PICU admission order set: a quality improvement initiative in a developing country

Authors

  • Muhammad Sartaj Aijaz Pediatric Intensive Care Unit, Sindh Institute of Child Health and Neonatology, Karachi, Sindh, Pakistan https://orcid.org/0009-0008-5650-8897
  • Kiran Shafiq Pediatric Intensive Care Unit, Sindh Institute of Child Health and Neonatology, Karachi, Sindh, Pakistan
  • Urooj Faisal Pediatric Intensive Care Unit, Sindh Institute of Child Health and Neonatology, Karachi, Sindh, Pakistan
  • Arsalan Saeed Pediatric Intensive Care Unit, Sindh Institute of Child Health and Neonatology, Karachi, Sindh, Pakistan
  • Anwarul Haque Pediatric Intensive Care Unit, Sindh Institute of Child Health and Neonatology, Karachi, Sindh, Pakistan

DOI:

https://doi.org/10.18203/2349-3291.ijcp20241670

Keywords:

Admission order set, PICU, Implementation

Abstract

Background: Multiple studies have shown that standardized admission order sets (AOSs) in general as well as specific clinical diseases improved adherence to evidence-based patient management, minimized variability, improved workflow, and augmented patient safety. These order sets are intended to provide a framework for treating patients and planning a course of care. The objective of this study is to assess the implementation of SAOS in a Pediatric Intensive Care Unit (PICU) of a new public-sector hospital in Pakistan.

Methods: A descriptive, cross-sectional study was conducted on all children (age: 1 month to 15 years) admitted to PICU from October to December 2022. All admission orders were paper-written based on the mnemonic "AD CAVA DIMPLS". All data were collected on Microsoft Excel and descriptive statistics were applied.

Results: A total of 932 admissions were done during the first three months. The most common age and admitting diagnosis were one-year-old and lower respiratory tract diseases respectively. The overall adherence to AOS was 71.68%. Nine components of AOS [AD CAVA DIM] had 90.77% appropriate utilization.

Conclusions: We observed a very high rate of implementation of AOS in our PICU.

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Published

2024-06-26

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Original Research Articles