Use of feedback and structured reporting improves neonatal provider satisfaction and reduces variation in echocardiogram reports of patent ductus arteriosus. (December 2020)

• Record Type: Journal Article
• Authors: Prince, Brooke; Hoffman, Suma; Pietris, Nicholas; Vashist, Sudhir; Driscoll, Colleen; Chaves, Alicia H.
• Is Part Of: Progress in pediatric cardiology. Volume 59(2020)
• Publication Date: 2020-12
• Subjects: Pediatric cardiology -- Periodicals; Cardiovascular Diseases -- Periodicals; Infant; Child; Cardiologie pédiatrique -- Périodiques; 618.9212005
• DOI: 10.1016/j.ppedcard.2020.101257
• Languages: English
• ISSNs: 1058-9813

Abstract

Abstract: Objective: To evaluate the impact of standardized reporting elements in echocardiogram reports of patent ductus arteriosus in preterm infants on report variability and neonatology provider satisfaction. Methods: Standard echocardiogram reporting elements were implemented for assessment of patent ductus arteriosus in preterm infants based on feedback from neonatology providers. Inclusion of five reporting elements was assessed prior to and after training of sonographers and cardiologists. Electronic survey of neonatology providers was obtained before and after implementation to assess for satisfaction with report quality. Results: Neonatal provider satisfaction increased from 50% to 87.5% following successful implementation of standard elements of reporting ( p = 0.018). No reports included all elements prior to intervention, but after intervention 75% of reports included all five reporting elements ( p < 0.001). The median number of elements increased from three to five following intervention ( p < 0.001). Conclusions: Standard reporting elements for echocardiograms of patent ductus arteriosus in preterm infants were successfully implemented with increased report completeness. Improvement in neonatal provider satisfaction with reports was achieved through this implementation. Highlights: Standardized reporting elements chosen based on feedback from neonatal providers NICU provider dissatisfaction with variability in echo reports about PDAs Structured reporting improves satisfaction and reduces variability of echo reports. Understanding ordering provider needs important for adequate echo reports