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- Title
Proposed Quality Indicators for Aspects of Pediatric Acute Otitis Media Management.
- Authors
Cottrell, Justin; Namavarian, Amirpouyan; Yip, Jonathan; Campisi, Paolo; Chadha, Neil K.; Damji, Ali; Hong, Paul; Lachance, Sophie; Leitao, Darren; Nguyen, Lily H. P.; Saunders, Natasha; Strychowsky, Julie; Yunker, Warren; Vaccani, Jean-Philippe; Chan, Yvonne; de Almeida, John R.; Eskander, Antoine; Witterick, Ian J.; Monteiro, Eric
- Abstract
Background: The high incidence of pediatric acute otitis media (AOM) makes the implications of overdiagnosis and overtreatment far-reaching. Quality indicators (QIs) for AOM are limited, drawing from generalized upper respiratory infection QIs, or locally developed benchmarks. Recognizing this, we sought to develop pediatric AOM QIs to build a foundation for future quality improvement efforts. Methods: Candidate indicators (CIs) were extracted from existing guidelines and position statements. The modified RAND Corporation/University of California, Los Angeles (RAND/UCLA) appropriateness methodology was used to select the final QIs by an 11-member expert panel consisting of otolaryngology—head and neck surgeons, a pediatrician and family physician. Results: Twenty-seven CIs were identified after literature review, with an additional CI developed by the expert panel. After the first round of evaluations, the panel agreed on 4 CIs as appropriate QIs. After an expert panel meeting and subsequent second round of evaluations, the panel agreed on 8 final QIs as appropriate measures of high-quality care. The 8 final QIs focus on topics of antimicrobial management, specialty referral, and tympanostomy tube counseling. Conclusions: Evidence of variable and substandard care persists in the diagnosis and management of pediatric AOM despite the existence of high-quality guidelines. This study proposes 8 QIs which compliment guideline recommendations and are meant to facilitate future quality improvement initiatives that can improve patient outcomes.
- Subjects
OTITIS media treatment; CLINICAL medicine; MEDICAL protocols; HUMAN services programs; MEDICAL personnel; KEY performance indicators (Management); BENCHMARKING (Management); EVALUATION of human services programs; PEDIATRICS; QUALITY of life; QUALITY assurance; EXPERTISE; COUNSELING; MEDICAL referrals; CHILDREN
- Publication
Journal of Otolaryngology -- Head & Neck Surgery, 2024, Vol 53, p1
- ISSN
0707-7270
- Publication type
Article
- DOI
10.1177/19160216241248538