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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.

Pediatric Emergency Care
|August 28, 2014
PubMed

Insights

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.

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.
Abstract

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