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January 9, 2026Open Access

Proactive clinical auditing and continuous monitoring reduced the negative appendectomy rate in children to below 2%, compared to the 10-25% rate reported in literature.

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Key result

Proactive clinical auditing and continuous monitoring reduced the negative appendectomy rate in children to below 2%, compared to the 10-25% rate reported in literature.

Authors

DADalia AbdulrahmanMAMamoun AlMarzouqiVGVipul Gupta

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Overview

Clinical audit and monitoring reduce negative appendectomy rates in children, indicating improved diagnostic accuracy.

Key Points

  • The aim is to evaluate the effectiveness of proactive clinical auditing and monitoring in reducing negative appendectomy rates in children.
  • Conducted a prospective clinical audit in a tertiary pediatric surgical center.
  • Utilized a standardized clinical pathway for children with suspected appendicitis.
  • Implemented clinical scoring (Alvarado score) and imaging (ultrasound, CT) for diagnosis.
  • Reviewed negative appendectomy cases weekly and modified diagnostic algorithms.
  • Reduced negative appendectomy rate to below 2%, compared to the 10-25% rate in existing literature.
  • Multidisciplinary discussions and feedback identified diagnostic issues.
  • Refinement of clinical pathways led to improved surgical decision-making and compliance.

Cite This Study

Abdulrahman et al. (2026) studied this question. Proactive clinical auditing and continuous monitoring reduced the negative appendectomy rate in children to below 2%, compared to the 10-25% rate reported in literature.

synapsesocial.com/papers/69612fd630ef6c21f6853d5chttps://doi.org/10.22038/psj.2025.91740.1495
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