To get certified as a SWEET Center of Reference / Collaborative Centers, the centers have to undergo the SWEET peer review program. The SWEET peer review team is charged with reviewing the pediatric healthcare teams and services to determine compliance with all SWEET criteria and to assess quality of care and treatment in relation to clinical outcomes and patient experience.
The goal is to repeat this process every 5 years, so that all SWEET centers receive help and guidance on how to remain compliant with the necessary criteria for up-to-date, efficient pediatric diabetes care.
The process consists of the following key steps:
Peer review needs to be a key part of the delivery and monitoring of any service or activity and those involved need to demonstrate that this element of monitoring and learning is integral to the process of compliance with fundamental standards and of improvement.
The program adheres to a number of the founding principles of peer review:
The SWEET Program aims to improve care for children and young people and their families affected by pediatric diabetes by:
ensuring services are as safe as possible;
improving the quality and effectiveness of care;
improving the patient and carer experience;
undertaking independent, fair reviews of services;
providing development and learning for all involved;
encouraging the dissemination of good practice.
confirmation of the quality of pediatric diabetic services;
speedy identification of major shortcomings in the quality of pediatric diabetic services where they occur so that rectification can take place;
published reports that provide accessible public information about the quality of pediatric diabetic services;
validated information which is available to other stakeholders
The Peer Review Program should be conducted in a spirit of dialogue and cooperation between the Pediatric Diabetic Centers and the review teams.
“The visit helped to improve the team work, reinforce clinical, scientific & educational goals in our center and catch the attention of the administration, reminding them of the urgent need for additional staff.”
“It allowed us to get an external perspective of our center. It made us realize that we have some good qualities that we should enhance. It was a catalyst to make some changes: we had a nurse rotation system which we didn’t agree with, and this rotation ended after the Sweet visit!”
“We work as part of a large international network and feel the responsibility of developing as a team and as a center with a final goal: improve care and quality of life of our children and young people with diabetes.”
“We found a solution with IT to make the data collection easier and faster than before since we have a huge amount of data.”
“We have let our hospital board members know about how our diabetes center is positioned in terms of clinical structure and use of technology using the information provided by reviewers.”
“We increased the frequency of the meetings for discussion of clinical cases.”
“HBA1c levels are decreasing.”
“Our Unit’s Facebook page was created, in order to be closer to our patients.”
“Nurse’s backup improved.”
“One more Pediatric Endocrinologist was hired.”
“Two young and motivated medical doctors joined our team.”
“We have designed a plan to increase the number of pump start-ups.”
Peer Review Program Manager