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Digital health intervention on patient safety for children and parents: A scoping review
Jisu Park1, Heejung Jeon1, Eun Kyoung Choi2,3
1Department of Nursing, Graduate School, Yonsei University, Seoul, South Korea.
Insights
Digital health interventions show promise for improving pediatric patient safety. These technologies can enhance care continuity from hospital to home, supporting children and parents post-discharge.
Area of Science:
- Digital Health
- Patient Safety
- Pediatric Care
Background:
- The role of digital health technology in patient safety for children remains underexplored.
- Existing research highlights the advantages of digital health but lacks focus on pediatric safety interventions.
Purpose of the Study:
- To explore digital health interventions aimed at enhancing patient safety for children and their parents.
- To identify current trends and applications of digital health in pediatric patient safety.
Main Methods:
- A comprehensive scoping review was conducted using the Arksey and O'Malley framework.
- Studies were selected based on participants (children under 19 or parents), patient safety interventions, and digital health technology.
- Searches were performed across major databases (PubMed, CINAHL, Embase, Web of Science, Cochrane) up to November 2022.
Main Results:
- Thirteen articles were included, categorized by intervention characteristics (prevention, risk management), digital technology type (mobile apps, web-based, kiosks, EHRs), and outcome.
- Parental safety behaviors were key in assessing injury risk and prevention in pediatric safety studies.
- Digital health interventions encompass both preventive strategies and risk management for child safety.
Conclusions:
- Digital health interventions should be developed to support the continuum of care for children transitioning from hospital to home.
- These interventions can strengthen healthcare providers' roles in ensuring patient safety both in and out of hospital settings.
- Enhancing non-face-to-face engagement and expanding healthcare provider roles can improve children's safety and quality of care.
Aim:
To explore digital health interventions on patient safety for children and their parents.
Design:
A scoping review.
Methods:
The PCC 'Participants, Concepts, and Contexts' guided the selection of studies that focused on children under 19 years of age or their parents, patient safety interventions for children, and digital health technology for patient safety interventions. This study was conducted using the Arksey and O'Malley framework's five steps. We reported the review according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews Checklist.
Data Sources:
PubMed, CINAHL, Embase, Web of Science, and Cochrane were searched for articles published up to November 2022.
Results:
A total of 13 articles were included and categorized according to the following criteria to describe the results: intervention characteristics, type of digital technology, and outcome characteristics. Regarding intervention characteristics, we identified two categories, prevention and risk management. Additionally, we identified four types of digital technology, mobile applications, web-based technologies, computer kiosks and electronic health records. Finally, in studies focussing on child safety, parental safety behaviours were used to assess injury risk or detect changes related to prevention.
Conclusion:
Patient safety interventions provided through appropriate digital technologies should be developed to enhance continuum of care for children from hospitalization to home after discharge.
Implications For The Profession And/Or Patient Care:
Digital health interventions can bolster the role of healthcare providers in patient safety in and out of hospitals, thus improving children's safety and quality of care.
Impact:
What problem did the study address? Although the various advantages of digital health technology have been demonstrated, the potential role of digital technology in patient safety interventions for children has not been explored. What were the main finding? Preventive patient safety interventions and risk management for children have been developed. Where and on whom will the research have an impact? Digital health interventions on patient safety can improve children's safety and quality of care by promoting non-face-to-face engagement of children and parents after discharge and expanding healthcare providers' roles.
Trial And Protocol Registration:
Registered on the Open Science Framework (https://osf.io/dkvst).
Patient Or Public Contribution:
No patient or public contribution.
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