Dataset Information

A Quality Improvement Initiative to Improve After-visit Summary Distribution in Orthopedic Outpatient Clinics.

ABSTRACT: Communication and patient education are key to effective healthcare encounters and improved health outcomes. The after-visit summary (AVS) is an integral communication and education tool for patients and families. Without effective communication, gaps in comprehension may result in decreased satisfaction with medical encounters, lack of adherence to recommended treatment plans, missed appointments, and increased malpractice claims.

Methods

We initiated a quality improvement (QI) initiative implementing concepts derived from the Institute for Healthcare Improvement (IHI) model, including plan-do-study-act cycles, to increase AVS distribution rates in a high-volume, fast-paced ambulatory pediatric orthopedic clinic. Interventions included staff education and training, trainee instruction, enlistment of electronic medical record superusers to enhance the distribution process, and provision of regular, transparent communication of individual and team performance. The impact of interventions was measured using a p-chart.

Results

There was a consistent improvement in the rate of AVS distribution with each intervention implemented. The distribution rate on project initiation was 81.9%, with a final rate of 95.7%. The most statistically significant shift occurred following the final intervention, which included sharing unblinded individual performance data.

Conclusion

Our data demonstrate that a dedicated QI program using IHI methodology improved AVS distribution rates in a pediatric orthopedic clinic. Consistently distributing the AVS affords our patients and families a better opportunity to review pertinent visit information, education, medication changes, and upcoming appointments.

SUBMITTER: Williamson J

PROVIDER: S-EPMC9742082 | biostudies-literature | 2022 Nov-Dec

REPOSITORIES: biostudies-literature

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Publications

A Quality Improvement Initiative to Improve After-visit Summary Distribution in Orthopedic Outpatient Clinics.

Williamson Jayme J Holstine Jessica J Balch Samora Julie J

Pediatric quality & safety 20221101 6

Communication and patient education are key to effective healthcare encounters and improved health outcomes. The after-visit summary (AVS) is an integral communication and education tool for patients and families. Without effective communication, gaps in comprehension may result in decreased satisfaction with medical encounters, lack of adherence to recommended treatment plans, missed appointments, and increased malpractice claims.<h4>Methods</h4>We initiated a quality improvement (QI) initiativ ...[more]

PMID: 36518154

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Dataset Information

A Quality Improvement Initiative to Improve After-visit Summary Distribution in Orthopedic Outpatient Clinics.

Methods

Results

Conclusion

Publications

A Quality Improvement Initiative to Improve After-visit Summary Distribution in Orthopedic Outpatient Clinics.

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