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Patient passports aim to speed appropriate care for medically complex children presenting to ED
Insights
A new "patient passport" helps ensure medically complex children receive consistent care in the emergency department (ED). This wallet-sized form provides critical information for timely and appropriate treatment.
Area of Science:
- Pediatric Emergency Medicine
- Healthcare Quality Improvement
- Patient Safety
Background:
- Medically complex children often require specialized care coordination.
- Inconsistent care between emergency departments (ED) and inpatient settings poses risks.
- Parental feedback highlighted discrepancies in care for their children.
Purpose of the Study:
- To develop a tool that improves care for medically complex children in the ED.
- To enhance communication between parents, providers, and ED staff.
- To ensure timely and appropriate medical interventions.
Main Methods:
- Development of a one-page "patient passport" by a multidisciplinary team including parents.
- The passport includes child-specific indications, sensitivities, and provider contact information.
- Physicians create and sign passports in hospital or outpatient settings.
Main Results:
- The patient passport provides critical information at the point of care.
- It facilitates better communication and understanding of patient needs.
- Aims to standardize care for vulnerable pediatric populations.
Conclusions:
- The patient passport is a valuable tool for improving care coordination for medically complex children.
- This initiative addresses parental concerns regarding care consistency.
- Enhances the safety and effectiveness of emergency care for children.
Abstract:
Mattel Children's Hospital at Ronald Reagan UCLA Medical Center in Los Angeles, CA, has developed a "patient passport" to improve the timely and appropriate care of medically complex children who present to the ED. The one-page form, which parents can keep in their wallets, highlights any special indications or sensitivities that the child has as well as contact information for the patient's primary care provider. The form also includes special instructions for the triage nurse. Creation of the tool was prompted by the parents who complained that their medically complex children were receiving different care in the ED than on the pediatric floor of the hospital. The tool was developed by a group comprised of parents, pediatric providers, and ED representatives. Physicians must create and sign the passports, either in the hospital or in their outpatient clinics, although parents may request a passport for their children.
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