From the Department of Pediatrics, University of California San Diego, La Jolla, CA.
the Department of Gastroenterology, Rady Children's Hospital, San Diego, CA.
J Pediatr Gastroenterol Nutr. 2023 Sep 1;77(3):422-425. doi: 10.1097/MPG.0000000000003872. Epub 2023 Jun 26.
In 2022, the Pediatric Endoscopy Quality Improvement Network published quality metrics related to pediatric endoscopy. We utilized electronic medical record (EMR) tools to collect pediatric endoscopy quality metrics (PEQM) and to standardize proceduralist feedback. EMR tools were created to capture and display PEQM: (1) an endoscopy documentation template, (2) nursing documentation of events during endoscopy for timed calculations, and (3) a data dashboard. Dashboard metrics provided individualized PEQM feedback relative to group performance and ideals where available. Utilization of the endoscopy documentation tools and data dashboard was measured. Utility was assessed using a survey based on the Technology Adoption Model. Adoption of documentation tools has been nearly universal with positive survey outcomes. Robust dashboard visualization has been demonstrated. Use of EMR documentation tools standardized PEQM collection. Future capture and sharing of common PEQM data across institutions could help determine PEQM benchmarks.
2022 年，儿科内镜质量改进网络发布了与儿科内镜相关的质量指标。我们利用电子病历 (EMR) 工具收集儿科内镜质量指标 (PEQM) 并对程序反馈进行标准化。创建 EMR 工具是为了捕获和显示 PEQM：(1) 内镜文档模板，(2) 内镜期间护理记录以进行计时计算，以及 (3) 数据仪表板。仪表板指标提供了相对于小组绩效和可用理想的个体 PEQM 反馈。测量了内镜文档工具和数据仪表板的使用情况。效用评估是基于技术采用模型进行的调查。文档工具的采用几乎是普遍的，调查结果也很积极。强大的仪表板可视化已经得到了证明。使用 EMR 文档工具标准化了 PEQM 的收集。未来在机构间捕获和共享常见的 PEQM 数据可以帮助确定 PEQM 基准。
