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dc.contributor.authorPrentice, B
dc.contributor.authorMoloney, S
dc.contributor.authorHort, J
dc.contributor.authorHibbert, P
dc.contributor.authorWiles, LK
dc.contributor.authorMolloy, CJ
dc.contributor.authorArnolda, G
dc.contributor.authorTing, HP
dc.contributor.authorBraithwaite, J
dc.contributor.authorJaffe, A
dc.date.accessioned2020-07-16T03:33:59Z
dc.date.available2020-07-16T03:33:59Z
dc.date.issued2019
dc.identifier.issn1353-4505
dc.identifier.doi10.1093/intqhc/mzz088
dc.identifier.urihttp://hdl.handle.net/10072/395504
dc.description.abstractObjective: To determine the extent to which care received by Australian children presenting with croup is in agreement with Clinical Practice Guidelines (CPGs). Design: Retrospective population-based sample survey. Croup clinical indicators were derived from CPGs. Data sources/study setting: Medical records from three healthcare settings were sampled for selected visits in 2012 and 2013 in three Australian states. Data collection: Data were collected by nine experienced paediatric nurses, trained to assess eligibility for indicator assessment and adherence to CPGs. Surveyors undertook criterion-based medical record reviews using an electronic data collection tool. Results: Documented guideline adherence was lower for general practitioners (65.9%; 95% CI: 60.8–70.6) than emergency departments (91.1%; 95% CI: 89.5–92.5) and inpatient admissions (91.3%; 95% CI: 88.1–93.9). Overall adherence was very low for a bundle of 10 indicators related to assessment (4.5%; 95% CI: 2.4–7.6) but higher for a bundle of four indicators relating to the avoidance of inappropriate therapy (83.1%; 95% CI: 59.5–96.0). Conclusions: Most visits for croup were characterized by appropriate treatment in all healthcare settings. However, most children had limited documented clinical assessments, and some had unnecessary tests or inappropriate therapy, which has potential quality and cost implications. Universal CPG and clinical assessment tools may increase clinical consistency.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherOxford University Press (OUP)
dc.relation.ispartofpagefrom759
dc.relation.ispartofpageto767
dc.relation.ispartofissue10
dc.relation.ispartofjournalInternational Journal for Quality in Health Care
dc.relation.ispartofvolume31
dc.subject.fieldofresearchMedical and Health Sciences
dc.subject.fieldofresearchPsychology and Cognitive Sciences
dc.subject.fieldofresearchcode11
dc.subject.fieldofresearchcode17
dc.subject.keywordsAppropriateness
dc.subject.keywordscroup
dc.subject.keywordsquality of care
dc.titleAssessing the adherence to guidelines in the management of croup in Australian children: A population-based sample survey
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationPrentice, B; Moloney, S; Hort, J; Hibbert, P; Wiles, LK; Molloy, CJ; Arnolda, G; Ting, HP; Braithwaite, J; Jaffe, A, Assessing the adherence to guidelines in the management of croup in Australian children: A population-based sample survey, International Journal for Quality in Health Care, 2019, 31 (10), pp. 759-767
dcterms.dateAccepted2019-07-17
dc.date.updated2020-07-16T03:32:40Z
gro.hasfulltextNo Full Text
gro.griffith.authorMoloney, Susan


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