PediatricQuality Indicators (PDIs)
NURS3100 Section 01, Issues and Trends in Nursing
PediatricQuality Indicators (PDIs)
Pediatrichealthcare is a vital aspect of the health sector, precisely becauseit deals with the most vulnerable group of patients – children.Quality health indicators, therefore, play a very significant role inensuring that these groups are given thecare theyrequire. PediatricQuality Indicators (PDIs) refer to a set of standards used withdischarge data for admitted patients in hospitals to show the qualityof healthcare. The PDIs scan for issues that arise when a patient isadmitted or problems that may occur when a patient is enrolled in thehealthcare system. The aim of the PDIs is to prevent any issues thata patient may undergo and in return stops them in a provider orsystem level. To develop quality pediatric indicators, additional andspecial measures should be taken as compared to adult healthcare.Indicators should, therefore, be carefully designed, establishingvalidity and reliability, detecting bias and adjusting appropriaterisk while using administrative data (McManus etal.,2015).This essay focuses on pediatric healthcare, outlining the challengesfaced in pediatric healthcare as well as the measures that should betaken to ensure quality healthcare.
Accordingto the Agency for Healthcare Research and Quality (AHRQ), healthcarequality is associated with the increase in the desired healthperformance, patient satisfaction, and proficiency with the currentmedical advances. Healthcare quality is assessed with the aid ofquality health measure tools, that focuses on care processes orstructures under system control. Healthcare Quality Care forpediatric patients is assessed through the use of scientific toolsthat reveal extents to which a child receives quality care in any ofthe Institutes of Medicine domain (Lacey, 2016). These quality‘measures,’ evaluate the performance of a healthcarepractitioner, a hospital, a healthcare program, and so on.
PediatricSafety and Quality
Overthe past years, pediatric groups have joined hands to improve thequality of pediatric healthcare. This includes all activitiesassociated with reporting and processing the improvement of pediatrichealthcare. Patient safety processing seeks to reduce the hindrancesthat prevent deliverance of quality healthcare. Most emphases arelaid on medication errors, which are the most reported and the onlypotential unfavorable event in pediatric healthcare. Thoughpreventable, medical errors have a higher rate of death in childrenas compared to adult patients. 1.86 – 2.96 medical errors arereported in every 100 discharges of admitted children (Adams etal.,2013).
ChallengesFacing PDIs and Pediatric Patients
Thechallenges experienced in the development of PDIs is similar tohealthcare quality indicators of older patients. These setbacks aresuch as (1) to overcoming implementation and use (2) detecting biasand designing risk adjustment strategies (3) establishingreliability and validity and, (5) defining indicators in terms ofadministrative data.
Onthe other hand, pediatric patients invoke extra challenges, namelydependency, development, demographics and varying epistemology.(1) Dependency: Admitted children, especially the very young ones,rely highly on parents, caregivers or surrogates to expressthemselves comfortably. This, thus, means that their care must beconfirmed as satisfactory by their caregivers at all times. (2)Development: The needs of children change as they grow physically andmentally. The fluid nature of children’s growth, therefore, makesit difficult to have a general approach to pediatric safety. (3)Demographics: Somechildren depend highly on public insurance such as Medicaid, at sucha young age, they are likely to encounter ethnic discrimination orany other forms of misconduct.(4) Different Epidemiology: Most children require serious care,usually in episodes, contrary to adults who require care for chronicconditions. Planning a safe initiative is, therefore, difficult,given the episodic care that children require. (Lacey, Smith, &Cox., 2016)
Measuresto Ensure Quality Pediatric Care
Toensure quality pediatric care, the following measures should be takenand adhered to.
Pediatric healthcare workflow should be easily integrated into everyday healthcare practices. This will ensure that patients have quality healthcare at all times.
Methods used in quality indication should be scientifically sound. This ensures the use of reliable equipment and measures.
Pediatric Quality Measurement should be aligned with patients’ and families’ needs.
Children and families should be the primary focus of all measurement procedures.
Measures should be scalable and in line with future developments to enhance flexibility in change of technology
Pediatric Quality Measurement should be in line with the decision-making procedures of the general health system. This will ensure that pediatric health improves with the same pace as other health sectors.
Effectsof PDIs on Patient Safety, Quality, and Outcome
PediatricQuality Indicators ensures quality in institutions varying casemixes. For hospitals with much complex case mixes, stratification isessential to pinpoint quality issues and independently assess risks.Moreover, in the PDI’s measures, is the five-area level indicatorthat pleads with the authorities to specifically target andhospitalize groups prone to disease attack- such as children. Qualityindicators help regulate and manage all healthcare processestherefore, a poor PDI development could detrimentally affect theperformance of the healthcare institution, as a result of culturalinfluences, barriers to opportune care and a resultant poorhealthcare quality.
Thefragility in pediatric healthcare requires that Pediatric QualityMeasurement is done accordingly to prevent mortality in every waypossible. The same attribute makes pediatric care very complex. Toensure the best performance, the quality of staff in pediatrichealthcare should be above average. This means a staff that iscommitted to delivering quality care to the most delicate groups inhealthcare. People who advocate for pediatric health should also beavailable whenever key policies and issues are discussed.
Adams,S., Cohen, E., Mahant, S., Friedman, J. N., MacCulloch, R., &Nicholas, D. B. (2013). Exploring the usefulness of comprehensivecare plans for children with medical complexity (CMC): a qualitativestudy. BMCpediatrics, 13(1),1.
Lacey,S., Smith, J. B., & Cox., K. (2016, April 18). Pediatricsafety and quality.Retrieved December 24, 2016, from National Center for BiotechnologyInformation: https://www.ncbi.nlm.nih.gov/books/NBK2662/
McManus,M., White, P., Barbour, A., Downing, B., Hawkins, K., Quion, N., …& McAllister, J. W. (2015). Pediatric to adult transition: aquality improvement model for primary care. Journalof adolescent health, 56(1),73-78.