Malik Fauzia, Booker John M, Brown Shannon, McClain Catherine, McGrath Jane
1Presbyterian Healthcare Services, Albuquerque, NM, USA.
Clin Pediatr (Phila). 2014 Jun;53(6):531-8. doi: 10.1177/0009922814527499. Epub 2014 Mar 20.
Seven pediatric primary care practices participated in New Mexico's Developmental Screening Initiative in a year-long quality improvement project with the goal of implementing standardized developmental screening tools.
The initiative utilized a learning collaborative approach and the Model for Improvement to promote best practice about developmental screening outlined by the American Academy of Pediatrics. Also, the project emphasized interagency collaboration to improve communication between medical providers and state and community agencies that provide services to children with developmental delays.
A total of 1139 medical records were reviewed by the 7 practices, at 5 intervals during the intervention. At baseline, there were dramatic differences among the practices, with some not engaged in screening at all. Overall, the use of standardized developmental screening increased from 27% at baseline to 92% at the end of the project.
七家儿科初级保健机构参与了新墨西哥州的发育筛查倡议，这是一个为期一年的质量改进项目，目标是实施标准化发育筛查工具。
该倡议采用学习协作方法和改进模型，以推广美国儿科学会概述的发育筛查最佳实践。此外，该项目强调跨机构合作，以改善医疗服务提供者与为发育迟缓儿童提供服务的州和社区机构之间的沟通。
在干预期间的5个时间点，这7家机构共审查了1139份病历。基线时，各机构之间存在显著差异，有些机构根本没有进行筛查。总体而言，标准化发育筛查的使用率从基线时的27%提高到项目结束时的92%。
