14 Paediatric critical care transport; electronic patient observations with automated transmission of data for clinical application and research. (23rd February 2023)

• Record Type: Journal Article
• Authors: Howes, Catherine; Knight, Philip; Hundal, Bob; Laad, Piyush; Andersson, Johanna; Ramnarayan, Padmanabhan
• Is Part Of: Archives of disease in childhood. Volume 108(2023)Supplement 1
• Page Start: A5
• Page End: A6
• Publication Date: 2023-02-23
• Subjects: Children -- Diseases -- Periodicals; Infants -- Diseases -- Periodicals; 618.920005
• DOI: 10.1136/archdischild-2023-gosh.14
• Languages: English
• ISSNs: 0003-9888

Abstract

Abstract : Background and Aim: There are published reports of mobile electronic solutions for data transfer in the emergency services, but no reports of mobile data solutions being utilised within paediatric critical care transport. This is a description of our automated electronic patient data collection during transport which can be remotely visualised in real time, transmitted to electronic patient records and saved to our database for future research. Methods: We have collected electronic patient observations data during transports since 2017. This data is displayed on a monitor by the bedside and is then transmitted to a cloud service via a mobile device associated with the monitor. It can be visualised remotely in real time, sent to electronic patient records and saved to a database every minute as data points. We have retrospectively reviewed this data. Results: We have saved over 1800 patient episodes with numerical/waveform data at one second frequency to our database and transmitted approximately 540, 000 individual numerical observations to patient records. Discussion: In adult medicine, automated electronic early warning systems have shown reduced mortality after implementation within NHS hospitals. There is work ongoing to attempt to translate this into a paediatric model to reduce critical care transfers. The first step in this process for paediatric critical care transport is the reliable capture and storage of this data for analysis. We are the only UK paediatric critical care transport team collecting this data and have shown it is feasible to transmit electronic patient observations during critical care transports for real time visualisation, documentation and research.