Table 3 Consensus phase Clinically Derived Parameters ranking (Extremely Important parameters highlighted)
From: Parents’ and carers’ impression of “quality” within a Paediatric Emergency Department
Quality Assurance Measure for Specific Conditions | Final Consensus Survey | |
|---|---|---|
% Likert Score Very Important (Score 7–9) | % Likert Score Extremely Important (Score 8–9) | |
Patient Centred | ||
•Customer feedback “Excellent/Very Good /Good” (n = 68) | 79% (n = 54) | 35% (n = 24) |
•Discharge summary completed within 48 h (n = 68) | 85% (n = 58) | 50% (n = 34) |
•Median time to complete discharge summary (n = 68) | 85% (n = 58) | 50% (n = 34) |
•Complaints (n = 68) | 79% (n = 54) | 35% (n = 24) |
Safety | ||
•Child protection screening (n = 68) | 85% (n = 58) | 50% (n = 34) |
Asthma | ||
•Time to reliever treatment (β2 agonist/Ipratropium) (n = 68) | 91% (n = 62) | 56% (n = 38) |
•Time to steroids (> 5 yrs. & Moderate/Severe/Critical) (n = 68) | 91% (n = 62) | 56% (n = 38) |
•Discharged with action plan & education (n = 68) | 85% (n = 58) | 50% (n = 34) |
•Discharged with steroids (n = 68) | 85% (n = 58) | 50% (n = 34) |
•Discharged with preventer (n = 68) | 85% (n = 58) | 50% (n = 34) |
•Discharged with follow-up (n = 68) | 85% (n = 58) | 50% (n = 34) |
Neonatal Sepsis/Meningitis | ||
•Time to antibiotics (n = 68) | 91% (n = 62) | 56% (n = 38) |
•% of patient requiring bolus given within 1 h (n = 68) | 91% (n = 62) | 56% (n = 38) |
•% patient refractory shock requiring inotrope (n = 68) | 91% (n = 62) | 56% (n = 38) |
Status Epilepticus | ||
•Time from arrival & % patient received benzodiazepine in ED (n = 68) | 87% (n = 59) | 60% (n = 41) |
•Time from arrival to second line anti-epileptics (n = 68) | 87% (n = 59) | 60% (n = 41) |
•% Patient & Time to initial BSL (n = 67) | 90% (n = 60) | 50% (n = 34) |
•% patient failure to achieve seizure control within 30mins (n = 68) | 90% (n = 10) | 72% (n = 49) |
Severe Head Injury | ||
•Median time to imaging from request (n = 68) | 91% (n = 62) | 56% (n = 38) |
•Median time to neurosurgeon response from request (n = 68) | 91% (n = 62) | 56% (n = 38) |
•Median time to definitive airway management (n = 68) | 91% (n = 62) | 56% (n = 38) |