Health Condition 1: Z048- Encounter for examination and observation for other specified reasons
Conditions
Interventions
Intervention1: Pediatric Resuscitation and Emergency Medicine (PREM) process: Strengthening infrastructure (1 week), training in PREM guidelines (1-day workshop), use of PREM case record to take clini
Sponsors
Tamil Nadu Health System Project
Eligibility
Inclusion criteria
Inclusion criteria: Children more than 30 days, less than 144 months
Exclusion criteria
Exclusion criteria: Newborn, age more than 12 years, do not resuscitate status
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Acceptability: Acceptability of implementation measure, Adoptability: Number Initiated/number eligible for Initiation Fidelity: Checklist or Likert Scale to evaluate how many components are implemented as instructed. Penetration: i)Proportion of doctors who routinely practice PREM protocols/ Total number of clinicians ii)Number of patients who receive PREM protocol-based care/ Total number of patients Timepoint: 25 weeks to 36 weeks from base-line or start of study | — |
Secondary
| Measure | Time frame |
|---|---|
| Number of critically ill children triaged every month, monthly bed occupancy rate in the children s ward, No of children referred to higher centers after resuscitation, No of children referred without resuscitation, No of children with emergency signs who received critical interventions, Oxygen, fluid bolus, inotrope infusion, CPR, anticonvulsants, nebulization, antibiotics, No of children who were treated until the resolution of therapeutic goals, No of children with emergency signs who did not receive critical interventions, Oxygen, fluid bolus, inotrope infusion, CPR, anticonvulsants, nebulization, antibiotics, No of children who were inadequately treated, No of children who were refractory to treatment, quality of documentation in PREM case record during the study period. Timepoint: Post implementation phase October, November, December 2026 25th week to 36 weeks;Clinical care indicators: No. of children treated with respiratory distress, pneumonia, asthma, or bronchiolitis, no. of children treated for hypovolemic shock with dehydration, number of children treated for septic /dengue shock, No of children treated for unresponsiveness with abnormal movements, No of children treated for envenomation, trauma, poisoning, or other pediatric emergencies. Timepoint: April 2026 to March 2027;Service quality indicators: Patient satisfaction score, number of children who left against medical advice Timepoint: April 2026 to March 2027;Mortality within 24 hours, mortality within 7 days for all children who are participating in the study.Timepoint: April 2026 to March 2027 | — |
Countries
India
Contacts
Public ContactDr Madhivannan
Regional Collaborative Center-Institute of Child Health and Hospital for Children, Egmore
Outcome results
None listed