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Text
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URL Address
<a href="http://doi.org/10.1016/j.jpeds.2020.10.040" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jpeds.2020.10.040</a>
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ISSN
1097-6833 0022-3476
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<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1016/j.jpeds.2020.10.040" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1016/j.jpeds.2020.10.040</a>
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Update Year & Number
October 2020 List
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Pediatrics
Affiliated Hospital
Akron Children's Hospital
Dublin Core
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Title
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Improving pediatric readiness in general emergency departments: A prospective interventional study.
Publisher
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The Journal of Pediatrics
Date
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2020
2020-10-30
Subject
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emergency medicine; EMSC; facility recognition; Pediatric readiness
Creator
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Abulebda K;Whitfill T;Montgomery EE;Thomas A;Dudas RA;Leung JS;Scherzer DJ;Aberesold M;Van IWL;Kant S;Walls TA;Sessa AK;Janofsky S;Fenster DB;Kessler DO;Chatfield J;Okada P;Arteaga G M;Berg MD;Knight LJ;Keilman A;Makharashvili A;Good G;Bingham L;Mathias EJ;Nagy K;Hamilton MF;Vora S;Mathias K;Auerbach M A
Description
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OBJECTIVE: To describe the impact of a national interventional collaborative on pediatric readiness within General Emergency Departments. STUDY DESIGN: A prospective, multicenter, interventional study measured pediatric readiness in general emergency departments before and after participation in a pediatric readiness improvement intervention. Pediatric readiness was assessed using the weighted pediatric readiness score (WPRS) on a 100-point scale. The study protocol extended over six months and involved three phases: 1) a baseline on-site assessment of pediatric readiness and simulated quality of care, 2) pediatric readiness interventions, and 3) a follow-up on-site assessment of WPRS. The intervention phase included a benchmarking performance report, resources toolkits, and ongoing interactions between general emergency departments and academic medical centers. RESULTS: Thirty-six general emergency departments were enrolled, and 34 (94%) completed the study. Four EDs (11%) were located in Canada, and the rest were in the U.S. The mean improvement in WPRS was 16.3 (p<0.001) from a baseline of 62.4 (SEM=2.2) to 78.7 (SEM=2.1), with significant improvement in the domains of administration/coordination of care; policies, protocol and procedures; and quality improvement. Six EDs (17%) were fully adherent to the protocol timeline. CONCLUSION: Implementing a collaborative intervention model including simulation and quality improvement initiatives is associated with improvement in weighted pediatric readiness scores (WPRS) when disseminated to a diverse group of general emergency departments partnering with their regional pediatric academic medical centers. This work provides evidence that innovative collaboration facilitated by academic medical centers can serve as an effective strategy to improve pediatric readiness and processes of care.
Identifier
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<a href="http://doi.org/10.1016/j.jpeds.2020.10.040" target="_blank" rel="noreferrer noopener">10.1016/j.jpeds.2020.10.040</a>
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journalArticle
2020
Aberesold M
Abulebda K
Akron Children's Hospital
Arteaga G M
Auerbach M A
Berg MD
Bingham L
Chatfield J
Department of Pediatrics
Dudas RA
Emergency Medicine
EMSC
facility recognition
Fenster DB
Good G
Hamilton MF
Janofsky S
journalArticle
Kant S
Keilman A
Kessler DO
Knight LJ
Leung JS
Makharashvili A
Mathias EJ
Mathias K
Montgomery EE
Nagy K
NEOMED College of Medicine
October 2020 List
Okada P
Pediatric readiness
Scherzer DJ
Sessa AK
The Journal of pediatrics
Thomas A
Van IWL
Vora S
Walls TA
Whitfill T