TY - JOUR
T1 - Implementation of a standardized oral screening tool by paediatric cardiologists
AU - McCargar, Shelley I.
AU - Olsen, Joanne
AU - Steelman, Robert J.
AU - Huang, Jennifer H.
AU - Palmer, Elizabeth A.
AU - Burch, Grant H.
AU - Reed, Richard
AU - Labarge, Sara K.
N1 - Publisher Copyright:
© 2020 The Author(s). Published by Cambridge University Press.
PY - 2020/12
Y1 - 2020/12
N2 - Background: An examination of invasive procedure cancellations found that the lack of pre-procedural oral screening was a preventable cause, for children with congenital heart disease. The purpose of this study was to implement an oral screening tool within the paediatric cardiology clinic, with referral to paediatric dental providers for positive screens. The target population were children aged ≥6 months to <18 years old, being referred for cardiac procedures. Methods: The quality implementation framework method was used for this study design. The multi-modal intervention included education, audit and feedback, screening guidelines, environmental support, and interdisciplinary collaboration. Baseline rates for oral screenings were determined by retrospective chart audit from January 2018 to January 2019 (n = 211). Provider adherence to the oral screening tool was the outcome measure. Positive oral screens, resulting in referral to the paediatric dental clinic, were measured as a secondary outcome. Provider adherence rates were used as a process measure. Results: Data collected over 14 weeks showed a 29% increase in documentation of oral screenings prior to referral, as compared to the retrospective chart audit. During the study period, 13% of completed screenings were positive (n = 5). Provider compliance for the period was averaged at 70% adherence. Conclusion: A substantial increase in pre-procedural oral screenings by paediatric cardiologists was achieved using the quality implementation framework and targeted interventions.
AB - Background: An examination of invasive procedure cancellations found that the lack of pre-procedural oral screening was a preventable cause, for children with congenital heart disease. The purpose of this study was to implement an oral screening tool within the paediatric cardiology clinic, with referral to paediatric dental providers for positive screens. The target population were children aged ≥6 months to <18 years old, being referred for cardiac procedures. Methods: The quality implementation framework method was used for this study design. The multi-modal intervention included education, audit and feedback, screening guidelines, environmental support, and interdisciplinary collaboration. Baseline rates for oral screenings were determined by retrospective chart audit from January 2018 to January 2019 (n = 211). Provider adherence to the oral screening tool was the outcome measure. Positive oral screens, resulting in referral to the paediatric dental clinic, were measured as a secondary outcome. Provider adherence rates were used as a process measure. Results: Data collected over 14 weeks showed a 29% increase in documentation of oral screenings prior to referral, as compared to the retrospective chart audit. During the study period, 13% of completed screenings were positive (n = 5). Provider compliance for the period was averaged at 70% adherence. Conclusion: A substantial increase in pre-procedural oral screenings by paediatric cardiologists was achieved using the quality implementation framework and targeted interventions.
KW - Congenital heart diseases
KW - bacterial
KW - endocarditis
KW - oral health
KW - physicians
KW - practice patterns
KW - preventative medicine
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U2 - 10.1017/S1047951120002826
DO - 10.1017/S1047951120002826
M3 - Article
C2 - 32959733
AN - SCOPUS:85091740679
SN - 1047-9511
VL - 30
SP - 1815
EP - 1820
JO - Cardiology in the young
JF - Cardiology in the young
IS - 12
ER -