Journal article
Pediatric Readiness in Indian Health Service and Tribal Emergency Departments: Results from the National Pediatric Readiness Project
Journal of emergency nursing, v 43(1), pp 49-56
Jan 2017
PMID: 26530006
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
In 2014, 45 Indian Health Service (IHS)/Tribal emergency departments serving American Indian and Alaskan Native communities treated approximately 650,000 patients of which, 185,000 (28%) were children and youth younger than 19 years. This study presents the results of the National Pediatric Readiness Project (NPRP) assessment of the 45 IHS/Tribal emergency departments.
Data were obtained from the 2013 NPRP national assessment, which is a 55-question Web-based questionnaire based on previously published 2009 national consensus guidelines. The main measure of readiness is the weighted pediatric readiness score (WPRS), with the highest score being 100.
The overall mean WPRS for all emergency departments is 60.9. Of the IHS/Tribal emergency departments that had pediatric emergency care coordinators, scores across all domains were higher than those of emergency departments without pediatric emergency care coordinators. All 45 emergency departments have readily available a pediatric medication dosing chart, length-based tape, medical software, or other system to ensure proper sizing of resuscitation equipment and proper dosing of medication. Of the 45 IHS/Tribal 37% report having 100% of the equipment items, and 78% report having at least 80% of these items.
This article reports the results of the NPRP assessment in IHS/Tribal emergency departments that, despite serving a historically vulnerable population, scored favorably when compared with national data. The survey identified areas for improvement, including implementation of QI processes, stocking of pediatric specific equipment, implementation of policies and procedures on interfacility transport, and maintaining staff pediatric competencies.
Metrics
Details
- Title
- Pediatric Readiness in Indian Health Service and Tribal Emergency Departments: Results from the National Pediatric Readiness Project
- Creators
- Juliana Sadovich - Rockville, MD, Philadelphia, PA, Salt Lake City, UT, and Torrance, CA.Terry Adirim - Rockville, MD, Philadelphia, PA, Salt Lake City, UT, and Torrance, CA.Russell Telford - Rockville, MD, Philadelphia, PA, Salt Lake City, UT, and Torrance, CA.Lenora M Olson - Rockville, MD, Philadelphia, PA, Salt Lake City, UT, and Torrance, CA.Marianne Gausche-Hill - Rockville, MD, Philadelphia, PA, Salt Lake City, UT, and Torrance, CA.Elizabeth A Edgerton - Rockville, MD, Philadelphia, PA, Salt Lake City, UT, and Torrance, CA.
- Publication Details
- Journal of emergency nursing, v 43(1), pp 49-56
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000396447900015
- Scopus ID
- 2-s2.0-85010576288
- Other Identifier
- 991019167326704721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Emergency Medicine
- Nursing