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Abnormal Vital Sign Recognition and Provider Notification in the Pediatric Emergency Department

Katie Valentino, Gabriel J Campos, Kristi A Acker

    Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners
    |July 26, 2020
    PubMed

    Insights

    A best practice advisory (BPA) improved how nurses notify providers about abnormal vital signs in a pediatric emergency department. This enhanced communication supports better clinical decision-making for pediatric patients.

    Area of Science:

    • Pediatric Emergency Medicine
    • Clinical Informatics
    • Healthcare Quality Improvement

    Background:

    • Vital signs are crucial for identifying patient deterioration and illness severity.
    • Effective communication of abnormal vital signs by nurses to healthcare providers is essential.
    • Current notification processes may present challenges in timely and efficient communication.

    Purpose of the Study:

    • To enhance the process of notifying healthcare providers about abnormal vital signs in a pediatric emergency department.
    • To evaluate the impact of a best practice advisory (BPA) on this notification process.

    Main Methods:

    • A mixed-methods study was employed to assess the BPA's effectiveness.
    • A best practice advisory (BPA) was piloted by advanced practice providers.
    • Data collection likely involved process metrics and potentially qualitative feedback.

    Main Results:

    • Implementation of the BPA led to an improved provider notification process.
    • The BPA enhanced clinical decision-making related to abnormal vital signs.
    • Trends suggested improvement in the percentage of patients discharged with abnormal respiratory rates, temperatures, and heart rates, though not statistically significant in this pilot.

    Conclusions:

    • The creation and implementation of a BPA effectively improved the communication of abnormal vital signs to providers.
    • This intervention demonstrates a successful strategy for enhancing patient safety and care coordination in a pediatric emergency setting.
    Abstract

    Keywords:
    Pediatricsabnormal vital signsbest practice advisorydischargeemergency department

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