Journal article
Updates to referring clinicians regarding critically ill children admitted to the pediatric intensive care unit: a state-wide survey
Diagnosis (Berlin, Germany), Vol.7(2), pp.123-128
06/01/2020
DOI: 10.1515/dx-2019-0048
PMCID: PMC7732519
PMID: 31652117
Abstract
Background: Front-line clinicians are expected to make accurate and timely diagnostic decisions before transferring patients to the pediatric intensive care unit (PICU) but may not always learn their patients' outcomes. We evaluated the characteristics of post-transfer updates received by referring clinicians regarding PICU patients and determined preferences regarding content, delivery, and timing of such updates.
Methods: We administered an electronic cross-sectional survey to Iowa clinicians who billed for >= 5 pediatric patients or referred >= 1 patient to the University of Iowa (UI) PICU in the year before survey administration.
Results: One hundred and one clinicians (51 non-UI, 50 UI-affiliated) responded. Clinicians estimated that, on average, 8% of pediatric patients they saw over 1 year required PICU admission; clinicians received updates on 40% of patients. Seventy percent of UI clinicians obtained updates via self-initiated electronic record review, while 37% of non-UI clinicians relied on PICU communication (p = 0.013). Clinicians indicated that updates regarding diagnoses/outcomes will be most relevant to their practice. Among clinicians who received updates, 13% received unexpected information; 40% changed their practice as a result.
Conclusions: Clinicians received updates on less than half of the patients they referred to a PICU, although such updates could potentially influence clinical practice. Study findings will inform the development of a formal feedback system from the PICU to referring clinicians.
Details
- Title: Subtitle
- Updates to referring clinicians regarding critically ill children admitted to the pediatric intensive care unit: a state-wide survey
- Creators
- Christina L. Cifra - Roy J. and Lucille A. Carver College of MedicineCody R. Tigges - Roy J. and Lucille A. Carver College of MedicineSarah L. Miller - Roy J. and Lucille A. Carver College of MedicineLoreen A. Herwaldt - Roy J. and Lucille A. Carver College of MedicineHardeep Singh - Michael E. DeBakey VA Medical Center
- Resource Type
- Journal article
- Publication Details
- Diagnosis (Berlin, Germany), Vol.7(2), pp.123-128
- DOI
- 10.1515/dx-2019-0048
- PMID
- 31652117
- PMCID
- PMC7732519
- NLM abbreviation
- Diagnosis (Berl)
- ISSN
- 2194-8011
- eISSN
- 2194-802X
- Publisher
- Walter De Gruyter
- Number of pages
- 6
- Grant note
- CIN 13-413 / Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, USA HD027748 / National Institutes of Health Institutional K12 grant (Eunice Kennedy Shriver National Institute of Child Health and Human Development)
- Language
- English
- Date published
- 06/01/2020
- Academic Unit
- Critical Care; Infectious Diseases; Stead Family Department of Pediatrics; Epidemiology; Emergency Medicine; Internal Medicine
- Record Identifier
- 9984297256502771
Metrics
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