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Statewide Pediatric Facility Recognition Programs and Their Association with Pediatric Readiness in Emergency Departments in the United States.
Whitfill, Travis M; Remick, Katherine E; Olson, Lenora M; Richards, Rachel; Brown, Kathleen M; Auerbach, Marc A; Gausche-Hill, Marianne.
Afiliación
  • Whitfill TM; Departments of Pediatrics and Emergency Medicine, Yale School of Medicine, New Haven, CT. Electronic address: travis.whitfill@yale.edu.
  • Remick KE; Office of the Medical Director, Austin-Travis County EMS System, Austin, TX; Dell Medical School at the University of Texas, Austin, TX; San Marcos/Hays County EMS System, San Marcos, TX; EMS for Children Innovation and Improvement Center, Houston, TX.
  • Olson LM; National Emergency Medical Services for Children Data Analysis Resource Center, Department of Pediatrics, Division of Critical Care, University of Utah, Salt Lake City, UT.
  • Richards R; National Emergency Medical Services for Children Data Analysis Resource Center, Department of Pediatrics, Division of Critical Care, University of Utah, Salt Lake City, UT.
  • Brown KM; Department of Emergency Medicine, The George Washington University School of Medicine, Washington, DC; Children's National Medical Center, Washington, DC.
  • Auerbach MA; Departments of Pediatrics and Emergency Medicine, Yale School of Medicine, New Haven, CT.
  • Gausche-Hill M; Departments of Emergency Medicine and Pediatrics, Harbor-UCLA Medical Center, Torrance, CA; Departments of Emergency Medicine and Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA; Emergency Medical Services Agency, Department of Health Services, Los Angeles County, Los Angeles, C
J Pediatr ; 218: 210-216.e2, 2020 03.
Article en En | MEDLINE | ID: mdl-31757472
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 (ß = 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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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Planificación en Desastres / Servicio de Urgencia en Hospital / Hospitales Pediátricos Tipo de estudio: Prognostic_studies / Qualitative_research / Risk_factors_studies País/Región como asunto: America do norte Idioma: En Revista: J Pediatr Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Planificación en Desastres / Servicio de Urgencia en Hospital / Hospitales Pediátricos Tipo de estudio: Prognostic_studies / Qualitative_research / Risk_factors_studies País/Región como asunto: America do norte Idioma: En Revista: J Pediatr Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos