The Need for a Standard Outcome for Clinical Deterioration in Children's Hospitals.
| Autor: | Galligan MM; Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.; Division of General Pediatrics, and.; Center for Healthcare Quality and Analytics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania., Sosa T; Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, New York.; Division of Pediatric Hospital Medicine, Golisano Children's Hospital.; UR Medicine Quality Institute, University of Rochester Medical Center, Rochester, New York., Dewan M; Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio.; Divisions of Critical Care Medicine, and.; Biomedical Informatics.; James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. |
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| Jazyk: | angličtina |
| Zdroj: | Pediatrics [Pediatrics] 2023 Oct 01; Vol. 152 (4). |
| DOI: | 10.1542/peds.2023-061625 |
| Abstrakt: | Unrecognized clinical deterioration is a common and significant source of preventable harm to hospitalized children. Yet, unlike other sources of preventable harm, clinical deterioration outside of the ICU lacks a clear, "gold standard" outcome to guide prevention efforts. This gap limits multicenter learning, which is crucial for identifying effective and generalizable interventions for harm prevention. In fact, to date, no coordinated safety/quality initiative currently exists targeting prevention of harm from unrecognized clinical deterioration in hospitalized pediatric patients, which is startling given the morbidity and mortality risk patients incur. In this article, we compare existing outcomes for evaluating clinical deterioration outside of the ICU, highlighting sources of variation and vulnerability. The broader aim of this article is to highlight the need for a standard, consensus outcome for evaluating clinical deterioration outside of the ICU, which is a critical first step to preventing this type of harm. (Copyright © 2023 by the American Academy of Pediatrics.) |
| Databáze: | MEDLINE |
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