Describing drug and fluid therapy in the paediatric intensive care unit: A pilot study.
J Crit Care
; 52: 53-57, 2019 08.
Article
en En
| MEDLINE
| ID: mdl-30974315
ABSTRACT
PURPOSE:
Care in the paediatric intensive care unit (PICU) involves many clinical activities. The objectives of this study were to evaluate the feasibility of a novel observation method, the reliability of data abstraction, and to report the initial findings from application of this approach. MATERIALS ANDMETHODS:
Bedside activities of patients and clinical staff were recorded by direct observational study using video recording and audio annotation. Data were abstracted into 9 broad clinical activities and 12 specific drug-fluid activities. Enrolment rates, agreement between abstractors, clinical activity durations and interruptions are reported.RESULTS:
We enrolled 42 healthcare professionals, 12 family members of 13 patients, and recorded 12 patients (consent rates of 70%-92%). There were 884 clinical activity episodes. Each hour was comprised of a median (IQR) of 11.9 (4.8-16.5) minutes of drug and fluid related tasks. The 682 drug and fluid related activities were mainly preparation and administration. Interruptions occurred on average 7 times per hour. Data abstraction for 8â¯h had intra-class correlation co-efficient (95% CI) of 0.91 (079-0.96).CONCLUSIONS:
Real-time recording of clinical tasks in the PICU using a direct observation model combined with video recording is feasible. Preliminary results suggest abundant and diverse activity is routine.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Unidades de Cuidado Intensivo Pediátrico
/
Enfermería
/
Quimioterapia
/
Fluidoterapia
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Child, preschool
/
Humans
/
Infant
Idioma:
En
Revista:
J Crit Care
Asunto de la revista:
TERAPIA INTENSIVA
Año:
2019
Tipo del documento:
Article
País de afiliación:
Canadá