Assessing the quality of the management of tonsillitis among Australian children: a population-based sample survey

Peter Hibbert, Jacqueline H. Stephens, Carl de Wet, Helena Williams, Andrew Hallahan, Gavin R. Wheaton, Chris Dalton, Hsuen P. Ting, Gaston Arnolda, Jeffrey Braithwaite

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objective: The aims of this study were twofold: (1) to design and validate a set of clinical indicators of appropriate care for tonsillitis and (2) to measure the level of tonsillitis care that is in line with guideline recommendations in a sample of Australian children. Study Design: A set of tonsillitis care indicators was developed from available national and international guidelines and validated in 4 stages. This research used the same design as the CareTrack Kids study, which was described in detail elsewhere. Setting: Samples of patient records from general practices, emergency departments, and hospital admissions were assessed. Subjects and Methods: Patient records of children aged 0 to 15 years were assessed for the presence of, and adherence to, the indicators for care delivered in 2012 and 2013. Results: Eleven indicators were developed. The records of 821 children (mean age, 5.0 years; SD, 4.0) with tonsillitis were screened. The reviewers conducted 2354 eligible indicator assessments across 1127 visits. Adherence to 6 indicators could be assessed and ranged from 14.3% to 73.2% (interquartile range 31.5% to 72.2%). Conclusion: Our main findings are consistent with the international literature: the treatment of many children who present with confirmed or suspected tonsillitis is inconsistent with current guidelines. Future research should consider how the indicators could be applied in a structured and automated manner to increase the reliability and efficiency of record reviews and help raise clinicians’ awareness of appropriate tonsillitis management.

LanguageEnglish
Pages137-144
Number of pages8
JournalOtolaryngology - Head and Neck Surgery (United States)
Volume160
Issue number1
Early online date28 Aug 2018
DOIs
Publication statusPublished - 1 Jan 2019

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Tonsillitis
Population
Guidelines
General Practice
Surveys and Questionnaires
Hospital Emergency Service
Research

Keywords

  • child health
  • guideline adherence
  • health care quality indicators
  • patient safety
  • tonsillitis

Cite this

Hibbert, Peter ; Stephens, Jacqueline H. ; de Wet, Carl ; Williams, Helena ; Hallahan, Andrew ; Wheaton, Gavin R. ; Dalton, Chris ; Ting, Hsuen P. ; Arnolda, Gaston ; Braithwaite, Jeffrey. / Assessing the quality of the management of tonsillitis among Australian children : a population-based sample survey. In: Otolaryngology - Head and Neck Surgery (United States). 2019 ; Vol. 160, No. 1. pp. 137-144.
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Assessing the quality of the management of tonsillitis among Australian children : a population-based sample survey. / Hibbert, Peter; Stephens, Jacqueline H.; de Wet, Carl; Williams, Helena; Hallahan, Andrew; Wheaton, Gavin R.; Dalton, Chris; Ting, Hsuen P.; Arnolda, Gaston; Braithwaite, Jeffrey.

In: Otolaryngology - Head and Neck Surgery (United States), Vol. 160, No. 1, 01.01.2019, p. 137-144.

Research output: Contribution to journalArticleResearchpeer-review

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