Post-Implementation Outcomes of a Streamlined Care in Pediatric Hand Injuries Pathway

Background: A Streamlined Care In Pediatric Hand Injuries (SCI-PHI) pathway was developed to reduce unnecessary follow-ups and improve health care resource utilization. This study aimed to investigate the post-implementation outcomes of patients treated with this previously developed SCI-PHI pathway. Methods: Participants were contacted 12 months post-injury to complete a questionnaire, including a modified version of the Michigan Hand Questionnaire and the Patient-Reported Outcomes Measurement Information System upper extremity score. Results: Ninety-four percent of patients had a pain-free return to activity, and 93% were satisfied with the appearance and function of their injured hand. Five patients (4%) had questions that were answered over the phone, and 5 patients (4%) requested follow-up with the surgical team. No patients required any intervention beyond reassurance. There was a consequent 27% reduction in visits. Conclusions: The SCI-PHI pathway for children with simple hand injuries demonstrates good patient-reported outcomes and satisfaction. This has the potential to save significant resources for both families and the health care system.