North Carolina — Targeted Issue
Evaluation of a Pediatric Emergency Care Facility Recognition Program (PECFR) on Care of Injured Children
Sept. 1, 2010 - Aug. 31, 2013

Details

Institution
Wake Forest University
Principal Investigator(s)
Award Amount
$896426.00

Regions

HRSA Region

4

EMSC Region

Atlantic

HPP Region

4

NASEMSO Region

South

Contacts

Name Roles Agency Mailing Address Office Phone Email
J. Wayne Meredith, MD
  • Principal Investigator
Wake Forest University

Disseminations

Title Published Author Abstract Publication PMID
Variation in Pediatric Trauma Assessment and Treatment Among Hospital Settings 2013 Western Pediatric Trauma Conference 0
Evaluating an Emergency Department Recognition Program for Pediatric Services 2014 Emergency Nurses Association 0
Evaluation of Pediatric Emergency Care ED Recognition on Care of Injured Children 2012 Western States Trauma Managers 0
Evaluation of Pediatric Emergency Care ED Recognition on Care of Injured Children 2012 2012 EMSC Annual Meeting 0
Evaluation of Pediatric Emergency Care ED Recognition on Care of Injured Children 2011 National Association of State EMS Officials Annual Meeting 0
Emergency Department Recognition Program for Pediatric Services: Does It Make a Difference? 2014 Jane W. Ball, DrPH, RN,* Nels D. Sanddal, PhD, NREMT,† N. Clay Mann, PhD, MS,‡ Thomas Esposito, MD, MPA, FACS,§ Milan Nadkarni, MD,∥ Ginger Wilkins, MSN, RN,∥ and Wayne Meredith, MD∥ Objective: This study aimed to determine if a pediatric emergency care facility recognition (PECFR) program improved care processes for injured children younger than 15 years.

Methods: A controlled pre-post study design was used. Emergency department (ED) medical records were abstracted from 8 Delaware hospitals and 13 comparison hospitals in North Carolina in 2009 and again in 2013, 1 year after PECFR implementation. Data collected focused on pediatric processes of care, including vital sign assessment, pain assessment and management, treatment procedures, and diagnostic radiation.

Results: A majority of 1737 children (97%) had an Injury Severity Score of 9 or lower. Both hospital cohorts significantly increased initial pain assessment documentation over time (P < 0001). For children with extremity immobilization and a pain score of 5 or greater, the interval between pain assessment and pain management was significantly shorter in the Delaware hospitals (P < 0.01) compared with hospitals from North Carolina. A significant reduction in radiation use (flat film and computed tomographic imaging) was also found in Delaware hospitals (P < 0001) compared with the hospitals in North Carolina.

Conclusions: Improvements in care to injured children associated with the PECFR program were limited to the interval between pain assessment and pain medication for children with extremity immobilization and to radiation use 1 year after the implementation of the PECFR program.

(C) 2014 Lippincott Williams & Wilkins, Inc.
Pediatric Emergency Care 0
Evaluating an Emergency Department Recognition Program for Pediatric Services 2013 Triad Trauma Regional Advisory Committee 0
Pain Assessment and Management During Emergency CareHow are We Doing? 2014 Delaware EMSC Quality Improvement Committee 0
Pain Assessment and Management During Emergency CareHow are We Doing? 2014 Children's National Medical Center for the Pediatric Nursing Research Council 0
Evaluating an Emergency Department Recognition Program for Pediatric Services 2013 Delaware EMSC Quality Improvement Committee 0
Pain Assessment and Management During Emergency CareHow are We Doing? 2014 Society of Pediatric Nurses Annual Meeting 0