Evidence map›Paper›PMID 37001907›Full record

ArticleBMJ open quality2023

Implementation of nursing-led follow-up service for patients newly discharged from paediatric intensive care units: quality improvement initiative.

Ruqiah Ali AlZaher, Iris Murabi, Jaber Enazi, Mohannad Antar, Efraim Kolobe, Shelia Delafuente, Mona Awani

Open access · goldAbstract read
In one paragraph

Article in BMJ open quality, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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

7 authors at 2 institutions in 1 country.

Ruqiah Ali AlZaherNursing Services, MNG-HA, Riyadh, Saudi Arabia zaherru@gmail.com.
Iris MurabiNursing Services, MNG-HA, Riyadh, Saudi Arabia.
Jaber EnaziNursing Services, MNG-HA, Riyadh, Saudi Arabia.
Mohannad AntarNursing Services, MNG-HA, Riyadh, Saudi Arabia.
Efraim KolobeNursing Services, MNG-HA, Riyadh, Saudi Arabia.
Shelia DelafuenteNursing Services, MNG-HA, Riyadh, Saudi Arabia.
Mona AwaniNursing Services, MNG-HA, Riyadh, Saudi Arabia.
King Abdullah International Medical Research Center · SANational Guard Health Affairs · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHuman resource shortages are a global challenge in the healthcare system and create barriers in providing timely follow-up visits for paediatric patients discharged recently from the intensive care unit (ICU). Relying on experienced intensive care nurses to provide follow-up services for patients post paediatric ICU (PICU) transfer has been proven a cost-effective and safe practice. This study aimed to achieve no delays in initiating follow-up visits and to assess the safety of implementing a nurse-led follow-up service.

methodsPlan-Do-Study-Act cycle was used targeting to achieve no delay in initiating follow-up visits and to maintain the safety of the patients. This cycle resulted in the implementation of a nurse-led follow-up service, which is under the provision of a paediatric rapid response team (RRT). Fifteen PICU nurses were trained in their new roles and responsibilities. Service databases were established to track and trend the frequency of visits, service safety measures and clinical deterioration.

resultsAfter the implementation of the nurse-led follow-up service, we achieved no delays in initiating the follow-up visits. 45% (n=487) of patients received a nurse-led follow-up visit service. Safety measures demonstrated 0.21% (n=1) recorded events of RRT activations during the follow-up service. RRT activation within 48 hours from service discharge was 1.2% (n=6), and readmission to PICU within 48 hours was 0.8% (n=4). No cardiopulmonary arrest event was recorded for patients under the nurse-led follow-up service during the service, postservice discharge or postreadmission to PICU.

conclusionsImplementing nursing-led service has been shown to be safe, efficient and provides patients with timely visits post-PICU discharge.

Indexed as

Patient DischargeQuality ImprovementChildCritical CareFollow-Up StudiesHumansIntensive Care Units, PediatricNursesPaediatricsPatient Discharge

Identifiers

PMID37001907
PMCPMC10069594
OpenAlexW4362467283

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.