Introduction

Children with elevated body mass index (BMI) do not consistently receive recommended laboratory screenings. This project aimed to increase provider screening rates and knowledge of screening guidelines for this population.

Method

This project utilized the Rosswurm and Larrabee evidence-based practice model. Providers completed education with pretest and posttest design. Laboratory screening rates were measured with retrospective chart reviews, and a project satisfaction survey was conducted.

Results

Nine (82%) of 11 providers showed an increase in knowledge of screening for children with elevated BMI. Laboratory screening increased (27% to 39%) above the preintervention median (25%) for children with obesity and was above the median (22%) for one month of the project (15% to 26%) for children with overweight.

Conclusions

Project results suggest education improved knowledge and compliance with guidelines for laboratory screening of children with an elevated BMI. Asynchronous education and sharing of compliance rates are adaptable to similar quality improvement projects.

中文翻译：

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实施以提供者为中心的教育，以改善初级保健中体重指数升高的儿科患者的实验室筛查：质量改进项目

 介绍

体重指数 (BMI) 升高的儿童并未始终接受推荐的实验室筛查。该项目旨在提高该人群的医疗服务提供者筛查率和筛查指南知识。

 方法

该项目利用了 Rosswurm 和 Larrabee 循证实践模型。提供者通过前测和后测设计完成了教育。通过回顾性图表审查来衡量实验室筛查率，并进行项目满意度调查。

 结果

11 名提供者中的 9 名 (82%) 表现出对 BMI 升高儿童的筛查知识有所增加。肥胖儿童的实验室筛查比干预前的中位数（25%）有所增加（27% 至 39%），并且在项目实施一个月内高于超重儿童的中位数（22%）（15% 至 26%）。

 结论

项目结果表明，教育提高了对体重指数升高儿童进行实验室筛查的知识和遵守指南。异步教育和合规率共享适用于类似的质量改进项目。