Severe illness getting noticed sooner: SIGNS-for-Kids—initial validity assessment of a paediatric illness recognition tool for caregivers

BMJ Open Quality

article

Seth Bernard Gray¹  Karen Dryden-Palmer¹  Calvin He¹  Ciara Tremblay¹  Leah Marsot-Schiffman¹  Dirk Huyer⁴  Christopher S Parshuram¹ 

[1] Critical Care Medicine , The Hospital for Sick Children;Paediatrics and Critical Care Medicine , University of Toronto;Center for Safety Research;Office of the Chief Coroner of Ontario;Child Health Evaluative Sciences Program , SickKids Research Institute

关键词: paediatrics;    educational outreach;    academic detialing;    patient education;   

DOI  :  10.1136/bmjoq-2021-001664

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

Timely identification of severe illness providesopportunity to prevent clinical deteriorationand reduce morbidity and mortality.1–4 Anexpert panel consisting of parents and multidisciplinary providers created the SevereIllness Getting Noticed Sooner (SIGNS)-forKids as a public health tool to help caregiversidentify and articulate the manifestationsof severe illness in children.5 The tool wascreated during a consensus developmentworkshop to incorporate expert opinionand previously published symptom checklistsof severe illness.6 7 The SIGNS tool consistsof 5 domains (behaviour, breathing, skin,fluids and response to usually effective treatment) and 13 subdomains. The objective ofthis study was to review the sensitivity of theSIGNS-for-Kids items in a cohort of childrenwith fatal illnesses as an initial validation step.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND