@article{ref1,
title="A quality improvement program in pediatric practices to increase tailored injury prevention counseling and assess self-reported changes made by families",
journal="Injury epidemiology",
year="2018",
author="Gittelman, Michael A. and Carle, Adam C. and Denny, Sarah and Anzeljc, Samantha and Arnold, Melissa Wervey",
volume="5",
number="Suppl 1",
pages="e17-e17",
abstract="BACKGROUND: Many pediatric providers struggle to screen families for the majority of age-appropriate injury risks and educate them when appropriate. Standardized tools have helped physicians provide effective, more purposeful counseling. In this study, pediatricians utilized a standardized, injury prevention screening tool to increase targeted discussions and families were re-screened at subsequent visits to determine changes in their behavior. <br><br>METHODS: Pediatric practices, recruited from the Ohio Chapter, American Academy of Pediatrics database, self-selected to participate in a quality improvement program. Two screening tools, for children birth-4 month and 6-12 month, with corresponding talking points, were to be implemented into every well child visit. During the 7-month collaborative, screening results and pediatrician counseling for reported unsafe behaviors were calculated. Patients who completed a screening tool at subsequent visits were followed up at a later visit to determine self-reported behavior changes. We examined statistically significant differences in frequencies using the X<sup>2</sup> test. Providers received maintenance of certification IV credit for participation. <br><br>RESULTS: Seven practices (39 providers) participated. By the second month, participating providers discussed 75% of all inappropriate responses for birth-4 month screenings and 87% for 6-12 months. Of the 386 families who received specific counseling and had a follow-up visit, 65% (n = 94/144) of birth-4 month and 65% (n = 59/91) of 6-12 month families made at least one behavior change. The X<sup>2</sup> test showed that families who received counseling versus those that did not were significantly more likely to change inappropriate behaviors (p < 0.05). Overall, of all the risks identified, 45% (136) of birth-4 month and 42% (91) of 6-12 month behaviors reportedly changed after a practitioner addressed the topic area. <br><br>CONCLUSIONS: Participation in a quality improvement program within pediatric offices can increase screening for injury risks and encourage tailored injury prevention discussions during an office encounter. As a result, significantly more families reported to practice safer behaviors at later visits.<p /> <p>Language: en</p>",
language="en",
issn="2197-1714",
doi="10.1186/s40621-018-0145-z",
url="http://dx.doi.org/10.1186/s40621-018-0145-z"
}