Implementation of a Ponseti Clubfoot Program Decreases Major Surgery: A Quality Improvement Initiative.

ABSTRACT: Clubfoot describes a congenital condition. If untreated, clubfoot can cause long-term functional issues. The Ponseti method is the gold-standard treatment; it emphasizes casting over surgery. We identified a high rate of major recurrence in patients with isolated clubfoot at our institution. We implemented a quality improvement intervention to address the recurrences.

Methods

We established a clubfoot program that aimed to (1) develop a standardized treatment pathway; (2) improve care team education; (3) improve coordination of care with families; and (4) improve documentation. The purpose of this study was to outline our quality improvement intervention and evaluate its success. Data were retrospectively collected from isolated clubfeet before (2003-2007, phase I) and after (2012-2

SUBMITTER: Carry PM 

PROVIDER: S-EPMC7870159 | biostudies-literature | 2020 Nov-Dec

REPOSITORIES: biostudies-literature