Table 2 Potential points for intervention/redesign in the paediatric special care ward
Key Domain | Factor | Potential or current intervention strategies |
|---|---|---|
Physical Space | Crowding (a function of patients, supplies and equipment, and available space) | Increased bed capacity Formal organizational structures Specialized spaces for documentation, resuscitation, monitoring |
Hygiene | Dedicated isolation areas Implementation of infection control protocols Ensure functioning of handwash stations for visitors and families | |
Coordination | Clustering sickest patients together to facilitate communication and treatment | |
Resource utilization | Supply/equipment | Increase availability of key supplies and equipment |
Tracking and management | Systems for verification of equipment functionality and maintenance System for tracking usage, alerting low supply Systems for checking emergency supply | |
Staff Capacity | Provider resources | Dedication of senior clinical expertise Scheduling of staff capacity overnight/on weekends Managing competing demands Junior trainee capabilities/training |
Parent support | Parental engagement in patient care | |
Provider Resiliency | Strengthening collaborative work ethic Provider retention strategies: Monetary incentives, burnout prevention, hiring | |
Coordination | Promote a collaborative work ethic |