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Related Experiment Video

Updated: Jun 22, 2026

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

Parent-driven technology for decision support in pediatric emergency care.

Andrew M Fine¹, Leslie A Kalish, Peter Forbes

¹Division of Emergency Medicine, Children's Hospital, Boston, USA. andrew.fine@childrens.harvard.edu

Joint Commission Journal on Quality and Patient Safety

|July 2, 2009

Summary

Parent-driven health information technology showed a modest impact on pain documentation for children in emergency care. However, it did not significantly improve overall adherence to evidence-based guidelines across various conditions.

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Last Updated: Jun 22, 2026

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

Area of Science:

Pediatric Emergency Medicine
Health Information Technology
Evidence-Based Practice

Background:

A quasi-experimental study evaluated parent-driven health information technology's impact on pediatric emergency care.
The study aimed to assess improvements in documentation completeness and adherence to evidence-based guidelines.

Purpose of the Study:

To determine if a parent-driven health information technology (ParentLink) influenced documentation and adherence to evidence-based emergency care for children.
To explore the potential of parent-entered data in clinical decision-making.

Main Methods:

Structured chart abstraction was used in pediatric and suburban emergency departments.
Parents of children with otitis media, UTI, head trauma, or asthma entered data into ParentLink during intervention periods.
ParentLink generated treatment plans based on evidence-based guidelines.

Main Results:

Documentation of pain significantly improved during ParentLink use (28% incomplete vs. 15%, p = .003).
Incorrect actions for pain treatment decreased but not significantly (33% vs. 24%, p = .13).
ParentLink did not significantly influence test ordering or disease-prescribing actions.

Conclusions:

Parent-driven health information technology showed a trend toward modest impact on pain management but lacked broad effects across diseases or care processes.
The study suggests parent-derived information incorporation into medical decision-making is a developing area, with ParentLink representing an early step.
While not a comprehensive personally controlled health record (PCHR), ParentLink highlights opportunities for patient/parent involvement in managing medical profiles.