Failure  to  recognise  or  over-­‐interpret  

observa3ons  and  assessments  leads  to  missed  cases  and  

unnecessary  admissions!  

Maintaining safety while reducing admission in a high risk patient group

POPS  is  copyright  Dr.  Damian  Roland  and  Dr.  Fion  Davies  (May  2010)    A  crea3ve  commons  license  is  being  developed  

A  POPS  app  is  now  available  for  free  on  the  APP  store.  

Dr. Damian Roland dr98@le.ac.uk www.pemla.org

Dr  Damian  Roland,  Dr.  Gareth  Lewis  ,  Dr.  Ffion  Davies  and  the  nursing  staff  in  the  Leicester  Royal  Infirmary  Children’s  Emergency  Department  

Do  you  know  how  many  children  admiRed  to  your  unit  have  a  complete  set  of  

observa3ons  on  arrival?  

Stage  One  –  Printed  guide  sheets   Stage  Two  –  Embed  into  paper  work  

Outcomes  •  Increase  in  complete  assessments  

from  35%  in  2010  to  95%  2012  •  20%  reduc3on  in  admissions  of  

children  with  undifferen3ated  febrile  illness  despite  25%  rise  in  presenta3ons  

•  No  serious  untoward  incidents  and    a  reduc3on  in  communica3on  errors  within  the  department  

How  many  children  do  you  admit  with  

normal  observa3ons?  

Stage  Three  –  Crea3on  of  ePOPS