A Comparison of State-Specific Pediatric Emergency Medical Facility Recognition Programs, 2020.
A Comparison of State-Specific Pediatric Emergency Medical Facility Recognition Programs, 2020.
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2020 年各州特定儿科紧急医疗机构认可计划的比较。
DOI：
10.1097/pec.0000000000003119
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发表时间：
2024
影响因子：
1.4
通讯作者：
CamargoJr,CarlosA
中科院分区：
文献类型：
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作者：
Boggs,KrislynM;Voligny,Emma;Auerbach,Marc;Espinola,JaniceA;Samuels-Kalow,MargaretE;Sullivan,AshleyF;CamargoJr,CarlosA
目的：先前的研究表明，国家特定的儿科急诊医疗设施识别程序（PFRP）的存在与高急诊科（艾德）儿科准备。PFRP旨在提高儿科急诊护理的质量，但各州的计划各不相同。我们的目的是描述PFRP特征和验证要求的变化，并描述在PFRP州的儿科急诊护理协调员（PECCs）的可用性。方法在2020年年中，我们从3个来源收集了有关每个PFRP的信息：国家儿童紧急医疗服务（EMSC）网站，EMSC创新和改进中心网站，或通过与州EMSC项目经理的沟通。对于每个国家的PFRP，我们记录程序的特点，包括程序的开始日期，层数，是否参与是必需的/可选的，并要求verification.ResultsOverall，我们确定了17个国家与积极的PFRP。五个州只有一级或一级承认，而其他州则有多级承认。所有程序都需要PECC进行验证。然而，一些具有多个验证层的PRFP并不需要存在PECC来实现每个级别的验证。在国家与PFRP，ED与更高的总访问量，一个单独的儿科艾德区，位于东北部，和较早的程序开始日期都更有可能有一个PECC.ConclusionsThere是在国家PFRP的变化，虽然所有优先考虑的PECC的存在。我们鼓励进一步研究PFRP的不同方面对患者结局的影响。
ObjectivesPrior research suggests that the presence of state-specific pediatric emergency medical facility recognition programs (PFRPs) is associated with high emergency department (ED) pediatric readiness. The PFRPs aim to improve the quality of pediatric emergency care, but individual state programs differ. We aimed to describe the variation in PFRP characteristics and verification requirements and to describe the availability of pediatric emergency care coordinators (PECCs) in states with PFRPs.MethodsIn mid-2020, we collected information about each PFRP from 3 sources: the state Emergency Medical Services for Children (EMSC) website, the EMSC Innovation and Improvement Center website, or via communication with the state's EMSC program manager. For each state with a PFRP, we documented program characteristics, including program start date, number of tiers, whether participation was required/optional, and requirements for verification.ResultsOverall, we identified 17 states with active PFRPs. Five states had only 1 tier or level of recognition whereas the others had multiple. All programs did require presence of a PECC for verification. However, some PRFPs with multiple verification tiers did not require presence of a PECC to achieve each level of verification. In states with PFRPs, EDs with higher total visit volumes, a separate pediatric ED area, located in the Northeast, and earlier program start date were all more likely to have a PECC.ConclusionsThere is variation in state PFRPs, although all prioritize the presence of a PECC. We encourage further research on the effect of different aspects of PFRPs on patient outcomes.