How to use quality improvement methodology to track missed care opportunities for urodynamics appointments and identify key drivers for future interventions

IF 1.9 3区医学 Q2 PEDIATRICS

Journal of Pediatric Urology Pub Date : 2025-10-01 DOI:10.1016/j.jpurol.2025.06.022

Kaitlin Scarpaci, Christina Chen, Mary Micker, Hunter Gibbs, Perry Harlan, Celicia Little, Nicole Allentuck, Bruce M. Sprague, Hans G. Pohl, Christina P. Ho, Briony K. Varda

引用次数: 0

Abstract

Missed care opportunities (MCOs) can negatively affect patients, providers and institutions. In 2022, we established a prospective quality improvement (QI) database to track MCOs for urodynamics (UDS). Between 2022 and 2024, 877 appointments were scheduled. The MCO rate was 29 %. Patients with spina bifida (SB) undergoing non-video UDS accounted for 79 % of MCOs. This sub-group was sensitive to reminder type, with MCOs driven down by human phone reminders then rising above the median MCO rate with text reminders (aOR 1.5 [95 % CI 1.09–2.14], p = 0.02). This knowledge, alongside practitioner-assigned reasons for MCOs, has informed targeted QI interventions.

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如何使用质量改进方法来跟踪尿动力学预约错过的护理机会，并确定未来干预的关键驱动因素。

错失的护理机会（MCOs）会对患者、提供者和机构产生负面影响。2022年，我们建立了一个前瞻性质量改进（QI）数据库来跟踪尿动力学（UDS）的MCOs。在2022年至2024年期间，计划进行877次任命。MCO率为29%。接受非视频UDS的脊柱裂患者占MCOs的79%。该亚组对提醒类型敏感，人工电话提醒导致MCO下降，而文本提醒则高于中位MCO率（aOR为1.5 [95% CI 1.09-2.14], p = 0.02）。这一知识，加上医生指定的mco原因，为有针对性的QI干预提供了信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Urology PEDIATRICS-UROLOGY & NEPHROLOGY

CiteScore

3.70

自引率

15.00%

发文量

330

审稿时长

4-8 weeks

期刊介绍： The Journal of Pediatric Urology publishes submitted research and clinical articles relating to Pediatric Urology which have been accepted after adequate peer review. It publishes regular articles that have been submitted after invitation, that cover the curriculum of Pediatric Urology, and enable trainee surgeons to attain theoretical competence of the sub-specialty. It publishes regular reviews of pediatric urological articles appearing in other journals. It publishes invited review articles by recognised experts on modern or controversial aspects of the sub-specialty. It enables any affiliated society to advertise society events or information in the journal without charge and will publish abstracts of papers to be read at society meetings.