BACKGROUND AND OBJECTIVES: Epilepsy and seizures represent a frequent cause of emergency department (ED) visits for patients. By implementing quality improvement (QI) methodology, we planned to decrease ED visits for children and adolescents with epilepsy. METHODS: In 2016, a multidisciplinary team was created to implement QI methodology to address ED visits for patients with epilepsy. Based on previous successes, further ED visit reduction was deemed possible. Our aim statement was to decrease the number of ED visits, per 1000 established patients with epilepsy, from 13.03 to 11.6, by December 2019 and sustain for 1 year. RESULTS: We successfully decreased ED visits for seizure-related care in patients with epilepsy from 13.03% to 10.2% per 1,000 patients, which resulted in a centerline shift. DISCUSSION: Using QI methodology, we improved the outcome measure of decreasing ED visits for children with epilepsy. Implementations of these interventions can be considered at other institutions that may lead to similar results.
BACKGROUND AND OBJECTIVES: Epilepsy and seizures represent a frequent cause of emergency department (ED) visits for patients. By implementing quality improvement (QI) methodology, we planned to decrease ED visits for children and adolescents with epilepsy. METHODS: In 2016, a multidisciplinary team was created to implement QI methodology to address ED visits for patients with epilepsy. Based on previous successes, further ED visit reduction was deemed possible. Our aim statement was to decrease the number of ED visits, per 1000 established patients with epilepsy, from 13.03 to 11.6, by December 2019 and sustain for 1 year. RESULTS: We successfully decreased ED visits for seizure-related care in patients with epilepsy from 13.03% to 10.2% per 1,000 patients, which resulted in a centerline shift. DISCUSSION: Using QI methodology, we improved the outcome measure of decreasing ED visits for children with epilepsy. Implementations of these interventions can be considered at other institutions that may lead to similar results.
Authors: Sunjay Nunley; Peter Glynn; Steve Rust; Jorge Vidaurre; Dara V F Albert; Anup D Patel Journal: J Child Neurol Date: 2017-12-12 Impact factor: 1.987
Authors: Lisa Burrows; Sarah Lennard; Sharon Hudson; Brendan McLean; Mark Jadav; William Henley; Josemir W Sander; Rohit Shankar Journal: Seizure Date: 2020-01-23 Impact factor: 3.184
Authors: Zachary M Grinspan; Jason S Shapiro; Erika L Abramson; Hye-Young Jung; Rainu Kaushal; Lisa M Kern Journal: Epilepsia Date: 2015-01-09 Impact factor: 5.864
Authors: Abhijit G Honavar; Abhipsha Anuranjana; Annsmol P Markose; Kapil Dani; Bijesh Yadav; Kundavaram P P Abhilash Journal: J Family Med Prim Care Date: 2019-12-10