Caring for Children With Medical Complexity With the Emergency Information Form.
Document Type
Article
Publication Date
1-2020
Identifier
DOI: 10.1097/PEC.0000000000002021
Abstract
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.
Journal Title
Pediatric emergency care
Volume
36
Issue
1
First Page
57
Last Page
61
MeSH Keywords
Adolescent; Attitude of Health Personnel; Caregivers; Child; Child, Preschool; Communication; Emergency Medical Services; Emergency Service, Hospital; Female; Hospitals, Pediatric; Humans; Infant; Male; Medical Records; Patient Satisfaction; Personnel, Hospital; Professional-Family Relations; Quality Improvement; Surveys and Questionnaires; Young Adult
Keywords
Adolescent; Attitude of Health Personnel; Caregivers; Child; Child, Preschool; Communication; Emergency Medical Services; Emergency Service, Hospital; Female; Hospitals, Pediatric; Humans; Infant; Male; Medical Records; Patient Satisfaction; Personnel, Hospital; Professional-Family Relations; Quality Improvement; Surveys and Questionnaires; Young Adult
Recommended Citation
Larson IA, Colvin JD, Hoffman A, Colliton WS, Shaw RJ. Caring for Children With Medical Complexity With the Emergency Information Form. Pediatr Emerg Care. 2020;36(1):57-61. doi:10.1097/PEC.0000000000002021
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