Emergency Department Recognition Program for Pediatric Services

Ball, Jane W.; Sanddal, Nels D.; Mann, N. Clay; Esposito, Thomas J.; Nadkarni, Milan; Wilkins, Ginger; Meredith, Wayne

doi:10.1097/pec.0000000000000205

Cited by 16 publications

(16 citation statements)

References 9 publications

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“…Additionally, a controlled pre-post study design of a PFR program implementation in Delaware from Ball et al reported some early and limited improvements in care to injured children. 48 More work is warranted to understand the differences between the statewide programs and how these programs impact patient outcomes within and across states for PFR. This is especially important in rural and low and medium pediatric volume EDs, which are the most likely to be underresourced for pediatric emergencies.…”

Section: Discussionmentioning

confidence: 99%

Statewide Pediatric Facility Recognition Programs and Their Association with Pediatric Readiness in Emergency Departments in the United States

Whitfill

Remick

Olson

et al. 2020

The Journal of Pediatrics

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Objective To describe the relationship between statewide pediatric facility recognition (PFR) programs and pediatric readiness in emergency departments (EDs) in the US. Study design Data were extracted from the 2013 National Pediatric Readiness Project assessment (4083 EDs). Pediatric readiness was assessed using the weighted pediatric readiness score (WPRS) based on a 100-point scale. Descriptive statistics were used to compare WPRS between recognized and nonrecognized EDs and between states with or without a PFR program. A linear mixed model with WPRS was used to evaluate state PFR programs on pediatric readiness. Results Eight states were identified with a PFR program. EDs in states with a PFR program had a higher WPRS compared with states without a PFR program (overall a 9.1-point higher median WPRS; P < .001); EDs recognized in a PFR program had a 21.7-point higher median WPRS compared with nonrecognized EDs (P < .001); and between states with a statewide PFR program, there was high variability of participation within the states. We found state-level PFR programs predicted a higher WPRS compared with states without a PFR program (b = 5.49; 95% CI 2.76-8.23). Conclusions Statewide PFR programs are based on national guidelines and identify those EDs that adhere to a standard level of readiness for children. These statewide PFR initiatives are associated with higher pediatric readiness. As scalable strategies are needed to improve emergency care for children, our study suggests that statewide PFR programs may be one way to improve pediatric readiness and underscores the need for further implementation and evaluation.

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Section: Discussionmentioning

confidence: 99%

Statewide Pediatric Facility Recognition Programs and Their Association with Pediatric Readiness in Emergency Departments in the United States

Whitfill

Remick

Olson

et al. 2020

The Journal of Pediatrics

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“…Cost‐effective demonstration projects show some success for increasing pediatric readiness. For example, pediatric facility recognition programs that ensure EDs meet the minimum pediatric standards through quality improvement initiatives and onsite verification in 11 states showed improved health outcomes among pediatric patients . Simulation trainings have been a cost‐effective tool used in CAHs to improve pediatric emergency care .…”

mentioning

confidence: 99%

“…For example, pediatric facility recognition programs that ensure EDs meet the minimum pediatric standards through quality improvement initiatives and onsite verification in 11 states showed improved health outcomes among pediatric patients. [16][17][18][19][20][21] Simulation trainings have been a costeffective tool used in CAHs to improve pediatric emergency care. 22 But overall, little data exist on pediatric emergency care focusing solely on CAHs and their unique characteristics.…”

mentioning

confidence: 99%

Pediatric Readiness in Critical Access Hospital Emergency Departments

Pilkey

Edwards

Richards

et al. 2018

The Journal of Rural Health

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“…The children in the state with the recognition system had improved timeliness of the management of pain for fractures and decreased exposure to radiation use. 23 Kessler et al 24 (Table 2). 11. death of a child in the ED 45, 46 ; 12. do-not-resuscitate orders; 6. a plan for the transfer of critical patient information (ie, medical record, imaging, and copy of signed transport consent) as well as personal belongings and the provision of directions and referral institution information to the family;…”

Section: Pediatric Readiness: Improving the Safety And Quality Of Pedmentioning

confidence: 98%

Pediatric Readiness in the Emergency Department

et al. 2018

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This is a revision of the previous joint Policy Statement titled "Guidelines for Care of Children in the Emergency Department." Children have unique physical and psychosocial needs that are heightened in the setting of serious or life-threatening emergencies. The majority of children who are ill and injured are brought to community hospital emergency departments (EDs) by virtue of proximity. It is therefore imperative that all EDs have the appropriate resources (medications, equipment, policies, and education) and capable staff to provide effective emergency care for children. In this Policy Statement, we outline the resources necessary for EDs to stand ready to care for children of all ages. These recommendations are consistent with the recommendations of the Institute of Medicine (now called the National Academy of Medicine) in its report "The Future of Emergency Care in the US Health System." Although resources within emergency and trauma care systems vary locally, regionally, and nationally, it is essential that ED staff, administrators, and medical directors seek to meet or exceed these recommendations to ensure that high-quality emergency care is available for all children. These updated recommendations are intended to serve as a resource for clinical and administrative leadership in EDs as they strive to improve their readiness for children of all ages.

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Emergency Department Recognition Program for Pediatric Services

Abstract: Improvements in care to injured children associated with the PECFR program were limited to the interval between pain assessment and pain medication for children with extremity immobilization and to radiation use 1 year after the implementation of the PECFR program.

Cited by 16 publications

References 9 publications

Statewide Pediatric Facility Recognition Programs and Their Association with Pediatric Readiness in Emergency Departments in the United States

Statewide Pediatric Facility Recognition Programs and Their Association with Pediatric Readiness in Emergency Departments in the United States

Pediatric Readiness in Critical Access Hospital Emergency Departments

Pediatric Readiness in the Emergency Department

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