Evidence · Research paper
Measuring evidence-based clinical guideline compliance in the paediatric intensive care unit.
- Blood products
- Communicating with families
- Education and simulation
- Haematology and oncology
- Medical
- Nursing
- Professional practice
Summary
A prospective cohort study at a tertiary paediatric medical-surgical ICU measuring adherence to 19 evidence-based clinical care guidelines across 814 patients and over 4500 compliance events. Overall compliance was around 78% but varied widely, with high adherence for stress ulcer prophylaxis and blood product administration and low adherence for ventilator-associated pneumonia prevention and vitamin K administration. Guidelines with simple binary decision points or single-page flow diagrams were followed more often, while poor compliance related to perceived untrustworthiness of guidance and time pressures. Useful for PICU teams interested in quality improvement and guideline implementation.
Summary written for PICUlearn. Always read the original.
- Licence:
- Open (Creative Commons)
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Guidelines are shown for education. Follow your unit's own guidance and senior advice.