Patient and Emergency Medical Services Agency Factors Associated With Quality Care for Children
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View abstract on PubMed
Summary
This summary is machine-generated.Pediatric emergency medical services (EMS) quality varies by patient age and race, with older children and white children generally receiving better care. Further research is needed to address disparities in prehospital pediatric care.
Area Of Science
- Pediatric Emergency Medicine
- Health Services Research
- Quality Improvement
Background
- Quality of pediatric care within emergency medical services (EMS) systems is not well understood.
- Factors influencing performance in pediatric prehospital care require investigation.
Purpose Of The Study
- To evaluate agency and patient demographic factors associated with improved performance in pediatric emergency medical services.
- To identify specific quality measures and their performance rates in prehospital pediatric care.
Main Methods
- Analysis of the 2020-2023 National EMS Information System (NEMSIS) datasets for children (<18 years) receiving ground EMS.
- Evaluation of prehospital pediatric quality measures including medication administration, pain management, and vital sign documentation.
- Use of mixed-effects logistic models to assess associations between agency/patient factors and performance.
Main Results
- Over 2.7 million pediatric EMS encounters were analyzed.
- Performance varied widely, from 22.5% for pain improvement in trauma to 85.2% for vital sign documentation.
- Older age correlated with higher performance; racial disparities were observed in pain management and anaphylaxis treatment.
- Performance improved over time for four measures, but agency-level factors showed inconsistent associations with quality.
Conclusions
- Pediatric EMS quality is influenced by patient factors like age and race.
- Further research is essential to understand the impact of these associations on patient outcomes.
- Strategies are needed to reduce unwarranted variability in prehospital pediatric care.
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