Diagnosis Documentation of Critically Ill Children at Admission to a PICU.

ABSTRACT:

Objectives

Multidisciplinary PICU teams must effectively share information while caring for critically ill children. Clinical documentation helps clinicians develop a shared understanding of the patient's diagnosis, which informs decision-making. However, diagnosis-related documentation in the PICU is understudied, thus limiting insights into how pediatric intensivists convey their diagnostic reasoning. Our objective was to describe how pediatric critical care clinicians document patients' diagnoses at PICU admission.

Design

Retrospective mixed methods study describing diagnosis documentation in electronic health records.

Setting

Academic tertiary referral PICU.

Patients

Children 0-17 years old admitted nonelectively to a single PICU over 1 year.

Interventio

SUBMITTER: Vivtcharenko VY 

PROVIDER: S-EPMC8816809 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature