assis&ng)safe)discharge)of)poten&ally)high)risk)paents) ·...

Conclusions Suppor&ng junior medical and nursing staff in the safe and appropriate discharge of young children is possible. A reduc&on of 20% in the number of children with a POPS of 0 or 1 admiBed to hospital would save (332 1 x £615 =) £215,050/year at our hospital alone. We welcome assistance with further improving the POPS user interface and aiding national implementation. Assis&ng safe discharge of poten&ally high risk pa&ents Damian Roland, Gareth Lewis and Ffion Davies RecogniAon and Context Amongst the 6 million children presen&ng to urgent and emergency care seMngs each year there are some very sick children, and detec&on requires good risk stra&fica&on. However the majority of parents seeking advice need only reassurance and minimal interven&on. Measures of Improvement Quality Frontline staff in Urgent & Emergency Care who assess children using POPS will improve their risk stra&fica&on of the likelihood of serious illness InnovaAon POPS has been developed on paper and electronic plaTorms. “High risk” features have a coloured traffic light system which makes them readily iden&fiable to the users. ProducAvity Appropriate hospital admission avoidance will reduce associated inpa&ent costs and release &me to care for the sicker children. PrevenAon Low scoring children can be more confidently deflected to more appropriate providers (e.g. GP) or discharged without hospital admission. Avoidable admission is important for children’s psychological and physical health, and avoids disrup&on of the family’s daily life. Outcome In this first service evalua&on 942 presenta&ons were reviewed. In pa&ents with a POPS of 0 (31.9% aBendees) there was a reduc&on in the risk of unplanned reaBendance and none of these pa&ents had a serious bacterial illness A POPS of 0 implies no age aligned physiological derangement or nursing concern POPS is more thorough and holis&c than conven&onal "triage scores". It incorporates the important variable of “gut ins&nct” which has been shown to refine its accuracy Itera&ve implementa&on in Emergency Department since 2010 The Paediatric ObservaAon Priority Score (POPS) is a physiological and observa&onal scoring system designed for use by health care professionals of varying clinical experience. 1. Approximately 1660 children with a POPS of 01 are admiBed from LRI ED each year A POPS app is now available for free on the APP store. Dr. Damian Roland [email protected] www.pemla.org

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Page 1: Assis&ng)safe)discharge)of)poten&ally)high)risk)paents) · with)aPOPS)of)0)or)1)admiBed)to)hospital) would)save(3321)x)£615)=))£215,050/year)at) our)hospitalalone. We welcome assistance

Conclusions Suppor&ng junior medical and nursing staff in the safe and appropriate discharge of young

children is possible. A reduc&on of 20% in the number of children with a POPS of 0 or 1 admiBed to hospital

would save (3321 x £615 =) £215,050/year at our hospital alone.

We welcome assistance with further improving the POPS user interface and

aiding national implementation.

Assis&ng safe discharge of poten&ally high risk pa&ents Damian Roland, Gareth Lewis and Ffion Davies

RecogniAon and Context

Amongst the 6 million children presen&ng to urgent and emergency care seMngs each year there are some very sick children, and detec&on requires good risk stra&fica&on. However the majority of parents seeking advice need only reassurance and minimal interven&on.

Measures of Improvement

Quality Frontline staff in Urgent & Emergency Care who assess children using POPS will improve their risk stra&fica&on of the likelihood of serious illness

InnovaAon POPS has been developed on paper and electronic plaTorms. “High risk” features have a coloured traffic light system which makes them readily iden&fiable to the users.

ProducAvity Appropriate hospital admission avoidance will reduce associated inpa&ent costs and release &me to care for the sicker children.

PrevenAon Low scoring children can be more confidently deflected to more appropriate providers (e.g. GP) or discharged without hospital admission. Avoidable admission is important for children’s psychological and physical health, and avoids disrup&on of the family’s daily life.

Outcome

In this first service evalua&on 942 presenta&ons were reviewed. In pa&ents with a POPS of 0

(31.9% aBendees) there was a reduc&on in the risk of unplanned re-‐aBendance and none of these pa&ents had a serious bacterial illness

A POPS of 0 implies no age

aligned physiological derangement or nursing concern

POPS is more thorough and holis&c than conven&onal "triage scores". It incorporates the

important variable of “gut ins&nct” which has been shown to refine its accuracy

Itera&ve implementa&on in

Emergency Department since

2010

The Paediatric ObservaAon Priority Score (POPS) is a physiological and observa&onal scoring system designed for use by health care professionals of varying clinical experience.

1. Approximately 1660 children with a POPS of 0-‐1 are admiBed from LRI ED each year

A POPS app is now available for free on

the APP store.

Dr. Damian Roland [email protected] www.pemla.org

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