Journal
CLINICAL PEDIATRICS
Volume 39, Issue 2, Pages 97-102Publisher
WESTMINSTER PUBL INC
DOI: 10.1177/000992280003900204
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Funding
- NLM NIH HHS [G08 LM05583, T15 LM07056, R29 LM05552] Funding Source: Medline
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We performed a retrospective chart review for 149 randomly selected well-child encounters to evaluate the frequency with which clinicians plot growth measurements and document growth abnormalities during health maintenance visits. Providers failed to plot at least one measurement of height, weight, and/or head circumference in 31 of 149 encounters (21%, 95% CI=14.5% to 27.5%). Growth abnormalities in size, velocity, and/or disproportion were not documented in 22 of 40 relevant encounters (55%, 95% CI=40% to 70%). Overall, 52 of 149 encounters (35%) were associated with an unplotted measurement and/or an undocumented growth abnormality. We feel that both documentation and assessment of growth represent potential areas for quality improvement.
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