Application of the joint Status-Background-Assessment-Suggestion communication mode of the pediatric early warning system in the determination of the condition of critically ill children kept in hospital
WANG Qing CHANG Chunrong WANG Weifang ZHENG Shaomin▲
Department of Emergency, Hebei Provincial Children's Hospital, Hebei Province, Shijiazhang 050031, China
Abstract：Objective To investigate the application of the combined status-background-assessment-recommendation (SBAR) communication model of the pediatric early warning system (PEWS) in the determination of the condition of critically ill children who were kept on hold. Methods The clinical data of 200 children in the emergency detention area of Hebei Children’s Hospital from July 2019 to June 2020 were retrospectively analyzed, and the children were divided into control group and study group according to the mode of care, with 100 cases in each group. In the control group, routine consultation and treatment were performed, while in the study group, routine consultation and treatment+PEWS+SBAR were performed, and the length of stay, unplanned PICU admission rate, disability rate, morbidity and mortality rate, and satisfaction of the child’s family were counted and compared. Results There was no statistically significant difference in the PEWS scores between the two groups (P＞0.05). The retention time in the study group was shorter than that in the control group, and the difference was statistically significant (P＜0.05). The rate of unplanned PICU admission in the study group was lower than that in the control group, and the difference was statistically significant (P＜0.05). There was no statistically significant difference between the two groups in terms of disability and morbidity and mortality rates (P＞0.05). The overall satisfaction rate of family members in the study group was higher than that in the control group, and the difference was statistically significant (P＜0.05). Conclusion The use of PEWS+SBAR communication model in critically ill children in the emergency holding room can effectively shorten the stay of children, reduce the unplanned PICU admission rate, and improve family satisfaction.
王青 常春荣 王伟芳 郑少敏▲. 儿童早期预警评分联合现状-背景-评估-建议沟通模式在留观危重患儿病情判断中的应用[J]. 中国医药导报, 2022, 19(35): 161-164.
WANG Qing CHANG Chunrong WANG Weifang ZHENG Shaomin▲. Application of the joint Status-Background-Assessment-Suggestion communication mode of the pediatric early warning system in the determination of the condition of critically ill children kept in hospital. 中国医药导报, 2022, 19(35): 161-164.
京公网安备 11010502046598号