PMID- 31895202
OWN - NLM
STAT- MEDLINE
DCOM- 20200529
LR  - 20200529
IS  - 1535-1815 (Electronic)
IS  - 0749-5161 (Linking)
VI  - 36
IP  - 1
DP  - 2020 Jan
TI  - Caring for Children With Medical Complexity With the Emergency Information Form.
PG  - 57-61
LID - 10.1097/PEC.0000000000002021 [doi]
AB  - BACKGROUND AND OBJECTIVE: The American Academy of Pediatrics recommends an 
      emergency information form (EIF) for children with medical complexity (CMC) to 
      facilitate emergency care. We sought to increase the EIF completion rate at our 
      children's hospital's CMC clinic and to evaluate the effect on caregiver and 
      emergency department (ED) provider opinion of preparation, comfort, and 
      communication. METHODS: We used a pre/post-quality improvement design. The main 
      outcomes were (1) the proportion of completed EIFs and (2) caregiver and ED 
      provider opinion of preparation, comfort, and communication, using a Likert scale 
      survey (1, low; 5, high). RESULTS: Emergency information form completion 
      increased from 3.1% (4/133) before the intervention to 47.0% (78/166) after (P < 
      0.001). Twenty-three providers completed presurveys, and 8 completed postsurveys. 
      Seventy-two caregivers completed presurveys, and 38 completed postsurveys (25 
      with ED visit and 13 without). There were no changes in preparation, comfort, or 
      communication for caregivers who had an ED visit after the intervention. For 
      those without a postintervention ED visit, caregiver median scores rose for 
      preparation (4 [interquartile range IQR, 3-5] vs 5 [IQR, 4-5], P = 0.02) and 
      comfort (4 [IQR, 2.25-5] vs 5 [IQR, 4-5], P = 0.05). After the intervention, ED 
      providers had increased median communication scores (3 [IQR, 2.75-4.25] vs 5 
      [IQR, 4-5], P = 0.02), whereas scores of preparation and comfort were unchanged. 
      CONCLUSION: A quality improvement project at a CMC clinic increased EIF 
      completion, caregiver preparation and comfort, and ED provider communication in 
      emergencies.
FAU - Larson, Ingrid A
AU  - Larson IA
AD  - From the Children's Mercy Kansas City, Division of General Academic Pediatrics.
FAU - Colvin, Jeffrey D
AU  - Colvin JD
AD  - From the Children's Mercy Kansas City, Division of General Academic Pediatrics.
AD  - University of Missouri-Kansas City, School of Medicine, Kansas City, MO.
FAU - Hoffman, Amber
AU  - Hoffman A
AD  - Nemours Children's Hospital, Orlando, FL.
FAU - Colliton, William Scott
AU  - Colliton WS
FAU - Shaw, Ryan J
AU  - Shaw RJ
AD  - Duke University School of Nursing, Durham, NC.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Pediatr Emerg Care
JT  - Pediatric emergency care
JID - 8507560
SB  - IM
MH  - Adolescent
MH  - Attitude of Health Personnel
MH  - Caregivers
MH  - Child
MH  - Child, Preschool
MH  - *Communication
MH  - *Emergency Medical Services
MH  - Emergency Service, Hospital/organization & administration
MH  - Female
MH  - Hospitals, Pediatric
MH  - Humans
MH  - Infant
MH  - Male
MH  - *Medical Records
MH  - Patient Satisfaction
MH  - Personnel, Hospital
MH  - Professional-Family Relations
MH  - Quality Improvement
MH  - Surveys and Questionnaires
MH  - Young Adult
EDAT- 2020/01/03 06:00
MHDA- 2020/05/30 06:00
CRDT- 2020/01/03 06:00
PHST- 2020/01/03 06:00 [entrez]
PHST- 2020/01/03 06:00 [pubmed]
PHST- 2020/05/30 06:00 [medline]
AID - 00006565-202001000-00011 [pii]
AID - 10.1097/PEC.0000000000002021 [doi]
PST - ppublish
SO  - Pediatr Emerg Care. 2020 Jan;36(1):57-61. doi: 10.1097/PEC.0000000000002021.