Aplication of Transference Note and Paediatric Early Warning Score in the Pediatric Emergency Department of Hospital de Clínicas de Porto Alegre
DOI:
https://doi.org/10.15448/1980-6108.2021.1.39407Keywords:
patient safety, pediatric nursing, pediatricsAbstract
Aims: to evaluate the nurses’ adherence to filling out the transfer note with the emission of the Paediatric Early Warning Score (PEWS) in pediatric patients in the Emergency Department.
Methods: quantitative, cross-sectional and retrospective study. The study has been conducted from the analysis of 1.219 medical records of patients in a Pediatric Emergency, in the year of 2018.
Results: in the evaluation of transference note and PEWS, the adherence was, respectively, 86,8% e 75,2%, over the year. The reasons for hospitalization vary according to the time of the year. Most patients attended by the emergency department were stabilized at the emergency service and only the patients with altered PEWS were referred to the pediatric intensive care unit.
Conclusions: educational actions addressed to the professionals are necessary, with the objective to improve the indicators related the application of PEWS and the transfer note to guarantee safety assistance regarding the continuity of the care.
Downloads
References
Silva MF, Anders JC, Rocha PK, Souza AI, Burciaga VB. Communication in nursing shift handover: pediatric patient safety. Texto Contexto Enferm. 2016;25(3):e3600015. https://doi.org/10.1590/0104-07072016003600015
Bezerra AL. Editorial: A segurança do paciente e a enfermagem. Rev Nursing [Internet]. 2018 [citado 2021 Out 15];21(239):2091. Disponível em: http://www.revistanursing.com.br/revistas/239-Abril2018/editorial.pdf
Bica TF, Wegner W, Gerhardt LM, Predebon CM, Pedro EN, Breigeiron MK. Características dos incidentes de segurança do paciente notificados em uma unidade de terapia intensiva pediátrica. Rev enferm UFPE on line [Internet]. 2017 [citado 2021 Out 15];11(Supl. 10):4206-16. https://doi.org/10.5205/1981-8963-V11I10A231184P4206-4216-2017
Pires AF, Santos BN, Santos PN, Brasil VR, Luna AA. Transporte seguro de pacientes críticos. Revista Rede de Cuidados em Saúde [Internet]. 2015 [citado 2021 Out 15];9(2):1-4. Disponível em: http://publicacoes.unigranrio.edu.br/index.php/rcs/article/view/2531/1313
Hospital de Clínicas de Porto Alegre (BR). Plano assistencial do serviço de emergência pediátrica. 2016.
Roland D, McCaffery K, Davies F. Scoring systems in paediatric emergency care: panacea or paper exercise? J Paediatr Child Health. 2016;52(2):181-86. https://doi.org/10.1111/jpc.13123
Miranda JO, Camargo CL, Sobrinho CL, Portela DS, Monaghan A, Freitas K, et al. Tradução e adaptação de um escore pediátrico de alerta precoce. Rev Bras Enferm. 2016;6(5):888-96. http://dx.doi.org/10.1590/0034-7167-2015-0096
Miranda JO, Camargo CL, Sobrinho CL, Portela DS, Monaghan A. Acurácia de um escore pediátrico de alerta precoce no reconhecimento de deterioração clínica. Rev Latino-Am Enfermagem. 2017;25:e2912. http://dx.doi.org/10.1590/1518-8345.1733.2912
Hospital de Clínicas de Porto Alegre. Plano de Avaliação de pacientes pediátricos hospitalizados utilizando o escore Bedside Paediatric Early Warning Score (PEWS); 2018.
Macedo MA, Escudeiro M, Rodrigues L, Martins P, Sobral A. A sala de reanimação pediátrica: que realidade? Uma análise ao período 2015-2017. Rev Clin Hosp Prof Dr Fernando Fonseca [Internet]. 2017 [citado 2021 Out 15];5(1/2):19-23. Disponível em: https://revistaclinica.hff.min-saude.pt/index.php/rhff/article/view/235/130
Costa ES, Silva MJ, Kuroba LS, Da Silva AM, Costa GS, Vieira PS. Processo de enfermagem em unidades de atendimento de urgência e emergência: uma revisão integrativa. Revista Uningá [Internet]. 2017 [citado 2021 Out 15];53(1):90-5. Disponível em: http://revista.uninga.br/index.php/uninga/article/view/1407/1022
García JL, Orgeira JM, Peromingo JA. Demanda asistencial de urgencias pediátricas atendidas en un hospital comarcal. Atención Primaria. 2008;40(6):297-301. https://doi.org/10.1157/13123682
Ribeiro JC, Ruoff AB, Baptista CL. Informatização da sistematização da assistência de enfermagem: avanços na gestão do cuidado. J Health Inform [Internet]. 2014 [citado 2021 Out 15];6(3):75-80. Disponível em: http://www.jhi-sbis.saude.ws/ojs-jhi/index.php/jhi-sbis/article/view/296/199
Amthauer C, Cunha ML. Sistema de triagem de Manchester: principais fluxogramas, discriminadores e desfechos dos atendimentos de uma emergência pediátrica. Rev. Latino-Am. Enfermagem. 2016;24:e2779. http://dx.doi.org/10.1590/1518-8345.1078.2779
Pereira R, Mansur DG, Ionemoto HF. Implantação de escore de alerta de gravidade precoce em hospital infantil privado: relato de experiência. Rev. Soc. Bras. Enferm. Ped [Internet]. 2016 [citado 2021 Out 15];16(2):81-4. Disponível em: https://sobep.org.br/revista/images/stories/pdf-revista/vol16-n2/vol_16_n_2-relato_de_experiencia_2.pdf
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Scientia Medica
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright
The submission of originals to Scientia Medica implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Scientia Medica as the site of original publication.
Creative Commons License
Except where otherwise specified, material published in this journal is licensed under a Creative Commons Attribution 4.0 International license, which allows unrestricted use, distribution and reproduction in any medium, provided the original publication is correctly cited.
