国家特定的儿科紧急医疗设施认可计划的比较,2020年
Krislyn M Boggs1, Emma Voligny1, Marc Auerbach2
1From the Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA.
Pediatric emergency care
|January 31, 2024
概括
儿科紧急医疗设施认可计划 (PFRPs) 根据州而异,但所有人都需要儿科紧急护理协调员 (PECC). 诸如ED的数量和位置等因素会影响这些课程中的PECC可用性.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
- 儿科护理 儿科护理
背景情况:
- 国家特定的儿科急救医疗设施认可计划 (PFRPs) 与改善儿科急救部门 (ED) 的准备能力有关.
- 现有的PFRP在结构和要求方面表现出相当大的差异.
- 儿科紧急护理协调员 (PECC) 对于提高儿科紧急护理质量至关重要.
研究的目的:
- 描述各州PFRP的多样性,重点关注计划特征和验证任务.
- 评估提供PFRP的州内PECC的可用性和整合.
主要方法:
- 关于PFRP的数据是在2020年中期从州儿童紧急医疗服务 (EMSC) 网站,EMSC创新和改进中心以及与州EMSC项目经理的直接沟通中收集的.
- 记录的关键程序特征包括开始日期,认可级别的数量,参与要求 (强制性/可选性) 和验证标准.
主要成果:
- 发现17个州有活跃的PFRP,认可层次的数量有所不同 (单层与多层).
- 所有PFRP都要求存在PECC用于验证,尽管在多层次计划中的所有认可级别中并不统一.
- 诸如更高的ED访问量,专门的儿科ED区域,东北位置和更早的计划启动等因素与PECC可用性有关.
结论:
- 州PFRP之间存在显著的异质性,尽管普遍强调PECC.
- 需要进一步的研究,以了解特定的PFRP组件如何影响患者的治疗结果.
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