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Proposed Quality Indicators for Aspects of Pediatric Acute Otitis Media Management. | LitMetric

AI Article Synopsis

  • Pediatric acute otitis media (AOM) is common in children, leading to concerns about overdiagnosis and overtreatment, prompting the need for specific quality indicators (QIs).
  • An expert panel, utilizing the RAND/UCLA methodology, evaluated candidate indicators and ultimately agreed on 8 QIs related to antimicrobial management, referrals, and counseling for tympanostomy tubes.
  • These QIs aim to address the inconsistent care in AOM diagnosis and management, enhancing adherence to guidelines and improving patient outcomes.

Article 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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11098001PMC
http://dx.doi.org/10.1177/19160216241248538DOI Listing

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