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J Pediatr Psychol. 2010 Jan-Feb;35(1):32-41. doi: 10.1093/jpepsy/jsp001. Epub 2009 Mar 6.

Applying quality improvement methods to implement a measurement system for chronic pain-related disability.

Author information

1
Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA. anne.lynch-jordan@cchcm.org

Abstract

OBJECTIVE:

This article describes the application of quality improvement methodology to implement a measurement tool for the assessment of functional status in pediatric patients with chronic pain referred for behavioral intervention.

METHODS:

The Functional Disability Inventory (FDI), a validated instrument for assessment of pain-related disability, was chosen as the primary clinical outcome measure. Using improvement science methodology, PDSA (Plan-Do-Study-Act) cycles were run to evaluate: (a) regular FDI administration, (b) two administration methods, (c) regular patient feedback, and (d) documentation methods.

RESULTS:

Within 1 month, psychologists were administering the FDI at least 80% of the time to patients. A high level of reliability using two administration methods (92.8%) was demonstrated. The FDI was feasible to integrate into clinical practice. Modifications to electronic records further enhanced clinician reliability of documentation.

CONCLUSIONS:

Quality improvement methods are an innovative way to make process changes in pediatric psychology settings to dependably gather and document evidence-based patient outcomes.

PMID:
19270029
PMCID:
PMC3695662
DOI:
10.1093/jpepsy/jsp001
[Indexed for MEDLINE]
Free PMC Article
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