Improving Physical Abuse Documentation and Photography through a Remote Peer Review Intervention
Date
2021
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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
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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).