Pediatric Readiness and Facility Verification

Annals of Emergency Medicine
Katherine E RemickMarianne Gausche-Hill

Abstract

We perform a needs assessment of pediatric readiness, using a novel scoring system in California emergency departments (EDs), and determine the effect of pediatric verification processes on pediatric readiness. ED nurse managers from all 335 acute care hospital EDs in California were sent a 60-question Web-based assessment. A weighted pediatric readiness score (WPRS), using a 100-point scale, and gap analysis were calculated for each participating ED. Nurse managers from 90% (300/335) of EDs completed the Web-based assessment, including 51 pediatric verified EDs, 67 designated trauma centers, and 31 EDs assessed for pediatric capabilities. Most pediatric visits (87%) occurred in nonchildren's hospitals. The overall median WPRS was 69 (interquartile ratio [IQR] 57.7, 85.9). Pediatric verified EDs had a higher WPRS (89.6; IQR 84.1, 94.1) compared with nonverified EDs (65.5; IQR 55.5, 76.3) and EDs assessed for pediatric capabilities (70.7; IQR 57.4, 88.9). When verification status and ED volume were controlled for, trauma center designation was not predictive of an increase in the WPRS. Forty-three percent of EDs reported the presence of a quality improvement plan that included pediatric elements, and 53% reported a pediatric eme...Continue Reading

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Citations

Nov 18, 2015·Annals of Emergency Medicine·Alfred Sacchetti
Jan 7, 2017·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Katherine RemickMarianne Gausche-Hill
Jul 19, 2017·Pediatric Emergency Care·Travis WhitfillMarc Auerbach
Jun 3, 2018·Hospital Pediatrics·Jacqueline M EvansJames P Marcin
Aug 1, 2018·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Diane PilkeyElizabeth A Edgerton
Aug 18, 2018·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Kathleen M AdelgaisPeter Taillac
Nov 22, 2018·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Paul IshimineKurt R Denninghoff
Oct 13, 2018·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jean E KligMaybelle Kou
Nov 14, 2018·Pediatric Emergency Care·Mohsen SaidinejadMadeline Joseph
Jan 3, 2019·The Journal of Trauma and Acute Care Surgery·Katherine RemickElizabeth A Edgerton
Oct 22, 2018·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·E Brooke LernerManish I Shah
Oct 20, 2018·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Chris MerrittMohsen Saidinejad
Jul 12, 2017·Pediatric Emergency Care·Andrea Lynn GenovesiElizabeth A Edgerton
Nov 30, 2018·Pediatric Emergency Care·Michael ElyLenora M Olson
Mar 29, 2018·Israel Journal of Health Policy Research·Raya MadarAvishay Goldberg
Apr 22, 2020·JAMA Network Open·Urbano L França, Michael L McManus
Dec 20, 2019·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Brian MooreUNKNOWN National Association of Emergency Medical Technicians Emergency Pediatric Care Committee
Oct 5, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Kamal AbulebdaMarc A Auerbach
Apr 22, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Parul DayalJames P Marcin
Jan 20, 2021·Annals of the Academy of Medicine, Singapore·Jacqueline C L TanJen Heng Pek
Feb 13, 2021·The Journal of Pediatrics·Krislyn M BoggsCarlos A Camargo
Mar 19, 2021·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Monica K LiengJennifer L Rosenthal
Apr 16, 2021·BMC Pediatrics·Shuen Yin Celine YoongJen Heng Pek
Apr 28, 2021·Annals of Emergency Medicine·Kathleen M BrownUNKNOWN Organizational Principles to Guide and Define the Child Health Care System and/or Improve the Health of All Children
Jun 8, 2021·JAMA Pediatrics·Craig D NewgardUNKNOWN Pediatric Readiness Study Group
May 18, 2021·The Journal of Pediatrics·Monica K LiengJennifer L Rosenthal
May 28, 2021·Pediatric Annals·Patrick DolanCassandra R O'Brien
Jun 19, 2021·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Hilary A HewesLenora M Olson
Dec 21, 2019·Pediatrics·Brian MooreUNKNOWN NATIONAL ASSOCIATION OF EMERGENCY MEDICAL TECHNICIANS EMERGENCY PEDIATRIC CARE COMMITTEE
Nov 6, 2018·Pediatrics·Katherine RemickUNKNOWN EMERGENCY NURSES ASSOCIATION Pediatric Committee
Apr 23, 2021·Pediatrics·Kathleen M BrownUNKNOWN COMMITTEE ON PEDIATRIC EMERGENCY MEDICINE; AMERICAN COLLEGE OF EMERGENCY PHYSICIANS, PEDIATRIC EMERGENCY MEDICINE COMMITTEE;

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