Category Archives: Ped EM Section Columns

PEDIATRIC READINESS PARTNERS FOCUS ON RESOURCES TO HELP HOSPITALS ADDRESS “AREAS OF NEED” IDENTIFIED BY NATIONAL ASSESSMENT RESULTS

Author: Kathleen Brown, MD – Children’s National Health System

In April 2015, the first manuscript addressing key findings from the 2013-14 National Pediatric Readiness (Peds Ready) assessment was published online in JAMA Pediatrics. A few important data points highlighted in the article included:

  • The presence of a physician and nurse pediatric emergency care coordinator (PECC) was associated with a higher adjusted median Pediatric Readiness score compare with no PECC.
  • Only 47% of responding facilities had included pediatric specific considerations into their hospital disaster plans. Even those facilities where children are frequently cared for had opportunities to improve their disaster preparedness.
  • Only 45% of hospital emergency departments (ED) reported having a pediatric care review process and only 58% of respondents had defined pediatric quality indicators.

According to the JAMA article by Marianne Gausche-Hill, MD, “The presence of physician and nurse PECCs was associated with a higher adjusted median pediatric readiness scores (82.2) compared with no PECC (66.5) across all pediatric volume categories. The presence of PECCs increased the likelihood of having all the recommended components, including a pediatric quality improvement process.” read more

PEDIATRIC READINESS ASSESSMENT PORTAL REOPENS

Author: Kathleen Brown, MD – Children’s National Health System

The National Pediatric Readiness (Peds Ready) assessment portal has reopened! Recall that the electronic assessment was first released in late 2013 and sent to approximately 5,000 emergency departments (ED) within the U.S. and its territories. An overwhelming 82% of America’s hospitals participated in the Peds Ready online assessment.

Since its reopening on November 1, 2015, more than 175 hospitals have participated in the reassessment. Many who took the assessment in 2013 are completing the reassessment to measure their progress in becoming ready for children. Other hospitals have joined this important initiative for the first time. read more

Practicing Mindfulness

We have finally recovered from the Big Snow in DC!  I hear another front is approaching, but on significantly smaller scale.

Our PEM fellows attended the DC/MD/VA Regional PEM Fellows conference this fall.  It is an annual event that rotates between the campuses of the Inova Children’s Hospital,  Children’s National and Johns Hopkins University Pediatric Emergency Medicine Fellowship programs covering topics in leadership, teaching and communication.   Dr. Manoj Jain was a featured speaker at the 6th annual conference this past October. read more

Teaching vs Clinical Productivity: A Zero Sum Gain?

Michael Greenwald, MD  FACEP, FAAP
Associate Professor, Pediatrics and Emergency Medicine
Emory University/Children’s Healthcare of Atlanta

It’s déjà vu all over again.  Each winter we (or at least some of us) seem genuinely shocked at how busy it’s become in the ED.  We get to enjoy a brief respite over the winter holidays and then the surge returns until that last RSV prion fades in the spring.  And just as we find ourselves in “battle mode” for the onslaught of febrile children with their insidious runny noses and ever present coughs, our affection for teaching trainees seems to wane. read more

Pediatric Readiness Partners Move Forward with Phase II Activities

Author: Kathleen Brown, MD – Children’s National Health System

Representatives from the American Academy of Pediatrics (AAP), the American College of Emergency Physicians (ACEP), and the Emergency Nurse Association (ENA) have launched new initiatives to help facilitate pediatric emergency department (ED) readiness. Their efforts will support and strengthen national and state activities of the Emergency Medical Services for Children (EMSC) Program, which are moving full speed ahead based on recent data analysis from the 2013 National Pediatric Readiness (Peds Ready) Project assessment. read more