Carson Rebecca A, Ladra Matthew M, Choflet Amanda
Department of Pediatric Radiation Oncology, Sibley Memorial Hospital, Washington, D.C.; Department of Hematology/Oncology, Children's National Medical Center, Washington, D.C.; and Department of Radiation Oncology, Johns Hopkins Medical Institute, Baltimore, Md.
Pediatr Qual Saf. 2017 Aug 18;2(5):e040. doi: 10.1097/pq9.0000000000000040. eCollection 2017 Sep-Oct.
Radiation therapy is an essential component of treatment for many pediatric cancers, yet the cost of maintaining a radiation facility at a dedicated pediatric center is often prohibitive. As a result, adult facilities treat pediatric patients where preparation for a pediatric emergency may be inadequate. The purpose of this quality improvement project was to develop a multidisciplinary emergency preparedness plan for a collaborative pediatric radiation oncology program at an adult community hospital with its partnering academic children's hospital. Using a cyclical process involving multidisciplinary collaboration that combines policy development, preparation, and team-building, the authors created the protocols and processes that would support the stabilization of a pediatric emergency and facilitate transfer to the partnering children's hospital. Further development of a communication plan outlines the flow of patient information through the multidisciplinary team during these transitions of care. Areas for future work include quantitative outcome measures to determine the effectiveness of the policies and procedures developed to prepare staff for pediatric emergencies.
放射治疗是许多儿科癌症治疗的重要组成部分，但在专门的儿科中心维持放射治疗设施的成本往往过高。因此，成人设施在治疗儿科患者时，对儿科紧急情况的准备可能不足。本质量改进项目的目的是为一家成人社区医院及其合作的学术儿童医院的合作儿科放射肿瘤学项目制定一份多学科应急准备计划。作者采用了一个涉及多学科合作的循环过程，该过程结合了政策制定、准备和团队建设，创建了支持儿科紧急情况稳定并促进向合作儿童医院转诊的协议和流程。沟通计划的进一步制定概述了在这些护理过渡期间患者信息在多学科团队中的流动情况。未来工作的领域包括定量结果指标，以确定为使工作人员为儿科紧急情况做好准备而制定的政策和程序的有效性。
