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Quality in paediatric emergency medicine: Measurement and reporting

Meredith L Borland1,2,3, Mike Shepherd4,5,6

  • 1Emergency Department, Princess Margaret Hospital, Perth, Western Australia, Australia.

Journal of Paediatrics and Child Health
|April 11, 2016
PubMed

Insights

Quality improvement in paediatric emergency medicine is crucial. This study reviews indicators for paediatric acute care quality measures and proposes a scorecard for Australian and New Zealand emergency departments (EDs) to enhance child healthcare quality.

Area of Science:

  • Healthcare Quality
  • Paediatric Emergency Medicine
  • Health Services Research

Background:

  • Growing global demand for healthcare quality extends to paediatric emergency care.
  • Gaps in the quality of acute care for children have been identified.
  • Regulatory bodies in Australia and New Zealand are increasingly mandating quality targets.

Purpose of the Study:

  • To review existing literature on paediatric-specific quality indicators for acute care.
  • To identify feasible quality indicators within the paediatric emergency department (ED) setting.
  • To propose a framework for a quality scorecard for paediatric EDs.

Main Methods:

  • Systematic review of current literature on paediatric acute care quality measures.
  • Analysis of expert consensus reports on quality indicators.
  • Synthesis of findings to propose a quality measurement tool.

Main Results:

  • A lack of paediatric-specific quality indicators for emergency departments was confirmed.
  • Existing literature and expert consensus provide a foundation for developing quality measures.
  • Feasible indicators for paediatric acute care settings were identified.

Conclusions:

  • There is a need to generalize existing paediatric acute care quality work to the ED setting.
  • A quality scorecard can assist Australian and New Zealand EDs in measuring and benchmarking paediatric patient care.
  • Further development and implementation of paediatric-specific quality measures are recommended.

Keywords:
emergency departmentspaediatricsquality and safety measuresreporting

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