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Updated: Jun 12, 2025

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Understanding Strategies to Reduce the Impact of Non-urgent Visits to the Pediatric Emergency Department: A Scoping

Erica Qureshi, Kelly Nguyen1, Brett Burstein2

  • 1Faculty of Medicine, University of British Columbia.

Pediatric Emergency Care
|December 6, 2024
PubMed

Insights

Pediatric emergency departments (PEDs) face overcrowding due to non-urgent visits. This review identifies three strategies to manage these visits: engaging non-pediatric clinicians, reorganizing operations, and patient education to reduce non-urgent care needs.

Area of Science:

  • Emergency Medicine
  • Healthcare Management
  • Pediatrics

Background:

  • Pediatric emergency departments (PEDs) are increasingly burdened by non-urgent visits, leading to overcrowding and impacting patient flow.
  • Identifying and evaluating strategies to mitigate the effects of non-urgent visits is crucial for optimizing PED operations.

Purpose of the Study:

  • To conduct a scoping review identifying and describing interventions aimed at reducing the impact of non-urgent visits on the pediatric emergency department.
  • To synthesize the design and outcomes of initiatives trialed to manage non-urgent patient volumes in PEDs.

Main Methods:

  • A comprehensive search of four databases (MEDLINE, EMBASE, EBM, CINAHL) was performed for studies published up to March 31, 2024.
  • Included studies focused on the pediatric ED, defined non-urgent visits, described an intervention, and reported on its impact.
  • Two independent reviewers screened titles, abstracts, and full texts, resolving disagreements through deliberation.

Main Results:

  • Out of 11,600 screened articles, 20 were included in the review.
  • Interventions targeted PED input (9 studies), throughput (10 studies), or both (1 study).
  • Three primary strategies emerged: engaging non-pediatric clinicians, reorganizing PED operations, and implementing patient education for prevention.

Conclusions:

  • Standardized definitions for non-urgent visits and outcome measures are needed for better study comparison.
  • Three key strategies—clinician engagement, operational reorganization, and patient education—show promise in reducing the impact of non-urgent visits on PEDs.
Abstract

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