Pediatric emergency care: Determinants and systematic barriers.

Pankaj Soni, Amit Agrawal
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引用次数: 0

Abstract

Pediatric emergency care (PEC) encompasses the specialized medical care delivered to infants, children, and adolescents facing urgent medical situations, addressing critical conditions such as infections, allergic responses, seizures, respiratory distress, and trauma. PEC calls for prompt, focused interventions to address each child's developmental and physiological needs. The literature was searched using Google Scholar, PubMed, and the Cochrane Library to retrieve studies assessing quality indicators and outcomes in pediatric emergencies. The search was limited to papers published in peer-reviewed journals between 01 Jan 2000 and 15 Dec 2024. This review evaluates current PEC standards such as patient safety, diagnostic precision, timeliness, and patient and family satisfaction. Patient safety is vital because children are particularly vulnerable to medical errors, such as inappropriate doses of medication. The provision of high-quality PEC is hampered by systemic issues such as inadequate training, a lack of resources, and restricted access to treatment. Telemedicine, pediatric transport units, artificial intelligence applications for diagnostics, and simulation-based training are suggested approaches to overcome these challenges. Research networks and quality improvement initiatives are important steps to improve PEC care.

儿科急诊:决定因素和系统障碍。
儿科紧急护理(PEC)包括向面临紧急医疗情况的婴儿、儿童和青少年提供的专门医疗护理,处理感染、过敏反应、癫痫发作、呼吸窘迫和创伤等危急情况。PEC要求及时、有重点的干预措施,以解决每个儿童的发展和生理需求。使用谷歌Scholar、PubMed和Cochrane Library检索评估儿科急诊质量指标和结果的研究文献。搜索仅限于2000年1月1日至2024年12月15日期间发表在同行评议期刊上的论文。本综述评估了目前的PEC标准,如患者安全性、诊断准确性、及时性以及患者和家属满意度。患者安全至关重要,因为儿童特别容易受到医疗差错的影响,例如用药剂量不当。由于培训不足、资源缺乏和获得治疗的机会有限等系统性问题,提供高质量的紧急治疗受到阻碍。远程医疗、儿科运输单元、用于诊断的人工智能应用以及基于模拟的培训是克服这些挑战的建议方法。研究网络和质量改进举措是改善PEC护理的重要步骤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
3.20
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