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Quality improvement in pediatric inflammatory bowel disease: Moving forward to improve outcomes

World Journal of Gastroenterology 2013年第38期19卷 6367-6374页

作者： pauline quach Geoffrey C Nguyen Eric I Benchimol CHEO IBD Centre Division of GastroenterologyHepatology and NutritionChildren’s Hospital of Eastern OntarioOttawa K1H 8L1Canada Institute for Clinical Evaluative Sciences Ottawa K1Y 4E9Canada Zane Cohen Center for Digestive Research Division of GastroenterologyMount Sinai HospitalToronto M5T 3L9Canada Department of Medicine University of TorontoToronto M5S 2J7Canada Departments of Pediatrics Epidemiology and Community MedicineUniversity of OttawaOttawa K1H 8M5Canada

In recent years,pediatric health care has embraced the concept of quality improvement to improve patient *** quality improvement efforts are implemented,network collaboration(where multiple centers and practices implement standardized programs)is a popular *** a collaborative network,improvement in the conduct of structural,process and outcome quality measures can lead to improvements in overall health,and benchmarks can be used to assess and compare *** this review article,we provided an overview of the quality improvement movement and the role of quality indicators in this *** reviewed current quality improvement efforts in pediatric inflammatory bowel disease (IBD),as well as other pediatric chronic *** discussed the need to standardize the development of quality indicators used in quality improvement networks to assess medical care,and the validation techniques which can be used to ensure that process indicators result in improved outcomes of clinical *** aimed to assess current quality improvement efforts in pediatric IBD and other diseases,such as childhood asthma,childhood arthritis,and neonatal *** doing so,we hope to learn from their successes and failures and to move the field forward for future improvements in the care provided to children with IBD.

关键词： Inflammatory bowel disease Colitis Ulcerative Crohn’s disease Child Adolescent Quality of health care Review

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