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Improving Physical Abuse Documentation and Photography through a Remote Peer Review Intervention.


ABSTRACT: Child Abuse Pediatrics is a small and geographically dispersed specialty. This article reports on an intervention to improve written and photodocumentation quality and uniformity in suspected child physical abuse cases, using a remote, de-identified case review system.

Methods

In each cycle, participants submitted de-identified medical reports and photographs for review by a child abuse pediatrics expert. Experts evaluated 3 cycles of 5 cases using a novel rubric and assigned quality interventions for the participants based on their scores.

Results

15 of 16 participants improved scores between cycles 1 and 3 (78% versus 89%, P < 0.001). All participants rated the program as helpful and would recommend it to a colleague.

Conclusion

A quality improvement project administered via the internet improves the quality and uniformity of written and photographic documentation in child physical abuse evaluations.

SUBMITTER: Moles RL 

PROVIDER: S-EPMC8476058 | biostudies-literature |

REPOSITORIES: biostudies-literature

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