A Chart Audit of Middlesex-London Family Physician's Documentation of Developmental Milestones at the 18-month Well-baby Visit

2002 ◽  
Author(s):  
Judy Sutton ◽  
Bernadette Stringer
Keyword(s):  
Developmental Milestones ◽  
Chart Audit

Developmental milestones in early childhood and genetic liability to neurodevelopmental disorders

2020 ◽  
Author(s):  
Laurie John Hannigan ◽  
Ragna Bugge Askeland ◽  
Helga Ask ◽  
Martin Tesli ◽  
Elizabeth Corfield ◽  
...  
Keyword(s):  
Language Development ◽  
Motor Development ◽  
Neurodevelopmental Disorders ◽  
Autism Spectrum ◽  
Probit Regression ◽  
Developmental Milestones ◽  
Genetic Liability ◽  
Polygenic Scores ◽  
Walking Age ◽  
Children First

BackgroundEarly developmental milestones, such as the age at first walking or talking, are associated with later diagnoses of neurodevelopmental disorders, but the relationship to genetic risk for neurodevelopmental disorders are unknown. Here, we investigate associations between genetic liability to autism spectrum disorder (autism), attention deficit hyperactivity disorder (ADHD), and schizophrenia and attainment of early-life language and motor development milestones.MethodsWe use data from a genotyped sub-set (N = 15 205) of children in the Norwegian Mother, Father and Child Cohort Study (MoBa). In this sample, we calculate polygenic scores for autism; ADHD and schizophrenia and predict maternal reports of children’s age at first walking and talking, motor delays at 18 months, language delays at 3 years, and a generalized measure of concerns about development. We use linear and probit regression models in a multi-group framework to test for sex differences.ResultsADHD polygenic scores predicted earlier walking age in both males and females (β=-0.037, pFDR=0.001), and earlier first use of sentences (β=-0.087, pFDR=0.032) but delayed language development at 3 years in females only (β=0.194, pFDR=0.001). Additionally, we found evidence that autism polygenic scores were associated with later walking (β=0.027, pFDR=0.024) and motor delays at 18 months (β = 0.065, pFDR=0.028). Schizophrenia polygenic scores were associated with a measure of general concerns about development at 3 years in females only (β=0.132, pFDR=0.024).ConclusionsGenetic liabilities for neurodevelopmental disorders show some specific associations with measures of early motor and language development in the general population, including the age at which children first walk and talk. Associations are generally small and occasionally in unexpected directions. Sex differences are evident in some instances, but clear patterns across different polygenic scores and outcomes are hard to discern. These findings suggest that genetic susceptibility for neurodevelopmental disorders is manifested in the timing of developmental milestones in infancy.

The prevalence of scoliosis within Belgian myelomeningocele population and the correlation with ambulatory status and neurological comorbidities: a chart audit

Spinal Cord ◽  
2021 ◽  
Author(s):  
Arne Heyns ◽  
Stefano Negrini ◽  
Katrien Jansen ◽  
Pierre Moens ◽  
Sebastiaan Schelfaut ◽  
...  
Keyword(s):  
Chart Audit ◽  
Ambulatory Status

Comparison of methods for teaching developmental milestones to pediatric residents

2011 ◽  
Vol 7 (2) ◽  
pp. 161-166 ◽  
Author(s):  
Marie Leiner ◽  
G. Prasad Krishnamurthy ◽  
O. Blanc ◽  
B. Castillo ◽  
I. Medina
Keyword(s):  
Comparison Of Methods ◽  
Developmental Milestones ◽  
Pediatric Residents

scholarly journals Care for Patients with Type 2 Diabetes in a Random Sample of Community Family Practices in Ontario, Canada

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Gina Agarwal ◽  
Janusz Kaczorowski ◽  
Steve Hanna
Keyword(s):  
Best Practices ◽  
Diabetes Care ◽  
Diabetes Management ◽  
Management Strategies ◽  
Chart Audit ◽  
Pressure Reading ◽  
International Data ◽  
One Year ◽  
Control And Management

Objective. Diabetes care is an important part of family practice. Previous work indicates that diabetes management is variable. This study aimed to examine diabetes care according to best practices in one part of Ontario. Design and Participants. A retrospective chart audit of 96 charts from 18 physicians was conducted to examine charts regarding diabetes care during a one-year period. Setting. Grimsby, Ontario. Main Outcome Measures. Glycemic screening, control and management strategies, documentation and counselling for lifestyle habits, prevalence of comorbidities, screening for hypertension, hyperlipidemia, and use of appropriate recommended preventive medications in the charts were examined. Results. Mean A1c was within target (less than or equal to 7.00) in 76% of patients (ICC = −0.02), at least 4 readings per annum were taken in 75% of patients (ICC = 0.006). Nearly 2/3 of patients had been counselled about diet, more than 1/2 on exercise, and nearly all (90%) were on medication. Nearly all patients had a documented blood pressure reading and lipid profile. Over half (60%) had a record of their weight and/or BMI. Conclusion. Although room for improvement exists, diabetes targets were mainly reached according to recognized best practices, in keeping with international data on attainment of diabetes targets.

Occupational Therapy in Israel: An Overview of Developmental Milestones

2021 ◽  
Vol 4 (4) ◽  
Author(s):  
Liat Hen-Herbst ◽  
Tovi Margaliot ◽  
Eynat Gal ◽  
Orly Bouni ◽  
Sonya Meyer ◽  
...  
Keyword(s):  
Occupational Therapy ◽  
Developmental Milestones

scholarly journals Knowledge translation and process improvement interventions increased pain assessment documentation in a large quaternary paediatric post-anaesthesia care unit

2018 ◽  
Vol 7 (3) ◽  
pp. e000319 ◽  
Author(s):  
Daniel Stocki ◽  
Conor McDonnell ◽  
Gail Wong ◽  
Gloria Kotzer ◽  
Kelly Shackell ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Knowledge Translation ◽  
Pain Intensity ◽  
Process Improvement ◽  
Nursing Staff ◽  
Pain Assessment ◽  
Pain Intensity Score ◽  
Chart Audit ◽  
Anaesthetic Care ◽  
Pacu Stay

BackgroundDue to inadequate pain assessment documentation in our paediatric post-anaesthetic care unit (PACU), we were unable to monitor pain intensity, and target factors contributing to moderate and severe postoperative pain in children. The purpose of this study was to improve pain assessment documentation in PACU through a process improvement intervention and knowledge translation (KT) strategy. The study was set in a PACU within a large university affiliated paediatric hospital. Participants included PACU and Acute Pain Service nursing staff, administrative staff and anaesthesiologists.MethodsThe Plan–Do–Study-Act method of quality improvement was used. Benchmark data were obtained by chart review of 99 patient medical records prior to interventions. Data included pain assessment documentation (pain intensity score, use of validated pain intensity measure) during PACU stay. Repeat chart audit took place at 4, 5 and 6 months after the intervention.InterventionKey informant interviews were conducted to identify barriers to pain assessment documentation. A process improvement was implemented whereby the PACU flowsheets were modified to facilitate pain assessment documentation. KT strategy was implemented to increase awareness of pain assessment documentation and to provide the knowledge, skill and judgement to support this practice. The KT strategy was directed at PACU nursing staff and comprised education outreach (educational meetings for PACU nurses, discussions at daily huddles), reminders (screensavers, bedside posters, email reminders) and feedback of audit results.ResultsThe proportion of charts that included at least one documented pain assessment was 69%. After intervention, pain assessment documentation increased to >90% at 4 and 5 months, respectively, and to 100% after 6 months.ConclusionAfter implementing process improvement and KT interventions, pain assessment documentation improved. Additional work is needed in several key areas, specifically monitoring moderate to severe pain, in order to target factors contributing to significant postoperative pain in children.

Developmental Milestones, Stages

2018 ◽  
pp. 1130-1130
Author(s):  
Leesa V. Huang ◽  
Sarah Woodrow
Keyword(s):  
Developmental Milestones

Glycemia Management in Family Practice in Canada - Preliminary Results of a Chart Audit from AIM@GP

2008 ◽  
Vol 32 (4) ◽  
pp. 327
Author(s):  
Stewart Harris ◽  
Hertzel Gerstein ◽  
Jean- Francois Yale ◽  
Lori Berard ◽  
John Stewart ◽  
...  
Keyword(s):  
Family Practice ◽  
Chart Audit ◽  
Preliminary Results
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