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Implementation strategies in emergency management of children: a scoping review protocol

Alex Aregbesola1,2, Ahmed M Abou-Setta3,4, Maya M Jeyaraman3,4

  • 1The Children's Hospital Research Institute of Manitoba, John Buhler Research Centre, 513-715 McDermot Avenue, Winnipeg, MB, R3E 3P4, Canada. alex.aregbesola@umanitoba.ca.

Systematic Reviews
|March 5, 2020
PubMed

Insights

Implementing new medical protocols in emergency departments (EDs) is challenging. This scoping review maps strategies for effective implementation of emergency care for children, aiming to improve pediatric patient outcomes.

Area of Science:

  • Emergency Medicine
  • Implementation Science
  • Pediatric Healthcare

Background:

  • Behavior change is complex; guidelines alone do not ensure protocol adherence.
  • Effective implementation strategies are crucial for adopting and sustaining changes in medical protocols, especially in high-stakes environments like emergency departments.
  • Pediatric emergency care presents unique challenges due to children's specific physiological needs, necessitating tailored implementation approaches.

Purpose of the Study:

  • To systematically identify and map the characteristics of various implementation strategies used in the emergency management of children within emergency departments.
  • To provide a comprehensive overview of current research on implementation strategies in pediatric emergency care.

Main Methods:

  • A scoping review will be conducted using the Arksey and O'Malley framework.
  • Searches will cover MEDLINE, Embase, Cochrane Central, and CINAHL databases up to May 29, 2019.
  • Two independent reviewers will select studies and extract data on implementation strategies for pediatric populations (≤21 years) in emergency settings, followed by a descriptive, narrative analysis.

Main Results:

  • The review will present characteristics and outcome measures of identified implementation strategies in a tabular format.
  • This will allow for a detailed examination of the approaches used in pediatric emergency care implementation.

Conclusions:

  • The findings are expected to identify and characterize successful implementation strategies for the emergency management of children in EDs.
  • This knowledge can inform future practice changes and improve the quality of pediatric emergency care.
Abstract

Keywords:
EmergencyEmergency departmentEmergency managementImplementation strategiesPediatricsScoping review

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