The PEDS-OHCA chart review tool is designed to capture adverse safety events (ASEs) in the prehospital care of children with cardiac arrest. It was created by the Children’s Safety Initiative EMS research team based on hospital chart review methods, adapted for prehospital use based on literature review and expert consensus, and refined and streamlined during extensive tool testing. This is a modified version of the previously validated Pediatric Prehospital adverse Event Detection System (PEDS) tool, used to evaluate ASEs in the prehospital care of children during emergent calls, and resulted in an OHCA-specific chart review tool. This tool was designed to be completed in REDCap and is particularly useful with the branching logic and decision-support for chart reviewers in the online version.
The tool has six sections in total. Each identified ASE is categorized by type (Unintended injury or consequence, Near miss, Suboptimal action that can be improved, Error, or Management complication), potential to cause harm (no harm likely or near miss, mild temporary harm including additional treatment or adverse effect from unnecessary treatment, or permanent or severe permanent harm including death), and preventability (4-point scale from not preventable to preventable).
How to cite this tool: Pediatric Prehospital Safety Event Detection System – Out of Hospital Cardiac Arrest (PEDS-OHCA) chart review tool STORC website. https://storc.org/pedsohca. Published June 2021. Accessed __[insert date]__.