Citation

Moles RL, Melville J, Martinez K, Palusci V. Pediatr. Qual. Saf. 2021; 6(5): e477.

Copyright

(Copyright © 2021, Wolters Kluwer)

DOI

10.1097/pq9.0000000000000477

PMID

34589651

PMCID

PMC8476058

Abstract

Child Abuse Pediatrics is a small and geographically dispersed specialty. This article reports on an intervention to improve written and photodocumentation quality and uniformity in suspected child physical abuse cases, using a remote, de-identified case review system.

METHODS: In each cycle, participants submitted de-identified medical reports and photographs for review by a child abuse pediatrics expert. Experts evaluated 3 cycles of 5 cases using a novel rubric and assigned quality interventions for the participants based on their scores.

RESULTS: 15 of 16 participants improved scores between cycles 1 and 3 (78% versus 89%, P < 0.001). All participants rated the program as helpful and would recommend it to a colleague.

CONCLUSION: A quality improvement project administered via the internet improves the quality and uniformity of written and photographic documentation in child physical abuse evaluations.

Language: en