Citations 1
Factors Associated With Improved Pediatric Resuscitative Care in General Emergency Departments
Auerbach, Marc , Whitfill, Travis , Montgomery, Erin , Leung, James , Kessler, David , Gross, Isabel T. , Walsh, Barbara , Hamilton, Melinda, Gawel, Marcie, Kant, Shruti, Janofsky, Stephen , Brown, Linda , Walls, Theresa A. , Alletag, Michelle, Sessa, Anna , Arteaga, Grace M. , Keilman, Ashley , Ittersum, Wendy Van, Rutman, Maia S. , Zaveri, Pavan , Good, Grace , Schoen, Jessica C. , Lavoie, Meghan B., Mannenbach, Mark S., Bigham, Ladonna, Rutledge, Chrystal , Okada, Pamela J. , Moegling, Michelle , Anderson, Ingrid , Tay, Khoon‐Yen , Scherzer, Daniel , Vora, Samreen , Gaither, Stacy , Fenster, Daniel, Jones, Derick D. , Chatfield, Jenny, Knight, Lynda, Berg, Marc , Makharashvili, Ana, Katznelson, Jessica , Mathias, Emily, Lutfi, Riad , Abu‐Sultaneh, Samer , Padlipsky, Patricia, Lee, Jumie , Butler, Lucas, Alander, Sarah W., Bhatnagar, Ambika , Crellin, Jason, Mannenbach, Mark, Jones, Derick, Sessa, Anna, Lavoie, Meghan, Dudas, Robert Arthur , Aebersold, Michelle , Burns, Brian, Thomas, Anita Anne , Jafri, Farrukh Nadeem , Abulebda, Kamal
Pediatrics | July 7, 2023 | Volume: 152 | Issue: 2 | Pages: No page available
OBJECTIVES To describe the quality of pediatric resuscitative care in general emergency departments (GEDs) and to determine hospital-level factors associated with higher quality. METHODS 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. RESULTS 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. CONCLUSIONS 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.