Pediatricians report not having adequate knowledge or time to provide quality care for children with medical complexity. We developed a web based application, the complex care guide, to house best practices in tracheostomy care, gastrostomy care, and caregiver support and measured its use over a 90 day period in a pilot group of pediatricians. The application was accessed 187 times during the pilot by 105 users, 24 of which were repeat users and over half of the users viewed multiple pages during a visit. The application continued to be accessed at one and two years after the pilot. We were unable to determine if there was an increase in knowledge of best care practices for children with medical complexity from interacting with our application. This pilot study suggests that web-based applications are an accessible mode of information delivery for practicing pediatricians.
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