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Qual Saf Health Care. 2010 Oct;19(5):e35. doi: 10.1136/qshc.2009.034538. Epub 2010 May 27.

Improving follow-up in hospitalised children.

Author information

1
Division of Pulmonary Medicine, University of Cincinnati, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio 45229, USA. gary.mcphail@cchmc.org

Abstract

OBJECTIVE:

To improve the clinic follow-up rate of paediatric inpatients in a tertiary care hospital.

PATIENTS AND METHODS:

Inpatients who received pulmonary consultations from July 2007 to June 2008 at Cincinnati Children's Hospital Medical Center were eligible for this quality-improvement project. Multiple interventions were introduced to improve follow-up in our subspecialty clinic. A χ(2) test for association was used to assess the dependence between the clinic follow-up rate and the type of care coordination intervention. We hypothesised that generalisable care coordination interventions would result in improvements.

RESULTS:

Two hundred and eleven patients were included. Two interventions were independently associated with improvements in the hospital follow-up rate. When a reminder to follow-up in the pulmonary clinic was inserted into the hospital discharge summary (partial intervention), the clinic follow-up rate improved from 27% to 55%. When the follow-up appointments were made for the families, with the appointments' noted in the discharge summaries, and automated appointment reminder phone calls were provided (full intervention), the follow-up rate improved further from 55% to 80%. The full intervention, when compared with no intervention, improved the clinic follow-up rate from 27% to 80%.

CONCLUSION:

Establishing clinic appointments for patients and providing appointment reminders increases the hospital follow-up rate for hospitalised children in outpatient clinics.

PMID:
20511243
DOI:
10.1136/qshc.2009.034538
[Indexed for MEDLINE]
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