Division of Hospital Medicine, Children's National Hospital, Washington, DC.
Division of Neonatology, Children's National Hospital, Washington, DC.
Hosp Pediatr. 2022 Oct 1;12(10):e330-e338. doi: 10.1542/hpeds.2021-006348.
To describe the development and implementation of a Peer Curbside Consult Service (PCCS) for a pediatric hospital medicine (PHM) division.
We developed a pilot intervention with hospitalists at a freestanding children's hospital to provide peer consultation services for challenging clinical cases. Postconsultation surveys collected from both the requesting and consulting hospitalists provided feedback about the program. The 12-point Template for Intervention Description and Replication (TIDieR) checklist is used to describe the process for program creation and implementation.
The PCCS has provided 60 consultations in the first 2 years since implementation in April 2020 and supports a large PHM division with >75 members who practice at a tertiary care, freestanding children's hospital and 7 affiliate sites. Hospitalists request peer consultation for challenging clinical cases. The consultations were typically conducted in person or via telephone. Currently, 11 PHM faculty members within the division volunteer as consultants, with 2 assigned per week. Electronic postconsultation experience surveys were received from 70% of requesting and 89% of consultant hospitalists. We also provide preliminary data from this pilot intervention in the Supplemental Information.
We successfully established a peer consult service that provided just-in-time clinical decision support across the various practice sites. Through transparent reporting using the TIDieR checklist, other divisions may be able to replicate and adapt their own peer consult program.
描述为儿科医院医学（PHM）科开发和实施同伴路边咨询服务（PCCS）的过程。
我们在一家独立儿童医院的住院医师中开展了一项试点干预措施，为具有挑战性的临床病例提供同伴咨询服务。来自请求咨询的住院医师的咨询后调查提供了有关该计划的反馈。使用 12 点干预描述和复制模板（TIDieR）检查表来描述计划创建和实施的过程。
自 2020 年 4 月实施以来的头 2 年中，PCCS 已提供了 60 次咨询服务，为拥有 75 名以上成员的大型 PHM 科提供支持，这些成员在三级保健、独立儿童医院和 7 个附属站点工作。住院医师会针对具有挑战性的临床病例请求同行咨询。咨询通常是亲自进行或通过电话进行。目前，该部门内有 11 名 PHM 教员作为顾问自愿参与，每周有 2 名顾问。请求和顾问住院医师中分别有 70%和 89%的人收到了电子咨询后体验调查。我们还在补充信息中提供了来自该试点干预的初步数据。
我们成功建立了一种同伴咨询服务，为各个实践地点提供了即时的临床决策支持。通过使用 TIDieR 检查表进行透明报告，其他部门可能能够复制和改编自己的同伴咨询计划。
