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. 2025 Jun 20:S1477-5131(25)00327-4.
doi: 10.1016/j.jpurol.2025.06.022. Online ahead of print.

How to use quality improvement methodology to track missed care opportunities for urodynamics appointments and identify key drivers for future interventions

Kaitlin Scarpaci  1 , Christina Chen  2 , Mary Micker  2 , Hunter Gibbs  2 , Perry Harlan  2 , Celicia Little  2 , Nicole Allentuck  2 , Bruce M Sprague  2 , Hans G Pohl  2 , Christina P Ho  2 , Briony K Varda  2
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How to use quality improvement methodology to track missed care opportunities for urodynamics appointments and identify key drivers for future interventions

Kaitlin Scarpaci et al. J Pediatr Urol. .

Abstract

Missed care opportunities (MCOs) can negatively affect patients, providers and institutions. In 2022, we established a prospective quality improvement (QI) database to track MCOs for urodynamics (UDS). Between 2022 and 2024, 877 appointments were scheduled. The MCO rate was 29 %. Patients with spina bifida (SB) undergoing non-video UDS accounted for 79 % of MCOs. This sub-group was sensitive to reminder type, with MCOs driven down by human phone reminders then rising above the median MCO rate with text reminders (aOR 1.5 [95 % CI 1.09-2.14], p = 0.02). This knowledge, alongside practitioner-assigned reasons for MCOs, has informed targeted QI interventions.

Keywords: Missed care opportunities; Quality improvement; Urodynamics.

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Conflict of interest statement

Conflicts of interest None.

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