{"id":"https://openalex.org/W4401130658","doi":"https://doi.org/10.1136/archdischild-2024-rcpch.487","title":"6110 Review of all retrievals (ROAR): learning from patients requiring emergency transfer at a district general hospital","display_name":"6110 Review of all retrievals (ROAR): learning from patients requiring emergency transfer at a district general hospital","publication_year":2024,"publication_date":"2024-07-30","ids":{"openalex":"https://openalex.org/W4401130658","doi":"https://doi.org/10.1136/archdischild-2024-rcpch.487"},"language":"en","primary_location":{"id":"doi:10.1136/archdischild-2024-rcpch.487","doi":"https://doi.org/10.1136/archdischild-2024-rcpch.487","is_oa":false,"landing_page_url":"https://doi.org/10.1136/archdischild-2024-rcpch.487","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Paediatric Critical Care Society","raw_type":"proceedings-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Suchika Garg","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210150286","display_name":"North Middlesex University Hospital NHS Trust","ror":"https://ror.org/048919h66","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210150286"]},{"id":"https://openalex.org/I4210153090","display_name":"North Middlesex Hospital","ror":"https://ror.org/00eph4903","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210150286","https://openalex.org/I4210153090"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Suchika Garg","raw_affiliation_strings":["North Middlesex University Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"North Middlesex University Hospital","institution_ids":["https://openalex.org/I4210150286","https://openalex.org/I4210153090"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5106060888","display_name":"Hannah Jaumdally","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210150286","display_name":"North Middlesex University Hospital NHS Trust","ror":"https://ror.org/048919h66","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210150286"]},{"id":"https://openalex.org/I4210153090","display_name":"North Middlesex Hospital","ror":"https://ror.org/00eph4903","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210150286","https://openalex.org/I4210153090"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Hannah Jaumdally","raw_affiliation_strings":["North Middlesex University Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"North Middlesex University Hospital","institution_ids":["https://openalex.org/I4210150286","https://openalex.org/I4210153090"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091013116","display_name":"Joshua Mark Hodgson","orcid":"https://orcid.org/0000-0001-8423-0935","observed_orcids":["https://orcid.org/0000-0001-8423-0935"]},"institutions":[{"id":"https://openalex.org/I4210150286","display_name":"North Middlesex University Hospital NHS Trust","ror":"https://ror.org/048919h66","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210150286"]},{"id":"https://openalex.org/I4210153090","display_name":"North Middlesex Hospital","ror":"https://ror.org/00eph4903","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210150286","https://openalex.org/I4210153090"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Joshua Hodgson","raw_affiliation_strings":["North Middlesex University Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"North Middlesex University Hospital","institution_ids":["https://openalex.org/I4210150286","https://openalex.org/I4210153090"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084976275","display_name":"Matthew Rubens","orcid":"https://orcid.org/0000-0003-4334-915X","observed_orcids":["https://orcid.org/0000-0003-4334-915X"]},"institutions":[{"id":"https://openalex.org/I225661044","display_name":"Barts Health NHS Trust","ror":"https://ror.org/00b31g692","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I225661044"]},{"id":"https://openalex.org/I4210102809","display_name":"Whipps Cross University Hospital","ror":"https://ror.org/016vdk046","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I225661044","https://openalex.org/I4210102809"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Matthew Rubens","raw_affiliation_strings":["Whipps Cross University Hospital; Barts Health NHS Trust","Barts Health NHS Trust","Whipps Cross University Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Whipps Cross University Hospital; Barts Health NHS Trust","institution_ids":["https://openalex.org/I225661044","https://openalex.org/I4210102809"]},{"raw_affiliation_string":"Barts Health NHS Trust","institution_ids":["https://openalex.org/I225661044"]},{"raw_affiliation_string":"Whipps Cross University Hospital","institution_ids":["https://openalex.org/I4210102809"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5017965349","display_name":"Janani Pallawela","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210150286","display_name":"North Middlesex University Hospital NHS Trust","ror":"https://ror.org/048919h66","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210150286"]},{"id":"https://openalex.org/I4210153090","display_name":"North Middlesex Hospital","ror":"https://ror.org/00eph4903","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210150286","https://openalex.org/I4210153090"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Janani Pallawela","raw_affiliation_strings":["North Middlesex University Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"North Middlesex University Hospital","institution_ids":["https://openalex.org/I4210150286","https://openalex.org/I4210153090"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"A312","last_page":"A312"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.9667999744415283,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.9667999744415283,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.011599999852478504,"subfield":{"id":"https://openalex.org/subfields/2911","display_name":"Leadership and Management"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.005499999970197678,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/lessons-learned","display_name":"lessons learned","score":0.6129999756813049},{"id":"https://openalex.org/keywords/clinical-governance","display_name":"clinical governance","score":0.8100000023841858},{"id":"https://openalex.org/keywords/difficult-airway-management","display_name":"difficult airway management","score":0.8169999718666077},{"id":"https://openalex.org/keywords/simulation-based-training","display_name":"simulation-based training","score":0.4560000002384186},{"id":"https://openalex.org/keywords/district-hospitals","display_name":"district hospitals","score":0.46000000834465027},{"id":"https://openalex.org/keywords/pediatric-anesthesia","display_name":"pediatric anesthesia","score":0.6029999852180481},{"id":"https://openalex.org/keywords/employee-well-being","display_name":"employee well-being","score":0.5120000243186951},{"id":"https://openalex.org/keywords/continuing-professional-development","display_name":"continuing professional development","score":0.7730000019073486},{"id":"https://openalex.org/keywords/emergency-front-of-neck-access","display_name":"emergency front of neck access","score":0.621999979019165},{"id":"https://openalex.org/keywords/pediatric-sedation","display_name":"pediatric sedation","score":0.39100000262260437},{"id":"https://openalex.org/keywords/ventilator-settings","display_name":"ventilator settings","score":0.4090000092983246}],"concepts":[{"id":"https://openalex.org/C202695956","wikidata":"https://www.wikidata.org/wiki/Q2669680","display_name":"Debriefing","level":2,"score":0.6802694797515869},{"id":"https://openalex.org/C2779182362","wikidata":"https://www.wikidata.org/wiki/Q17126187","display_name":"Session (web analytics)","level":2,"score":0.6059163212776184},{"id":"https://openalex.org/C22467394","wikidata":"https://www.wikidata.org/wiki/Q849359","display_name":"Multidisciplinary approach","level":2,"score":0.5441495180130005},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.4983220100402832},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4959772527217865},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.4737994074821472},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.4650377631187439},{"id":"https://openalex.org/C111226992","wikidata":"https://www.wikidata.org/wiki/Q626225","display_name":"Teamwork","level":2,"score":0.451377272605896},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.44321608543395996},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.36959415674209595},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.1934921145439148},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C136764020","wikidata":"https://www.wikidata.org/wiki/Q466","display_name":"World Wide Web","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1136/archdischild-2024-rcpch.487","doi":"https://doi.org/10.1136/archdischild-2024-rcpch.487","is_oa":false,"landing_page_url":"https://doi.org/10.1136/archdischild-2024-rcpch.487","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Paediatric Critical Care Society","raw_type":"proceedings-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9907000064849854,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2790104730","https://openalex.org/W4294536132","https://openalex.org/W2415771964","https://openalex.org/W2981178946","https://openalex.org/W4200623484","https://openalex.org/W4238280359","https://openalex.org/W1974757864","https://openalex.org/W2791694834","https://openalex.org/W2005107472","https://openalex.org/W2008873679"],"abstract_inverted_index":{"Objectives":[0],"Emergency":[1],"transfer":[2],"of":[3,29,41,48,94,168,218,247,274,290,326,347,391,395],"acutely":[4],"unwell":[5],"children":[6],"is":[7,15,136,148,324],"relatively":[8],"common":[9],"and":[10,57,75,81,89,104,119,144,192,199,316,331,357,398],"logistically":[11,332],"challenging.":[12],"Being":[13],"prepared":[14],"vital.":[16],"As":[17],"with":[18,100,165,370,387],"any":[19,291],"critical":[20],"event,":[21],"they":[22],"should":[23],"be":[24],"learned":[25,118],"from":[26,84,383],"as":[27,125,138,229,365],"part":[28],"effective":[30],"clinical":[31,302],"governance.":[32],"We":[33,374],"have":[34,279,343],"established":[35,63],"a":[36,101,105,157,258,288,297,301],"regular":[37,340],"multidisciplinary":[38,170,355],"meeting":[39,67,96,158,298],"\u2018Review":[40],"all":[42,377],"Retrievals\u2019":[43],"(ROAR)":[44],"to":[45,112,178,208,241,367],"improve":[46],"standards":[47],"care":[49,349],"for":[50,129,188,196,203,238,261,272,282,314],"this":[51],"vulnerable":[52],"patient":[53],"group,":[54],"their":[55],"families":[56,397],"staff":[58,83,358],"alike.":[59],"Methods":[60],"ROAR":[61,341],"was":[62],"in":[64,140,207,253,287],"2019.":[65],"The":[66,92],"occurs":[68],"once":[69],"every":[70,159],"two":[71,98],"months":[72,161],"delivered":[73],"in-person":[74],"virtually.":[76],"Attendees":[77],"are":[78,336],"multidisciplinary:":[79],"medical":[80],"nursing":[82],"various":[85],"paediatrics,":[86],"anaesthetics,":[87],"ODPs":[88],"emergency":[90,283,322],"settings.":[91],"structure":[93],"each":[95,151],"covers":[97],"cases,":[99],"10-minute":[102],"presentation":[103],"15-minute":[106],"discussion":[107,299],"per":[108],"case.":[109],"Discussion":[110],"aims":[111],"reflect":[113,368],"on":[114],"good":[115],"practice,":[116],"lessons":[117],"action":[120,266],"points.":[121],"It":[122],"also":[123,362],"serves":[124],"an":[126,166],"additional":[127],"debrief":[128],"those":[130],"involved.":[131],"A":[132],"high-impact":[133],"learning":[134,204,233,315],"summary":[135],"produced,":[137],"shown":[139],"figure":[141],"1,":[142],"shared":[143],"saved":[145],"securely.":[146],"Feedback":[147,308],"collected":[149],"after":[150,296],"session.":[152],"Results":[153],"There":[154],"has":[155],"been":[156],"2":[160],"since":[162],"November":[163],"2019":[164],"average":[167],"30":[169],"attendees.":[171],"Good":[172],"practice":[173],"points":[174,205,267],"included:":[175],"early":[176],"escalation":[177,240],"CATS,":[179],"closed-loop":[180],"communication":[181],"within":[182],"the":[183,189,327,388,393],"multi-disciplinary":[184],"team,":[185],"frequent":[186],"updates":[187],"child\u2019s":[190],"parents,":[191],"using":[193,257],"set":[194],"checklists":[195],"complex":[197,333],"procedures":[198,262],"calculations.":[200],"Recurring":[201],"themes":[202],"fall":[206],"4":[209],"categories:":[210],"Human":[211],"factors":[212,244],"\u2013":[213,222,234,245],"structured":[214],"SBAR":[215],"handovers,":[216],"awareness":[217],"prescription":[219],"errors.":[220],"Teaching":[221],"teaching":[223],"sessions,":[224],"public":[225],"health":[226],"measures":[227],"such":[228,385],"vaccine":[230],"promotion.":[231],"Practical":[232],"ventilator":[235],"settings,":[236],"sedation":[237],"intubation,":[239],"seniors.":[242],"Environmental":[243],"availability":[246],"resources":[248],"(e.g.":[249],"urine":[250],"toxicology":[251],"screen)":[252],"other":[254],"hospital":[255],"areas,":[256],"quiet":[259],"space":[260],"like":[263],"intubation.":[264],"Example":[265],"include:":[268],"arranging":[269],"simulation":[270],"sessions":[271,310],"management":[273],"difficult":[275],"airways,":[276],"ensuring":[277],"theatres":[278],"necessary":[280],"equipment":[281],"front-of-":[284],"neck":[285],"access":[286],"child":[289],"age,":[292],"completing":[293],"Datix":[294],"forms":[295],"highlighted":[300],"incident":[303],"that":[304,376],"required":[305],"formal":[306],"review.":[307],"demonstrated":[309],"were":[311],"enjoyable,":[312],"useful":[313],"well":[317],"received.":[318],"Conclusion":[319],"Children":[320],"requiring":[321],"transport":[323],"one":[325],"most":[328],"high-risk,":[329],"stressful":[330],"events":[334],"we":[335],"involved":[337],"in.":[338],"Our":[339],"meetings":[342,361,386],"addressed":[344],"many":[345],"aspects":[346],"high-quality":[348],"simultaneously:":[350],"governance;":[351],"continuing":[352],"professional":[353],"development;":[354],"working;":[356],"wellbeing.":[359],"These":[360],"enabled":[363],"us,":[364],"paediatricians,":[366],"jointly":[369],"our":[371],"anaesthetic":[372],"colleagues.":[373],"suggest":[375],"district":[378],"general":[379],"hospitals":[380],"could":[381],"benefit":[382],"running":[384],"ultimate":[389],"aim":[390],"improving":[392],"lives":[394],"children,":[396],"staff.":[399]},"counts_by_year":[],"updated_date":"2026-09-25T08:18:29.962427","created_date":"2024-07-31T00:00:00"}