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Development and evaluation of a minimum data set for children with airway support for transfers between acute and

Jane E O'Brien1, Helene M Dumas, Stephen M Haley

  • 1Franciscan Hospital for Children, Boston, MA 02135, USA.

Developmental Neurorehabilitation
|May 26, 2009
PubMed

Insights

A minimum data set can improve care coordination for children needing airway support. Key reasons for transfer include medical changes, but data transfer between facilities needs improvement for better patient safety.

Area of Science:

  • Pediatric critical care medicine
  • Healthcare systems engineering
  • Patient safety research

Background:

  • Children requiring airway support often transfer between acute and post-acute care settings.
  • Effective communication and data transfer are crucial for continuity of care during these transitions.

Purpose of the Study:

  • To establish consensus on reasons for transfer among children with airway support.
  • To develop a minimum data set (MDS) for inter-facility communication.
  • To analyze the frequency of MDS elements in existing transfer reports.

Main Methods:

  • Consensus development meetings with healthcare professionals.
  • Content analysis of 15 acute-to-post-acute and 15 post-acute-to-acute transfer summaries.
  • Statistical comparison of observed vs. expected data element frequencies.

Main Results:

  • Primary transfer reasons from post-acute to acute care included advanced diagnostics and medical/surgical/mental health changes.
  • 20 out of 34 MDS elements appeared in less than 75% of transfer reports, falling below the 95% standard.
  • No significant difference in data element occurrence was found between transfer directions.

Conclusions:

  • A standardized minimum data set can reduce redundancy and enhance care coordination for pediatric patients with airway support.
  • Improving data transmission between care settings is vital for patient safety.
  • The developed MDS has the potential to optimize care transitions.
Abstract

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