Title

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

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