Objectives: To develop and test quality indicators for assessing care in pediatric hospital settings for common respiratory illnesses.
Patients: A sample of 2796 children discharged from the emergency department or inpatient setting at 1 of the 3 participating hospitals with a primary diagnosis of asthma, bronchiolitis, croup, or community-acquired pneumonia (CAP) between January 1, 2010, and December 31, 2011.
Setting: Three tertiary care children's hospitals in the United States.
Methods:
We developed evidence-based quality indicators for asthma, bronchiolitis, croup, and CAP. Expert panel-endorsed indicators were included in the
Results: CAP and croup condition-level PRIMES scores demonstrated significant between-hospital variations (P < .001). Asthma and bronchiolitis condition-level PRIMES scores demonstrated significant within-hospital variation with emergency department scores (means [SD] 82.2(6.1)-100.0 (14.4)] exceeding inpatient scores (means [SD] 71.1 (2.0)-90.8 (1.3); P < .001).
Conclusions: PRIMES is a new set of measures available for assessing the quality of hospital-based care for common pediatric respiratory illnesses.
Copyright © 2017 by the American Academy of Pediatrics.