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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

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Essential Content for Discharge Instructions in Pediatric Emergency Care: A Delphi Study

Janet A Curran, Andrea Murphy, Emma Burns

    Pediatric Emergency Care
    |December 1, 2016
    PubMed

    Insights

    Pediatric emergency clinicians identified key discharge instructions for common childhood illnesses. A majority of consensus items emphasized when caregivers should return to the emergency department (ED) with their child.

    Area of Science:

    • Pediatric Emergency Medicine
    • Health Communication
    • Clinical Practice Guidelines

    Background:

    • Effective discharge instructions are crucial for caregivers of children treated in emergency departments (EDs).
    • Standardizing essential discharge content for common pediatric conditions remains a challenge.

    Purpose of the Study:

    • To identify the top 5 essential discharge instruction content elements for caregivers of children with asthma, vomiting/diarrhea, abdominal pain, fever, minor head injury, or bronchiolitis.
    • To establish consensus among Canadian emergency clinicians on critical discharge information.

    Main Methods:

    • A literature review informed the development of discharge information lists for each condition.
    • A modified Delphi technique involving 37 emergency clinicians across Canada was employed.
    • A secure online survey tool facilitated 4 rounds of expert consensus-building.

    Main Results:

    • Consensus was achieved on 30 content items, with agreement levels ranging from 51.4% to 100%.
    • High consensus was observed for instructions related to diarrhea/vomiting, abdominal pain, fever, and bronchiolitis.
    • The majority of consensus items (63.3%) focused on educating caregivers about when to seek re-evaluation at the ED.

    Conclusions:

    • This study enhances understanding of essential discharge communication for pediatric ED presentations.
    • Healthcare providers agree on the importance of informing caregivers about return-to-ED criteria.
    • The findings highlight the challenges in standardizing discharge communication without established guidelines.
    Abstract

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