| Titre : | Pediatric Emergency Care Readiness in Europe. A descriptive survey. |
| Auteurs : | Ramon W Johnson |
| Type de document : | Mémoire |
| Année de publication : | 2013 |
| Description : | 86p. / ann. |
| Langues: | Anglais |
| Classement : | EHMBA13/ (Master EHESP Executive Health MBA (master of business administration)) |
| Mots-clés : | Pédiatrie ; Soins urgence ; Enfant ; Enquête ; Organisation soins ; Hôpital ; Europe ; France |
| Résumé : | My goal was to assess the degree of pediatric readiness of emergency departments in Europe but especially in the country of France. An on-line survey based on the 2009 American Academy of Pediatrics/American College of Emergency Physicians joint policy statement, "Care of Children in the Emergency Department: Guidelines for Preparedness," was developed as part of the National Pediatric Readiness Project. The survey also incorporated recommendations from the 2012 International Federation of the Emergency Medicine "International Standards of Care for Children in Emergency Departments". A link to this survey was disseminated to members of the Pediatric Research Network of the European Society of Emergency Medicine in addition to professional societies of Pediatrics and Emergency Medicine across Europe over four month period. A weighted preparedness score (scale of 0-100) was calculated for each emergency department. The total costs for implementing compliance with the guidelines was calculated. A total of 47 useable surveys were received, with 30% completed by the emergency department chief of service. Eighty-five percent of pediatric (age: 0-18 years) emergency department visits occur in hospitals seeing greater that 10,000 pediatric visits per year. The vast majority of visits (92%) occur in either an emergency department with a children's ED or in an ED with a separate pediatric emergency area (44%). The seven domains of the pediatric guidelines were evaluated. My survey found that 66% had a physician coordinator but with only 49% having a job description. Only 41% stated that their ED had a pediatric patient care review or QI process. Only half of my sample had 10 of 15 policies listed in the guidelines with a similar number having appropriate transfer policies and procedures in place. Mental health issues were evaluated in some depth and policies in this area were equally lacking. Only 13% of emergency departments had all recommended equipment and supplies. Emergency departments frequently lacked difficult airway supplies (67%), laryngeal mask airways for children (38%) and neonatal or infant equipment. Few respondents had a disaster plan that incorporated the needs or children and 59% of respondents were aware of the American Academy of Pediatrics/American College of Emergency Physicians guidelines. The median pediatric-preparedness score for all emergency departments was 64. Pediatric-preparedness scores were higher for facilities with higher pediatric volume, with only slightly higher scores for facilities with physician and nursing coordinators for pediatrics. The total cost of equipping each ED with all of the necessary recommended equipment would be about $1500 Euros. Pediatric readiness of hospital emergency departments in Europe were found to be lower than expected and resemble the previous level of EDs scores in the U.S. in 2001. Not only does this demonstrate opportunities for improvement but at a minimal cost. |
| Diplôme : | Master MBA Executive Health |
| Plan de classement simplifié : | Master EHESP Executive Health (MBA) |
| En ligne : | http://documentation.ehesp.fr/memoires/2013/ehmba/johnson.pdf |
Exemplaires (1)
| Code-barres | Cote | Support | Localisation | Section | Disponibilité |
|---|---|---|---|---|---|
| 080333 | EHMBA13/0005 | Mémoire | Rennes | Magasin | Empruntable Disponible |
Documents numériques (1)
 ehmba/johnson.pdf URL |