Evidence map›Paper›PMID 28078763›Full record

Observational studyHealth expectations : an international journal of public participation in health care and health policy2017

Development and feasibility testing of the Pediatric Emergency Discharge Interaction Coding Scheme.

Janet A Curran, Alexandra Taylor, Jill Chorney, Stephen Porter, Andrea Murphy, Shannon MacPhee, Andrea Bishop, Rebecca Haworth

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Health expectations : an international journal of public participation in health care and health policy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Janet A CurranDepartment of Emergency Medicine, IWK Health Centre, Halifax, NS, Canada.
Alexandra TaylorFaculty of Medicine, Dalhousie University, Halifax, NS, Canada.
Jill ChorneyDepartment of Anesthesia, Dalhousie University, Halifax, NS, Canada.
Stephen PorterDivision of Paediatric Emergency Medicine, The Hospital for Sick Children, Toronto, ON, Canada.
Andrea MurphyDepartment of Psychiatry & College of Pharmacy, Dalhousie University, Halifax, NS, Canada.
Shannon MacPheeDepartment of Emergency Medicine, IWK Health Centre, Halifax, NS, Canada.
Andrea BishopSchool of Nursing, Dalhousie University, Halifax, NS, Canada.
Rebecca HaworthFaculty of Medicine, Dalhousie University, Halifax, NS, Canada.
Dalhousie University · CAIzaak Walton Killam Health Centre · CAHospital for Sick Children · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDischarge 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).

objectiveThe 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.

designThe 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

participantsThe 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.

resultsKappa 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.

conclusionPediatric 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.

Indexed as

Patient DischargePediatricsAdolescentAftercareCaregiversChildChild, PreschoolClinical CodingCommunicationEmergency Service, HospitalFeasibility StudiesFemaleHealth PersonnelHumansInfantInfant, Newbornbehavioural codingdischarge communicationobservational studypaediatric emergency department

Identifiers

PMID28078763
PMCPMC5513006
OpenAlexW2579670295

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.