Hospital-Based Quality Measures for Pediatric Mental Health Care

Bardach, Naomi S.; Burkhart, Q.; Richardson, Laura P.; Roth, Carol P.; Murphy, John; Parast, Layla; Gidengil, Courtney A.; Marmet, Jordan; Britto, Maria T.; Mangione-Smith, Rita

doi:10.1542/peds.2017-3554

Cited by 31 publications

(18 citation statements)

References 29 publications

(22 reference statements)

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“…Delphi processes are designed to incorporate expert opinion over a series of structured anonymous ratings [31][32][33] and are commonly used when evidence is sparse, low quality, or conflicting, as is often encountered in pediatrics. 3,[34][35][36][37][38]…”

Section: Methods Study Designmentioning

confidence: 99%

Choosing Wisely in Pediatric Hospital Medicine: 5 New Recommendations to Improve Value

Tchou

Schondelmeyer

Álvarez

et al. 2021

Hospital Pediatrics

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OBJECTIVES The health care system faces ongoing challenges due to low-value care. Building on the first pediatric hospital medicine contribution to the American Board of Internal Medicine Foundation Choosing Wisely Campaign, a working group was convened to identify additional priorities for improving health care value for hospitalized children. METHODS A study team composed of nominees from national pediatric medical professional societies was convened, including pediatric hospitalists with expertise in clinical care, hospital leadership, and research. The study team surveyed national pediatric hospitalist LISTSERVs for suggestions, condensed similar responses, and performed a literature search of articles published in the previous 10 years. Using a modified Delphi process, the team completed a series of structured ratings of feasibility and validity and facilitated group discussion. The sum of final mean validity and feasibility scores was used to identify the 5 highest priority recommendations. RESULTS Two hundred seven respondents suggested 397 preliminary recommendations, yielding 74 unique recommendations that underwent evidence review and rating. The 5 highest-scoring recommendations had a focus on the following aspects of hospital care: (1) length of intravenous antibiotic therapy before transition to oral antibiotics, (2) length of stay for febrile infants evaluated for serious bacterial infection, (3) phototherapy for neonatal hyperbilirubinemia, (4) antibiotic therapy for community-acquired pneumonia, and (5) initiation of intravenous antibiotics in infants with maternal risk factors for sepsis. CONCLUSIONS We propose that pediatric hospitalists can use this list to prioritize quality improvement and scholarly work focused on improving the value and quality of patient care for hospitalized children.

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Section: Methods Study Designmentioning

confidence: 99%

Choosing Wisely in Pediatric Hospital Medicine: 5 New Recommendations to Improve Value

Tchou

Schondelmeyer

Álvarez

et al. 2021

Hospital Pediatrics

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“…Among 47 Chinese experts who participated in this study, senior urologists accounted for 72%, and 98% of them had over a decade of clinical experience in andrology. Two rounds of Delphi question surveys and a hierarchy analysis were used to estimate the consistent tendency of experts’ opinions and measure the authority of participants ( Baiocchi et al, 2019 ; Bardach et al, 2018 ; Boulias et al, 2018 ). The results demonstrated that the authority coefficient and the harmony coefficient of the experts on selected primary and secondary properties for the assessment of PE treatment were both high, indicating that experts’ voting on the rationales and weights of PE properties was highly accordant, that is, primary and secondary properties having different levels of importance in the scoring system.…”

Section: Discussionmentioning

confidence: 99%

The Use of Delphi Method and Analytical Hierarchy Process in the Establishment of Assessment Tools in Premature Ejaculation: The Scoring System for Premature Ejaculation Treatment Outcomes

et al. 2020

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There is a lack of objective tools to comprehensively evaluate premature ejaculation (PE) treatment results clinically. We aimed to describe the development of a novel scoring system for PE treatment results as an example of using the Delphi method and an analytical hierarchy process for complex decision-making in the field of sexual medicine. A Delphi question survey was adopted to collect expert opinions from 47 Chinese specialists in andrology/urology on the assessment of PE treatment outcomes based on four primary properties, that is, the improvement in intravaginal ejaculation latency time, a couple’s mental status, the ability to control ejaculation, and sexual intercourse satisfaction. Different weights on those primary properties were assigned to create a mathematical hierarchy matrix and then perform an analysis. The scores were assigned according to the calculated weights. The ratio among the combined weights of the four primary properties was 1:3:2:3. The total numerical score was 36. Scores above 27, between 26 and 18, and below 17 indicated significant improvement, moderate improvement, and no improvement in PE, respectively, with selected treatments. The scoring system with 36 points can be used by physicians, patients, and their sexual partners to comprehensively and objectively assess quantitative PE treatment results.

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“…Según lo señalado por un estudio reciente los niños con historia de eventos familiares adversos (Maltrato físico, abuso sexual, violencia intrafamiliar) tienen una probabilidad incrementada (3) de utilización de servicios de salud mental . En cuanto a la demanda de hospitalización se estima que en EEUU 10% de las internaciones pediátricas corresponden a pacientes que ingresan debido a un (4) trastorno mental primario . Las hospitalizaciones psiquiátricas, dirigidas a esta proporción de la población infantojuvenil con trastornos mentales, deben tener como propósito la estabilización del paciente y evitar el daño a otros o a el mismo.…”

Section: Introductionunclassified

Caracterización clínica y demográfica de la hospitalización psiquiátrica infantojuvenil en un hospital general

Duarte

Zelaya

2019

Pediatr (Asunción).

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Introducción: Se implementan actualmente nuevos modelos de hospitalización psiquiátrica infantojuvenil, para hacer frente a la creciente demanda de recursos de atención psiquiátrica intensiva requeridos por esta población. Objetivo: Identificar las características clínicas y demográficas de los niños y adolescentes con diagnóstico psiquiátrico hospitalizados en Salas de Pediatría de un Hospital General Pediátrico. Metodología: Estudio descriptivo, retrospectivo de corte transversal, en base a historias clínicas de 180 casos hospitalizados en el periodo enero-agosto del año 2015.Variables: Edad, sexo, procedencia, motivo de ingreso, diagnóstico psiquiátrico, tipo de patología psiquiátrica, medicación, servicio desde el cual se indicó la evaluación psiquiátrica, días de hospitalización, seguimiento y derivación. Resultados: En el periodo de estudio se identificaron 180 pacientes hospitalizados con uno o más diagnósticos psiquiátricos, de los cuales 67.2% eran del sexo femenino. La mediana de la edad fue de 13 años. De un total de 387 diagnósticos constatados, los seis diagnósticos psiquiátricos más frecuentes fueron: los diferentes tipos de maltrato infantil (42,89%), los trastornos depresivos (21,71%), los intentos suicidas (8,27%), el trastorno adaptativo (4,39%) y el trastorno por estrés post traumático (4,13%). El 56% presentó comorbilidad de dos o más diagnósticos psiquiátricos. La internación fue indicada principalmente desde las Salas de Urgencias (67,3%). El 54,4% (98/180) estuvo hospitalizado de 1 a 3 días. En el 47,2% de los casos se indicó psicofarmacoterapia. Conclusión: Se registró mayor frecuencia de diagnóstico psiquiátrico en adolescentes y en el sexo femenino. La sospecha de abuso sexual infantil representó un frecuente motivo de ingreso. Las distintas formas de maltrato Infantil, los trastornos depresivos y los intentos suicidas, al constituir los diagnósticos psiquiátricos más frecuentes, requieren parámetros de evaluación y tratamiento específicos y efectivos para su adecuado manejo multidisciplinario. Las Salas de Urgencias Pediátricas cumplen un importante rol como puerta de entrada de estos pacientes al sistema de salud y al continuum de servicios de atención a la salud mental. Correspondencia: Viviana Duarte Correo: viv6du@hotmail.com Conflicto de interés: Los autores declaran no poseer conflicto de interés Recibido: 13 /05/ 2019 Aceptado: 18/07/2019

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Hospital-Based Quality Measures for Pediatric Mental Health Care

Abstract: These new pediatric mental health care quality measures were used to identify sex and race disparities and substantial hospital variation. These measures may be useful for assessing and improving hospital-based pediatric mental health care quality.

Cited by 31 publications

References 29 publications

Choosing Wisely in Pediatric Hospital Medicine: 5 New Recommendations to Improve Value

Choosing Wisely in Pediatric Hospital Medicine: 5 New Recommendations to Improve Value

The Use of Delphi Method and Analytical Hierarchy Process in the Establishment of Assessment Tools in Premature Ejaculation: The Scoring System for Premature Ejaculation Treatment Outcomes

Caracterización clínica y demográfica de la hospitalización psiquiátrica infantojuvenil en un hospital general

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