Abstract Book - 26th ESPU Congress, Joint Meeting with ICCS + SPU + AAP/SOU + AAPU + SFU

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09:45 - 09:55
ESPUN S4-2 (O)
PARENTAL INVOLVEMENT IN PEDIATRIC PATIENTS SAFETY MONITORING
Karen KWAK1, Jacqueline KNOLL1, Joris FUIJKSCHOT2, Wouter FEITZ3, Barbara KORTMANN3 and Robert DE GIER3
1) Radboud University, Amalia Children's Hospital, Nijmegen Medical Centre, the Netherlands, 807/ Q2S/ Pediatric
urology, Nijmegen, NETHERLANDS - 2) Radboud University, Amalia Children's Hospital, Nijmegen Medical Centre, the
Netherlands, 807/Q2S/Pediatrics, Nijmegen, NETHERLANDS - 3) Radboud University, Amalia Children's Hospital,
Nijmegen Medical Centre, the Netherlands, 610/ Pediatric urology, Nijmegen, NETHERLANDS
PURPOSE
In 2014 our Children's Hospital introduced the Pediatric Risk Evaluation Stratification System (PRESS), a highly
innovative signaling system that aims to improve pediatric patient’s safety by early detection of risk-factors for
complications.PRESS incorporates parental input in a simple risk-scoring system.
MATERIAL AND METHODS
PRESS calculates an individual risk level (standard/medium/high) for adverse clinical events; the result is displayed in
the patient’s EMR in simple green/yellow/red icons; innovative aspect of PRESS is that not only standard input from
care-takers (eg vital signs) is used, but also regular input from parents, the so-called “Worried Sign” (WS). Serious
adverse clinical events or complications are often preceded by parental pre-sentiments (“WS”) but these are difficult to
quantify and therefore difficult to use in a monitoring system. A validated scoring system is used to discriminate true WS
from “normal” parental worrisome in the hospital situation, to overcome this problem.
RESULTS
Incorporating parental input in the PRESS system results in earlier detection of possible serious adverse clinical course /
complications. Combined with protocols for better surveillance and preventive measures for children with medium or
high risk-levels, the system has proven to be a valuable instrument to reduce incidence and seriousness of adverse
clinical course in pediatric patients.
CONCLUSIONS
PRESS can reduce the likelihood and severity of adverse clinical course by incorporating parental input in the safety-
monitoring system.