Related Experiment Video
Updated: Sep 26, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Paediatric emergency department design: Does it affect staff, patient and community satisfaction?
1Austin and Repatriation Medical Centre, Heidelberg, Victoria, Australia. judster@bigpond.com
Insights
Establishing a dedicated pediatric emergency area significantly improved patient family satisfaction and emergency department staff confidence. However, the positive impact did not extend to general practitioners or inpatient staff.
Area of Science:
- Pediatric Emergency Medicine
- Healthcare Quality Improvement
- Hospital Administration
Background:
- Tertiary hospital emergency departments often manage pediatric emergencies.
- Dedicated pediatric areas can potentially improve care delivery and patient experience.
- Assessing the impact of such changes on various stakeholders is crucial for evidence-based practice.
Purpose of the Study:
- To evaluate the perceived changes in pediatric care standards after implementing a dedicated pediatric emergency area.
- To assess the impact on patients and families, hospital staff, and community general practitioners.
Main Methods:
- A pre- and post-implementation questionnaire survey was conducted.
- Participants included pediatric patient families, referring general practitioners, and emergency/inpatient pediatric staff.
- Surveys assessed satisfaction with the physical environment, perceived care level, and overall treatment.
Main Results:
- Patient families reported significantly higher satisfaction with the physical environment and overall care.
- Emergency department staff showed increased confidence and satisfaction in managing pediatric patients.
- General practitioners noted only slight improvements, and inpatient staff reported no significant changes.
Conclusions:
- A dedicated pediatric emergency area enhanced patient family satisfaction and emergency staff confidence.
- The positive impact on general practitioners and inpatient staff was limited, possibly due to lower exposure.
- Physical environment changes appear key to improving immediate care perceptions in pediatric emergency settings.
Objectives:
To assess the change in perception of the standard of paediatric care following the opening of a dedicated paediatric emergency area in an established tertiary hospital emergency department on patients and families, hospital staff and the general practitioners of the local community.
Methods:
A questionnaire was circulated to the relevant parties prior to and 6 months after the opening of the paediatric department. The surveys were circulated to the families/custodians of the paediatric attendees, general practitioners who refer paediatric patients and the medical and nursing staff both within the emergency department and the inpatient paediatric ward. The questions related to the physical environment, perceived level of care and the overall satisfaction with treatment.
Results:
The most striking change was in the patient family group who showed an increase in their level of satisfaction with the physical environment and their overall care. The general practitioner group showed only a slight improvement, while the inpatient staff showed no notable changes. The emergency department staff developed a higher level of confidence and satisfaction when dealing with this population group.
Conclusion:
The change in the physical environment in which we treat our paediatric emergencies seemed to enhance the level of satisfaction of our attendees. Staff appear to be more confident when dealing with these patients in a dedicated paediatric area. The effect has not yet flowed on to the inpatient staff and general practitioners, perhaps reflecting a small exposure of these individuals to the survey subject matter.
Related Concept Videos
Methods of Documentation III: PIE
Obedience
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic illness...
Patient-centered Care