RT Journal Article
SR Electronic
T1 Decreasing Emergency Department Visits for Children With Epilepsy
JF Neurology: Clinical Practice
FD Lippincott Williams & Wilkins
SP 413
OP 419
DO 10.1212/CPJ.0000000000001109
VO 11
IS 5
A1 Patel, Anup D.
A1 Debs, Andrea
A1 Terry, Debbie
A1 Parker, William
A1 Burch, Mary
A1 Luciano, Debra
A1 Patton, Lauren
A1 Brubaker, Jena
A1 Chrisman, Julie
A1 Moellman, Kathy
A1 Herbst, James
A1 Cohen, Daniel M.
YR 2021
UL http://cp.neurology.org/content/11/5/413.abstract
AB 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.