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

Date

2021

Journal Title

Journal ISSN

Volume Title

Publisher

Pediatric quality & safety

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

Description

Keywords

child abuse, physical abuse, photodocumentation, medical reports, peer review, internet

Citation

Moles, R. L., Melville, J., Martinez, K., & Palusci, V. (2021). Improving physical abuse documentation and photography through a remote peer review intervention. Pediatric quality & safety, 6(5).

DOI