• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Pediatrics

Quality improvement initiative improves lead screening and vaccinations in pediatric hospital setting

byAlexa FineandAlex Gipsman, MD
December 19, 2021
in Pediatrics, Public Health
Reading Time: 2 mins read
0
Share on FacebookShare on Twitter

1. In this single center quality improvement study, 34.7% of previously missed vaccinations and lead exposure screenings were provided in a pediatric hospital setting.

2. An additional 30% of missed vaccination and lead exposure testing during hospitalization were addressed at follow up primary care visits.

Study Rundown: Population health and promotion in childhood are important goals, with most outreach strategies targeting primary care settings. There are serious gaps in vaccination rates to decrease vaccine-preventable diseases and lead exposure screening in high risk areas. This study aimed to identify care gaps (i.e., previously missed vaccinations and/or lead exposure testing) during pediatric hospitalization, using quality improvement (QI) initiatives within a multidisciplinary team. The goal was to increase closure of the two care gaps from 12% to 50% by administering missed vaccinations and/or testing for lead. During the study, inadequate staff assigned to review patient reports, brief length of hospital stay, and missing information on patient report limited the success in addressing care gaps. Overall, 34.7% of preventive care gaps in 1061 children were closed, with an overall improvement from 12% to 41%. Although the majority of care gaps were not closed at the end of the study period, with almost a third nonetheless addressed at follow up primary health visits, this study provides a feasible framework for improving pediatric health promotion in a hospital setting.

Click to read the study in PEDIATRICS

Relevant Reading: A primer on understanding pediatric health care quality measurement

In-Depth [Quality Improvement Study]: This quality improvement study included 1061 children aged 2 to 66 months within a primary care registry who were admitted to the hospital medicine service at a children’s hospital in Cincinnati, Ohio between July 2017 to April 2019. A multidisciplinary team of primary care physicians, hospital medicine physicians, nurses, and QI experts were involved in the study. The model involved Registered Nurses who initially identified care gaps on patient reports, who then communicated with the inpatient medicine team to administer vaccines and/or lead testing. A series of plan-do-study-act (PDSA) cycles were conducted to identify feasibility and failures of the model. In total, 648 of 1867 (34.7%) of care gaps were closed. Overall, care gaps were increased from 12% to 41%. Identification of care gaps increased from 62% to 88%. Furthermore, during a retrospective analysis, an additional 30% of care gaps not closed during hospitalization were addressed at primary care follow-up visits 1 month after discharge.

Image: PD

RELATED REPORTS

Bisphosphonates, denosumab, abaloparatide, teriparatide, and romosozumab reduce postmenopausal fracture risk

Organizational factors increase risk of unplanned extubation in neonatal intensive care unit

Quality improvement initiatives improve ventilation during pediatric cardiopulmonary resuscitation

©2021 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: lead screeningprimary carequality improvementvaccinations
Previous Post

Cardiovascular and all-cause mortality in patients with poststroke epilepsy associated with choice of antiseizure medication

Next Post

2 Minute Medicine Rewind December 20, 2021

RelatedReports

Romosozumab significantly increases bone mineral density in postmenopausal women
Chronic Disease

Bisphosphonates, denosumab, abaloparatide, teriparatide, and romosozumab reduce postmenopausal fracture risk

January 30, 2023
Racial, ethnic differences in outcomes of extremely preterm infants decreasing but persistent
Chronic Disease

Organizational factors increase risk of unplanned extubation in neonatal intensive care unit

October 25, 2022
Metronome use linked to rate optimization in pediatric CPR
Cardiology

Quality improvement initiatives improve ventilation during pediatric cardiopulmonary resuscitation

September 6, 2022
Parental debt influences child socioemotional well-being
Chronic Disease

Primary care physicians underuse Medicare prevention and coordination codes

July 11, 2022
Next Post
Medical vaccine exemptions increase after elimination of nonmedical exemptions

2 Minute Medicine Rewind December 20, 2021

Adalimumab aids in control of noninfectious uveitis

Low-energy femtosecond laser-assisted cataract surgery versus conventional phacoemulsification

Women electing abortion more likely to be victims of domestic violence

Exercising during the postpartum period may not induce additional weight loss

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • BNT162b2 booster is safe and reduces COVID-19 transmission in older adults
  • Bisphosphonates, denosumab, abaloparatide, teriparatide, and romosozumab reduce postmenopausal fracture risk
  • Epstein-Barr viral load monitoring reduces risk of post-liver transplant lymphoproliferative disease
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

Want more physician-written
medical news?

Join over 10 million yearly readers and numerous companies. For healthcare professionals
and the public.

Subscribe for free today!

Subscription options