Related Experiment Video
Updated: May 11, 2025
A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
The Current State of Pediatric Emergency Care Coordinators-A Role Essential for High-Quality Pediatric Care
Christine Aspiotes1, Hilary Hewes2, Rachel Crady3
1UPMC Children's Hospital of Pittsburgh (C Aspiotes and S Janofsky), Pittsburgh, Pa.
Objective:
High pediatric readiness is associated with decreased mortality. Pediatric emergency care coordinators (PECCs) are associated with improved pediatric readiness. The presence of PECCs in emergency departments (EDs) after COVID is unknown. Our objectives were 1) to describe and analyze the PECC status in 2021 compared to 2013, and 2) to describe the association of change in PECC status with pediatric readiness scores.
Methods:
We performed a retrospective cohort study comparing the 2013 and 2021 National Pediatric Readiness Project (NPRP) assessments. PECC status was defined as: retained, lost, gained or never based on the presence of either a nurse or physician PECC in 2021 compared to 2013. Hospital and ED characteristics were assessed by PECC status using multivariable logistic analysis. Main outcomes include the association of PECC change on adjusted Weighted Pediatric Readiness Score (aWPRS) and NPRP domain scores analyzed using Kruskal-Wallis. We calculated the aWPRS by removing points associated with a PECC (up to 19) from the overall Weighted Pediatric Readiness Score (WPRS) and normalizing to a total of 100 points.
Results:
There were 2825 EDs that completed both assessments. General EDs were more likely to have lost a PECC compared to other ED types (P < 0.001). The loss of a PECC was associated with a 7-point lower overall aWPRS and a statistically significant lower score in all pediatric readiness domains (P < 0.001) compared to EDs that retained or gained a PECC.
Conclusions:
Hospitals that lost a PECC in 2021 compared to 2013 had a lower overall aWPRS and in individual domains, suggesting the importance of a PECC in pediatric readiness initiatives.
More Related Videos
08:13Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
09:52Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Related Concept Videos
01:30Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:30Specialized Care Centers and Settings-I
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
01:30National Nursing Organizations II
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
01:22Standards of Care I
01:18Introduction To Health Care Delivery System
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
01:30Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...