Details

Autor(en) / Beteiligte

• Auerbach, Marc A
• Whitfill, Travis
• Montgomery, Erin
• Leung, James
• Kessler, David
• Gross, Isabel T
• Walsh, Barbara M
• Fiedor Hamilton, Melinda
• Gawel, Marcie
• Kant, Shruti
• Janofsky, Stephen
• Brown, Linda L
• Walls, Theresa A
• Alletag, Michelle
• Sessa, Anna
• Arteaga, Grace M
• Keilman, Ashley
• Van Ittersum, Wendy
• Rutman, Maia S
• Zaveri, Pavan
• Good, Grace
• Schoen, Jessica C
• Lavoie, Meghan
• Mannenbach, Mark
• Bigham, Ladonna
• Dudas, Robert A
• Rutledge, Chrystal
• Okada, Pamela J
• Moegling, Michelle
• Anderson, Ingrid
• Tay, Khoon-Yen
• Scherzer, Daniel J
• Vora, Samreen
• Gaither, Stacy
• Fenster, Daniel
• Jones, Derick
• Aebersold, Michelle
• Chatfield, Jenny
• Knight, Lynda
• Berg, Marc
• Makharashvili, Ana
• Katznelson, Jessica
• Mathias, Emily
• Lutfi, Riad
• Abu-Sultaneh, Samer
• Burns, Brian
• Padlipsky, Patricia
• Lee, Jumie
• Butler, Lucas
• Alander, Sarah
• Thomas, Anita
• Bhatnagar, Ambika
• Jafri, Farrukh N
• Crellin, Jason
• Abulebda, Kamal

Titel

Factors Associated With Improved Pediatric Resuscitative Care in General Emergency Departments

Ist Teil von

• Pediatrics (Evanston), 2023-08, Vol.152 (2), p.1

Ort / Verlag

United States: American Academy of Pediatrics

Erscheinungsjahr

2023

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• To describe the quality of pediatric resuscitative care in general emergency departments (GEDs) and to determine hospital-level factors associated with higher quality. Prospective observational study of resuscitative care provided to 3 in situ simulated patients (infant seizure, infant sepsis, and child cardiac arrest) by interprofessional GED teams. A composite quality score (CQS) was measured and the association of this score with modifiable and nonmodifiable hospital-level factors was explored. A median CQS of 62.8 of 100 (interquartile range 50.5-71.1) was noted for 287 resuscitation teams from 175 emergency departments. In the unadjusted analyses, a higher score was associated with the modifiable factor of an affiliation with a pediatric academic medical center (PAMC) and the nonmodifiable factors of higher pediatric volume and location in the Northeast and Midwest. In the adjusted analyses, a higher CQS was associated with modifiable factors of an affiliation with a PAMC and the designation of both a nurse and physician pediatric emergency care coordinator, and nonmodifiable factors of higher pediatric volume and location in the Northeast and Midwest. A weak correlation was noted between quality and pediatric readiness scores. A low quality of pediatric resuscitative care, measured using simulation, was noted across a cohort of GEDs. Hospital factors associated with higher quality included: an affiliation with a PAMC, designation of a pediatric emergency care coordinator, higher pediatric volume, and geographic location. A weak correlation was noted between quality and pediatric readiness scores.