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Development and Implementation of a Peer Curbside Consult Service for Pediatric Hospitalists.

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A new Peer Curbside Consult Service (PCCS) offers timely clinical decision support for pediatric hospital medicine (PHM) divisions. This peer consultation model can be replicated by other divisions seeking to improve care for complex cases.

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Area of Science:

  • Pediatric hospital medicine
  • Clinical decision support
  • Healthcare quality improvement

Background:

  • Challenging clinical cases in pediatric hospital medicine require timely expert support.
  • Existing consultation models may not always provide immediate assistance.
  • A structured peer consultation service can bridge this gap.

Purpose of the Study:

  • To describe the development and implementation of a Peer Curbside Consult Service (PCCS) within a pediatric hospital medicine (PHM) division.
  • To provide a replicable model for other institutions to establish similar peer consultation programs.

Main Methods:

  • A pilot intervention was developed and implemented at a freestanding children's hospital.
  • The Template for Intervention Description and Replication (TIDieR) checklist guided the process description.
  • Postconsultation surveys collected feedback from requesting and consulting hospitalists.

Main Results:

  • The PCCS provided 60 consultations in its first 2 years, supporting over 75 PHM members across multiple sites.
  • Consultations were primarily conducted in person or via telephone.
  • High survey response rates (70% requesting, 89% consulting) indicate program engagement.

Conclusions:

  • A successful peer consult service was established, offering just-in-time clinical decision support.
  • Transparent reporting using the TIDieR checklist facilitates replication and adaptation by other divisions.