Clinical Pediatric Emergency Medicine最新文献_第10页

Emergency Medical Services for Children: Creating Everyday Readiness to Care for Kids 儿童紧急医疗服务:培养照顾儿童的日常准备

Clinical Pediatric Emergency Medicine Pub Date : 2018-09-01 DOI: 10.1016/j.cpem.2018.10.001

Charles G. Macias MD, MPH , Katherine Remick MD

引用次数: 1

Getting More Performance Out of Performance Measures: The Journey and Impact of the EMS for Children Program 从绩效衡量中获得更多绩效：儿童EMS计划的历程和影响

Clinical Pediatric Emergency Medicine Pub Date : 2018-09-01 DOI: 10.1016/j.cpem.2018.08.009

Andrea L. Genovesi MA , Elizabeth A. Edgerton MD MPH , Michael Ely MHRM , Hilary Hewes MD , Lenora M. Olson PhD MA

{"title":"Getting More Performance Out of Performance Measures: The Journey and Impact of the EMS for Children Program","authors":"Andrea L. Genovesi MA , Elizabeth A. Edgerton MD MPH , Michael Ely MHRM , Hilary Hewes MD , Lenora M. Olson PhD MA","doi":"10.1016/j.cpem.2018.08.009","DOIUrl":"10.1016/j.cpem.2018.08.009","url":null,"abstract":"<div>Performance measurement is the process involving regular data collection and analysis to determine efficacy of programs and services. Whereas businesses have long measured performance success through profits, public agencies are focused on outcome-based performance given that they provide public services. In the United States, federal interest in performance measurement began in 1993 when President Clinton signed the Government Performance and Results Act. Emergency Medical Services for Children is a federally funded program with the overarching mission to improve pediatric outcomes in emergency events by reducing childhood death and disability. The program is an example of almost 2 decades of performance measure development and implementation using Donabedian's 1966 three-element quality health care measurement model: structure, process, and outcome measures. Emergency Medical Services for Children performance measures cover 3 core areas of performance: prehospital, hospital, and program sustainability. These measures represent the only national assessment of the prehospital and hospital infrastructure providing emergency care for children in the United States. In this article, we describe the process, implementation strategies, and lessons learned in the development of the performance measures.</div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"19 3","pages":"Pages 206-215"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2018.08.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48956506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Partnering With Families to Improve Emergency Medical Services for Children 与家庭合作改善儿童紧急医疗服务

Clinical Pediatric Emergency Medicine Pub Date : 2018-09-01 DOI: 10.1016/j.cpem.2018.08.004

Jean L. Raphael MD, MPH, Tiffany L. Rattler BS

引用次数: 0

Furthering the Value of the Emergency Department Beyond Its Walls: Transitions to the Medical Home for Pediatric Emergency Patients 进一步提高急诊科的价值:过渡到儿科急诊患者的医疗之家

Clinical Pediatric Emergency Medicine Pub Date : 2018-09-01 DOI: 10.1016/j.cpem.2018.08.002

Lee S. Benjamin MD , Michele M. Carney MD

引用次数: 2

Pediatric Quality Improvement in the Prehospital and Emergency Department Worlds: Tools and Examples to Guide Change 院前和急诊科的儿科质量改进：指导变革的工具和例子

Clinical Pediatric Emergency Medicine Pub Date : 2018-09-01 DOI: 10.1016/j.cpem.2018.09.002

Sujit Iyer MD , Elizabeth Stone RN

引用次数: 1

Using Rehabilitation along the Pediatric Trauma Continuum as a Strategy to Define Outcomes in Traumatic Brain Injury 在儿童创伤连续体中使用康复作为确定外伤性脑损伤结局的策略

Clinical Pediatric Emergency Medicine Pub Date : 2018-09-01 DOI: 10.1016/j.cpem.2018.08.005

Christian M. Niedzwecki DO, MS , Amelia T. Rogers MD , Mary E. Fallat MD

引用次数: 0

The Pediatric Emergency Care Applied Research Network and Knowledge Translation 儿童急诊应用研究网络与知识翻译

Clinical Pediatric Emergency Medicine Pub Date : 2018-09-01 DOI: 10.1016/j.cpem.2018.09.003

Rachel M. Stanley MD, MHSA , Mona Jabbour MD, MEd, FRCPC , Jessica M. Saunders MACPR , Sally Jo Zuspan RN, MSN

{"title":"The Pediatric Emergency Care Applied Research Network and Knowledge Translation","authors":"Rachel M. Stanley MD, MHSA , Mona Jabbour MD, MEd, FRCPC , Jessica M. Saunders MACPR , Sally Jo Zuspan RN, MSN","doi":"10.1016/j.cpem.2018.09.003","DOIUrl":"10.1016/j.cpem.2018.09.003","url":null,"abstract":"<div>After 17 years, the Pediatric Emergency Care Applied Research Network has demonstrated its significant contribution to the care of acutely ill and injured children through the successful completion of more than 35 research studies. Despite the importance of research findings and the numerous publications in medical journals, the information is not easily accessible by parents, families, or nonresearch medical providers. Another group of investigators has developed knowledge translation and dissemination using social media through the Translating Emergency Knowledge for Kids knowledge mobilization network. This model is an example for other networks and outlines the challenges of dissemination of findings. The network’s research is widely published and has been incorporated into national guidelines, but the Pediatric Emergency Care Applied Research Network’s next challenge is translation of network findings into practice so every child who seeks emergency care in the United States in large or small emergency departments can be treated with evidence-based medicine.</div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"19 3","pages":"Pages 295-303"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2018.09.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43312237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

The Current State of the Pediatric Emergency Medicine Workforce and Innovations to Improve Pediatric Care 儿科急诊医疗人员的现状和改进儿科护理的创新

Clinical Pediatric Emergency Medicine Pub Date : 2018-09-01 DOI: 10.1016/j.cpem.2018.08.003

Gregory W. Faris MD , James P. Marcin MD, MPH , Elizabeth Weinstein MD

{"title":"The Current State of the Pediatric Emergency Medicine Workforce and Innovations to Improve Pediatric Care","authors":"Gregory W. Faris MD , James P. Marcin MD, MPH , Elizabeth Weinstein MD","doi":"10.1016/j.cpem.2018.08.003","DOIUrl":"10.1016/j.cpem.2018.08.003","url":null,"abstract":"<div>Many hospitals and emergency departments lack resources to optimally care for ill and injured children, perpetuating risks of receiving fragmented and “uneven” care. In this article, we describe the present state of our pediatric emergency medicine workforce as well as the impact that different innovations could have on the future of pediatric emergency care. Many innovative initiatives, including physician and advanced practice provider education and training, pediatric readiness recognition programs, telemedicine and in-situ simulation outreach, and community paramedicine are being utilized to help bridge access gaps and augment the reach of the pediatric emergency medicine workforce. Advocacy for reimbursement for novel care delivery models, such as community paramedicine and telemedicine, and funding for outreach education is essential. Also, better understanding of our current training models for and utilization of advanced practice practitioners in pediatric emergency medicine is crucial to understanding the diversity of workforce growth and opportunity.</div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"19 3","pages":"Pages 272-281"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2018.08.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42836376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Leveraging EMS for Children State Partnerships to Improve Pediatric EMS Care 利用紧急医疗服务儿童州合作伙伴关系，提高儿科紧急医疗服务

Clinical Pediatric Emergency Medicine Pub Date : 2018-09-01 DOI: 10.1016/j.cpem.2018.09.001

Sean M. Caffrey MBA, NRP, FACPE

{"title":"Leveraging EMS for Children State Partnerships to Improve Pediatric EMS Care","authors":"Sean M. Caffrey MBA, NRP, FACPE","doi":"10.1016/j.cpem.2018.09.001","DOIUrl":"10.1016/j.cpem.2018.09.001","url":null,"abstract":"<div>Emergency Medical Service (EMS) responses for pediatric patients represent 13% of total EMS responses in the United States.1 Despite that, the average experience of the typical prehospital provider in caring for pediatric patients is highly variable, with more than 39% of EMS services seeing fewer than 13 pediatric patients a year.2 The requirements for initial EMS provider certification vary, from 4 to 9 hours for emergency medical technicians and 7 to 34 hours for paramedics, often combining pediatrics into a “special populations” domain which includes geriatrics, obstetrics, and other patient types.3 The lack of operational reinforcement of skills due to low pediatric volume, as well as limited educational opportunities for prehospital providers, results in a lack of comfort when EMS providers find themselves in a situation needing to provide care to an ill or injured child. It is this knowledge and experience gap that the EMS for Children program addresses through state partnership collaborations and regional partnerships.</div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"19 3","pages":"Pages 226-232"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2018.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44797871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Pediatric Injury Prevention, the EMSC, and the CDC 儿童伤害预防、EMSC和CDC

Clinical Pediatric Emergency Medicine Pub Date : 2018-09-01 DOI: 10.1016/j.cpem.2018.08.001

Caitlin A. Farrell MD , James Dodington MD , Lois K. Lee MD, MPH

{"title":"Pediatric Injury Prevention, the EMSC, and the CDC","authors":"Caitlin A. Farrell MD , James Dodington MD , Lois K. Lee MD, MPH","doi":"10.1016/j.cpem.2018.08.001","DOIUrl":"10.1016/j.cpem.2018.08.001","url":null,"abstract":"<div>Injuries are the leading cause of death and disability in children 1-18 years old in the United States, and many of these injuries are preventable. The Haddon matrix is a foundational concept of injury prevention, examining different phases and factors of the injury process to develop interventions. Primary prevention, including injury prevention, is the first phase of the Emergency Medical Services for Children continuum of care. As part of this continuum, the National Highway Transportation Safety Administration and the Centers for Disease Control and Prevention are integral components of the national prevention efforts to decrease unintentional injuries due to motor vehicle crashes and home and recreational injuries as well as intentional injuries. This article describes a brief history of the Emergency Medical Services for Children, National Highway Transportation Safety Administration, and the Centers for Disease Control and Prevention, as well as injury prevention initiatives for some of the leading causes of pediatric injuries and child maltreatment.</div>","PeriodicalId":44913,"journal":{"name":"Clinical Pediatric Emergency Medicine","volume":"19 3","pages":"Pages 216-225"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cpem.2018.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41754761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5