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Development and feasibility testing of the Pediatric Emergency Discharge Interaction Coding Scheme
Development and feasibility testing of the Pediatric Emergency Discharge Interaction Coding Scheme
- Source :
- Health Expectations : An International Journal of Public Participation in Health Care and Health Policy
- Publication Year :
- 2016
-
Abstract
- Background Discharge communication is an important aspect of high-quality emergency care. This study addresses the gap in knowledge on how to describe discharge communication in a paediatric emergency department (ED). Objective The objective of this feasibility study was to develop and test a coding scheme to characterize discharge communication between health-care providers (HCPs) and caregivers who visit the ED with their children. Design The Pediatric Emergency Discharge Interaction Coding Scheme (PEDICS) and coding manual were developed following a review of the literature and an iterative refinement process involving HCP observations, inter-rater assessments and team consensus. Setting and participants The coding scheme was pilot-tested through observations of HCPs across a range of shifts in one urban paediatric ED. Main variables studied Overall, 329 patient observations were carried out across 50 observational shifts. Inter-rater reliability was evaluated in 16% of the observations. The final version of the PEDICS contained 41 communication elements. Results Kappa scores were greater than .60 for the majority of communication elements. The most frequently observed communication elements were under the Introduction node and the least frequently observed were under the Social Concerns node. HCPs initiated the majority of the communication. Conclusion Pediatric Emergency Discharge Interaction Coding Scheme addresses an important gap in the discharge communication literature. The tool is useful for mapping patterns of discharge communication between HCPs and caregivers. Results from our pilot test identified deficits in specific areas of discharge communication that could impact adherence to discharge instructions. The PEDICS would benefit from further testing with a different sample of HCPs.
- Subjects :
- Pediatric emergency
Male
Adolescent
Health Personnel
education
Aftercare
Pediatrics
behavioural coding
03 medical and health sciences
0302 clinical medicine
paediatric emergency department
medicine
Humans
030212 general & internal medicine
Child
discharge communication
Final version
Patient discharge
business.industry
Communication
Public Health, Environmental and Occupational Health
Clinical Coding
Infant, Newborn
Infant
Reproducibility of Results
030208 emergency & critical care medicine
medicine.disease
Patient Discharge
3. Good health
Original Research Paper
Caregivers
Child, Preschool
Feasibility Studies
Observational study
Pilot test
Female
observational study
Medical emergency
business
Discharge instructions
Emergency Service, Hospital
Original Research Papers
Paediatric emergency
Coding (social sciences)
Subjects
Details
- ISSN :
- 13697625
- Volume :
- 20
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Health expectations : an international journal of public participation in health care and health policy
- Accession number :
- edsair.doi.dedup.....134fe31be0bbfd9eb15e2d5545b4b445