Background: Discharge communication is an important aspect of high-quality emergency care. This study addresses the gap in knowledge on how to describe discharge communication in a paediatric emergency department (ED).
Objective: The objective of this feasibility study was to develop and test a coding scheme to characterize discharge communication between health-care providers (HCPs) and caregivers who visit the ED with their children.
Design: The Pediatric Emergency Discharge Interaction Coding Scheme (PEDICS) and coding manual were developed following a review of the literature and an iterative refinement process involving HCP observations, inter-rater assessments and team consensus.
Setting And Participants: The coding scheme was pilot-tested through observations of HCPs across a range of shifts in one urban paediatric ED.
Main Variables Studied: Overall, 329 patient observations were carried out across 50 observational shifts. Inter-rater reliability was evaluated in 16% of the observations. The final version of the PEDICS contained 41 communication elements.
Results: Kappa scores were greater than .60 for the majority of communication elements. The most frequently observed communication elements were under the Introduction node and the least frequently observed were under the Social Concerns node. HCPs initiated the majority of the communication.
Conclusion: Pediatric Emergency Discharge Interaction Coding Scheme addresses an important gap in the discharge communication literature. The tool is useful for mapping patterns of discharge communication between HCPs and caregivers. Results from our pilot test identified deficits in specific areas of discharge communication that could impact adherence to discharge instructions. The PEDICS would benefit from further testing with a different sample of HCPs.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5513006 | PMC |
| http://dx.doi.org/10.1111/hex.12512 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Remote Symptom Monitoring in Thoracic Surgery Patients After Discharge.
Ann Surg
January 2025
Thoracic Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
Objective: Evaluate an electronic platform for remote symptom monitoring to enhance postdischarge care in thoracic surgery using patient reporting of symptoms.
Summary Background Data: Owing to the increased use of enhanced recovery after surgery protocols, patients are spending a larger portion of their postoperative course at home. For patients undergoing complex operations, this represents an opportunity for early identification of abnormal symptoms at home before deterioration.
Stress Reduction in Perioperative Care: Feasibility Randomized Controlled Trial.
J Med Internet Res
January 2025
FORTH-ICS, Heraklion, Greece.
Background: Patients undergoing surgery often experience stress and anxiety, which can increase complications and hinder recovery. Effective management of these psychological factors is key to improving outcomes. Preoperative anxiety is inversely correlated with the amount of information patients receive, but accessible, personalized support remains limited, especially in preoperative settings.
View Article and Find Full Text PDFBacterial etiologies, antimicrobial susceptibility profiles and associated factors among patients with otitis media referred to Nekemte Public Health Research and Referral Laboratory Center, Western Ethiopia: A cross-sectional study.
BMC Microbiol
January 2025
Department of Pharmacy, College of Health Sciences, Salale University, P.O. Box 245, Fitche, Ethiopia.
Background: Otitis media is among the leading causes of illnesses responsible for causing hearing problems and adding significant costs to the public health system. Bacteria are the most common causative agents for otitis media. Currently, there is little information on the prevalence and antimicrobial susceptibility patterns of pathogenic bacterial isolates from patients with otitis media in Ethiopia.
View Article and Find Full Text PDFSARS-CoV-2 Infection of the Central Nervous System: A Case Report.
Viruses
December 2024
Department of Medical Oncology, Medical University of Sofia, University Hospital "Tsaritsa Yoanna", 1527 Sofia, Bulgaria.
Central nervous system (CNS) infections caused by SARS-CoV-2 are uncommon. This case report describes the clinical progression of a 92-year-old female who developed a persistent neuroinfection associated with SARS-CoV-2. The patient initially presented with progressive fatigue, catarrhal symptoms, and a fever (38.
View Article and Find Full Text PDFA Case of Thermal Burns of the Larynx in a Toddler.
Cureus
December 2024
Otolaryngology, Head and Neck Surgery, Ehime University Graduate School of Medicine, Toon, JPN.
Thermal burns of the larynx are uncommon but can lead to serious upper airway obstruction due to edema and bleeding, especially in children who may struggle to communicate their symptoms effectively. This report presents the case of a one-year-and-seven-month-old boy who developed stridor and respiratory distress after eating a heated potato, which ultimately required tracheal intubation. The initial evaluation suggested foreign body aspiration; however, laryngoscopy confirmed significant arytenoid swelling and airway narrowing due to thermal burns.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!