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Emergency department recognition program for pediatric services: does it make a difference?

Jane W Ball1, Nels D Sanddal, N Clay Mann

  • 1From the *Committee on Trauma, †American College of Surgeons, Chicago, IL; ‡University of Utah School of Medicine, Salt Lake City, UT, §Loyola University School of Medicine, Chicago, IL; and ∥Wake Forest University Health Sciences, Winston-Salem, NC.

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Summary
This summary is machine-generated.

The pediatric emergency care facility recognition program showed limited improvements in injured children's care. Specifically, it shortened the time to pain medication for extremity injuries and reduced radiation use.

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Area of Science:

  • Pediatric Emergency Medicine
  • Healthcare Quality Improvement
  • Trauma Care

Background:

  • Pediatric emergency care facility recognition (PECFR) programs aim to enhance care for injured children.
  • Assessing the impact of such programs on specific care processes is crucial for quality improvement.

Purpose of the Study:

  • To evaluate whether a PECFR program improved care processes for injured children under 15 years old.

Main Methods:

  • A controlled pre-post study design compared 8 Delaware hospitals with 13 North Carolina comparison hospitals.
  • Emergency department medical records were analyzed in 2009 and 2013, focusing on pediatric care processes.
  • Key data points included vital signs, pain assessment/management, treatments, and diagnostic radiation.

Main Results:

  • Both groups improved pain assessment documentation over time.
  • Delaware hospitals showed a significantly shorter interval between pain assessment and pain management for children with extremity immobilization and severe pain.
  • A significant reduction in radiation use (flat film and CT) was observed in Delaware hospitals.

Conclusions:

  • The PECFR program demonstrated improvements in pain management intervals and reduced radiation use in pediatric emergency care.
  • These benefits were observed 1 year after program implementation.