at our pediatric burn center.

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Section: Discussionmentioning

confidence: 99%

Predictors of Follow-up Compliance in Pediatric Burn Patients During the Time of COVID

Chara

Hodgman

Ziegfeld

et al. 2021

Journal of Burn Care &Amp; Research

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“…Indication of artificial feeding [28,30] 11. Time of psychosocial assessment [2,8,9] 12. Pain assessment on admission and during hospitalisation [2,[33][34][35][36][37][38][39][40][41][42][43] 13.…”

Section: Table 2 Process Quality Indicatorsmentioning

confidence: 99%

“…Monitoring of resuscitation volume [9,46,48,51] 22. Time from admission to start feeding [2,4,8,9,28,29,52,53] 23. Energy and protein needs [7, 28-30, 32, 54, 55] 24.…”

Section: Table 2 Process Quality Indicatorsmentioning

confidence: 99%

“…Duration of surgical procedures [16,61,62,[65][66][67][68] 32. Time from admission to first surgical excision [4,8,19] 33. Time to complete eschar removal [2,4,9,20,44,45,67] 34.…”

Section: Table 2 Process Quality Indicatorsmentioning

confidence: 99%

“…In the literature, it is possible to find studies describing the process and results of developing a list of quality indicators aimed at the care of burns, generally developed through a consensus among experts [2,4,[7][8][9]. However, none of these instruments are specific to evaluate hospital care.…”

Section: Introductionmentioning

confidence: 99%

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Quality indicators for hospital burn care: a scoping review

Suzuki,

Santana,

Ávila

et al. 2024

BMC Health Serv Res

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Background Burn treatments are complex, and for this reason, a specialised multidisciplinary approach is recommended. Evaluating the quality of care provided to acute burn patients through quality indicators makes it possible to develop and implement measures aiming at better results. There is a lack of information on which indicators to evaluate care in burn patients. The purpose of this scoping review was to identify a list of quality indicators used to evaluate the quality of hospital care provided to acute burn patients and indicate possible aspects of care that do not have specific indicators in the literature. Method A comprehensive scoping review (PRISMA-ScR) was conducted in four databases (PubMed, Cochrane Library, Embase, and Lilacs/VHL) between July 25 and 30, 2022 and redone on October 6, 2022. Potentially relevant articles were evaluated for eligibility. General data and the identified quality indicators were collected for each included article. Each indicator was classified as a structure, process, or outcome indicator. Results A total of 1548 studies were identified, 82 were included, and their reference lists were searched, adding 19 more publications. Thus, data were collected from 101 studies. This review identified eight structure quality indicators, 72 process indicators, and 19 outcome indicators listed and subdivided according to their objectives. Conclusion This study obtained a list of quality indicators already used to monitor and evaluate the hospital care of acute burn patients. These indicators may be useful for further research or implementation in quality improvement programs. Trial Registration Protocol was registered on the Open Science Framework platform on June 27, 2022 (https://doi.org/10.17605/OSF.IO/NAW85).

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