Katherine E Speirs, Stephanie K Grutzmacher, Ashley L Munger, Lauren A Messina
Recruitment and retention in an SMS-based health education program: Lessons learned from Text2BHealthy
Health informatics journal
toddlers fractures one common orthopedic injuries young walkingage children defined nondisplaced spiraltype metaphyseal fractures involving tibia without injury fibula inherently stable aimed use quality improvement methodology increase proportion patients toddlers fractures treated without cast immobilization large tertiary referral pediatric orthopedic center baseline 45675 baseline data patient volume treatment regimens toddlers fractures collected starting february 2019 monthly data collected electronic medical record reviewed determine treatment cast versus noncast immobilization tracked using statistical process control charts pchart determining root causes treatment using immobilization interventions tested adopted included physician alignment expectations treatment sharing unblinded compliance data providers updating patient education materials updating resident education reference materials interventions place percentage patients treated without cast immobilization increased 456 90 p 0001 also observed improvement process measure increase percentage population receiving boot immobilization new patient visits orthopedic clinics 415 52 p 0001 aligning provider family expectations treatment demonstrating clinical need cast immobilization bringing awareness compliance appropriate guidelines institution able improve care patients toddlers fractures reduce financial care burdens families