Improving Developmental Screening, Discussion, and Referral in Pediatric Practice

Details

• Alternative Title:
  Clin Pediatr (Phila)
• Personal Author:
  Bright, Melissa A. ; Zubler, Jennifer ; Boothby, Christina ; Whitaker, Toni M.
• Description:
  Objective.
  
  Although pediatricians’ use of standardized screening tools for identifying developmental delays has increased, only 63% of pediatricians report performing standardized screening as recommended. The purpose of the current quality improvement project was to improve developmental monitoring, screening, and referral for developmental concerns by pediatricians.
  
  Method.
  
  Twenty-eight pediatricians completed an in-person meeting, monthly webinars, and individualized feedback from an Expert Work Group on progress across a 3-month action period.
  
  Results.
  
  Statistically significant increases were observed in rates of autism screening, discussions of screening results with families, and referral following abnormal results. There was no statistically significant change in rates of general developmental screening. Comparing self-report with record review, pediatricians overestimated the extent to which they conducted discussion and referral.
  
  Conclusions.
  
  Universal screening for all children has yet to be achieved. The current project supports that practice-based improvements can be made and delineates some of the routes to success.
  
  
• Subjects:
  Article Autism Autistic Disorder Behavioral Pediatrics Child, Preschool Developmental Delay Developmental Disabilities Developmental Screening Female Humans Infant Male Pediatricians Quality Improvement Referral And Consultation

  More +
• Source:
  Clin Pediatr (Phila). 58(9):941-948
• Pubmed ID:
  30939926
• Pubmed Central ID:
  PMC8499022
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; U38 OT000167/OT/OSTLTS CDC HHSUnited States/
• Volume:
  58
• Issue:
  9
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:1ea7fd40c7dcc2ba0b6379ebbcd7c33c0c5956868a8c78aa27fb417a9fd068ca
• Download URL:
  https://stacks.cdc.gov/view/cdc/110552/cdc_110552_DS1.pdf
• File Type:
  [PDF - 920.78 KB ]