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Assessing proximity effect of high‐acuity pediatric emergency departments on the pediatric readiness scores in neighboring general emergency departments
STUDY OBJECTIVES: The objective of this study was to determine if there is a proximity effect of high‐acuity, pediatric‐capable emergency departments (EDs) on the weighted pediatric readiness score of neighboring general EDs and whether this effect is attributable to specific components of the Natio...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9660843/ https://www.ncbi.nlm.nih.gov/pubmed/36381478 http://dx.doi.org/10.1002/emp2.12850 |
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author | Brumme, Kristina Hewes, Hilary A. Richards, Rachel Gausche‐Hill, Marianne Remick, Katherine Donofrio‐Odmann, Joelle |
author_facet | Brumme, Kristina Hewes, Hilary A. Richards, Rachel Gausche‐Hill, Marianne Remick, Katherine Donofrio‐Odmann, Joelle |
author_sort | Brumme, Kristina |
collection | PubMed |
description | STUDY OBJECTIVES: The objective of this study was to determine if there is a proximity effect of high‐acuity, pediatric‐capable emergency departments (EDs) on the weighted pediatric readiness score of neighboring general EDs and whether this effect is attributable to specific components of the National Pediatric Readiness Guidelines. METHODS: Pediatric readiness was assessed using the weighted pediatric readiness score of EDs based on the 2013 National Pediatric Readiness Project assessment. High‐acuity, pediatric‐capable EDs were defined as those with a separate pediatric ED and inpatient pediatric services, including the following: pediatric ICU, pediatric ward, and neonatal ICU. Neighboring general EDs are within a 30‐minute drive time of a high‐acuity, pediatric‐capable ED. Analysis was stratified by annual ED pediatric volume: low (<1800), medium (1800–4999), medium‐high (5000–9999), and high (>10,000). We analyzed components of the readiness guidelines, including quality improvement/safety initiatives, pediatric emergency care coordinators, and availability of pediatric‐specific equipment. Groups were compared using chi‐squared or Wilcoxon rank‐sum test with P values <0.05 considered significant. RESULTS: Of the 4149 surveyed hospitals, 3933 general EDs (not high‐acuity, pediatric‐capable EDs) were identified, of which 1009 were located within a 30‐minute drive to a high‐acuity, pediatric‐capable ED. Neighboring general EDs had a statistically significantly higher median weighted pediatric readiness score across pediatric volumes (weighted pediatric readiness score 76.3 vs 65.3; P < 0.001). Neighboring general EDs were more likely to have a pediatric emergency care coordinator, a notification policy for abnormal pediatric vital signs, and >90% of pediatric‐specific equipment. CONCLUSIONS: We found neighboring general EDs have a higher level of pediatric readiness as measured by the median weighted pediatric readiness score. High‐acuity, pediatric‐capable EDs may influence the pediatric readiness of neighboring general Eds, but further investigation is needed to clarify target areas for outreach by state and national partners to improve overall pediatric readiness. |
format | Online Article Text |
id | pubmed-9660843 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-96608432022-11-14 Assessing proximity effect of high‐acuity pediatric emergency departments on the pediatric readiness scores in neighboring general emergency departments Brumme, Kristina Hewes, Hilary A. Richards, Rachel Gausche‐Hill, Marianne Remick, Katherine Donofrio‐Odmann, Joelle J Am Coll Emerg Physicians Open Pediatrics STUDY OBJECTIVES: The objective of this study was to determine if there is a proximity effect of high‐acuity, pediatric‐capable emergency departments (EDs) on the weighted pediatric readiness score of neighboring general EDs and whether this effect is attributable to specific components of the National Pediatric Readiness Guidelines. METHODS: Pediatric readiness was assessed using the weighted pediatric readiness score of EDs based on the 2013 National Pediatric Readiness Project assessment. High‐acuity, pediatric‐capable EDs were defined as those with a separate pediatric ED and inpatient pediatric services, including the following: pediatric ICU, pediatric ward, and neonatal ICU. Neighboring general EDs are within a 30‐minute drive time of a high‐acuity, pediatric‐capable ED. Analysis was stratified by annual ED pediatric volume: low (<1800), medium (1800–4999), medium‐high (5000–9999), and high (>10,000). We analyzed components of the readiness guidelines, including quality improvement/safety initiatives, pediatric emergency care coordinators, and availability of pediatric‐specific equipment. Groups were compared using chi‐squared or Wilcoxon rank‐sum test with P values <0.05 considered significant. RESULTS: Of the 4149 surveyed hospitals, 3933 general EDs (not high‐acuity, pediatric‐capable EDs) were identified, of which 1009 were located within a 30‐minute drive to a high‐acuity, pediatric‐capable ED. Neighboring general EDs had a statistically significantly higher median weighted pediatric readiness score across pediatric volumes (weighted pediatric readiness score 76.3 vs 65.3; P < 0.001). Neighboring general EDs were more likely to have a pediatric emergency care coordinator, a notification policy for abnormal pediatric vital signs, and >90% of pediatric‐specific equipment. CONCLUSIONS: We found neighboring general EDs have a higher level of pediatric readiness as measured by the median weighted pediatric readiness score. High‐acuity, pediatric‐capable EDs may influence the pediatric readiness of neighboring general Eds, but further investigation is needed to clarify target areas for outreach by state and national partners to improve overall pediatric readiness. John Wiley and Sons Inc. 2022-11-14 /pmc/articles/PMC9660843/ /pubmed/36381478 http://dx.doi.org/10.1002/emp2.12850 Text en © 2022 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Pediatrics Brumme, Kristina Hewes, Hilary A. Richards, Rachel Gausche‐Hill, Marianne Remick, Katherine Donofrio‐Odmann, Joelle Assessing proximity effect of high‐acuity pediatric emergency departments on the pediatric readiness scores in neighboring general emergency departments |
title | Assessing proximity effect of high‐acuity pediatric emergency departments on the pediatric readiness scores in neighboring general emergency departments |
title_full | Assessing proximity effect of high‐acuity pediatric emergency departments on the pediatric readiness scores in neighboring general emergency departments |
title_fullStr | Assessing proximity effect of high‐acuity pediatric emergency departments on the pediatric readiness scores in neighboring general emergency departments |
title_full_unstemmed | Assessing proximity effect of high‐acuity pediatric emergency departments on the pediatric readiness scores in neighboring general emergency departments |
title_short | Assessing proximity effect of high‐acuity pediatric emergency departments on the pediatric readiness scores in neighboring general emergency departments |
title_sort | assessing proximity effect of high‐acuity pediatric emergency departments on the pediatric readiness scores in neighboring general emergency departments |
topic | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9660843/ https://www.ncbi.nlm.nih.gov/pubmed/36381478 http://dx.doi.org/10.1002/emp2.12850 |
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