Why PEDS READY?


Why PEDS READY?

National Pediatric Readiness 

White Paper



NPRP White Paper

Ensuring Pediatric Readiness for all Emergency Departments


CLICK HERE:   National Pediatric Readiness Project

Ensuring Pediatric Readiness for All Emergency Departments  


Pediatric Readiness and Mortality Impact



Ready or Not...   

Pediatric Readiness and Mortality Impact

https://journalfeed.org/article-a-day/2019/ready-or-notpediatric-readiness-and-mortality-impact 

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Written by Michael Wolf*

Spoon Feed
In-hospital mortality was decreased in critically ill children presenting to the ED in hospitals with higher weighted pediatric readiness scores (WPRS).

Why does this matter?
Children account for 20% of ED visits in the United States, with pediatric EDs accounting for a minority of these visits. We know that “pediatric readiness” varies between hospitals. What does this mean for children presenting with critical illness?

Ready or not…
Over 20,000 episodes of pediatric critical illness were identified in two databases representing 426 hospitals in five diverse U.S. states. Pediatric readiness was calculated using the WPRS, a validated scale noting the presence or absence of key hospital factors. In broad strokes, these included pediatric-specific physician and nurse coordinators, periodic competency evaluation programs, a formal quality improvement review process, the practice of recording temperature, heart rate, respiratory rate and weight in kilograms for every child, availability of pediatric-specific airway, IV, and other equipment, and formal transfer protocols. Hospitals with lower WPRS tended to be smaller, non-teaching, located in smaller communities, and were less likely to have a pediatric ED or PICU. Unadjusted mortality was 3.4% for the highest, and 11.1% for the lowest WPRS quartile. Adjusting for age, severity, and complexity of presentation, presenting to a hospital with WPRS in the highest quartile was associated with lower in-hospital mortality (aOR 0.25, p <0.001). Inter-hospital collaboration, education, and appointment of coordinators might help to address gaps in pediatric readiness.

Source
Emergency Department Pediatric Readiness and Mortality in Critically Ill Children.  Pediatrics. 2019 Sep;144(3). pii: e20190568. doi: 10.1542/peds.2019-0568.


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Why you should be prepared for little patients!



National Pediatric Readiness Project