Pediatric emergency care
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Pediatric emergency care · Sep 2020
A Blueprint for Pediatric Emergency Resource Reallocation During the COVID-19 Pandemic: An NYC Hospital Experience.
We present a blueprint for the reallocation of pediatric emergency resources in response to the COVID-19 pandemic. ⋯ Modification of physical space, clinical services, staffing models, and the importance of steady leadership enabled us to maintain outstanding clinical care for pediatric patients while maximizing capacity and service for adult COVID-19 patients in the emergency department.
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Pediatric emergency care · Sep 2020
Discharge Prescription Errors After the Implementation of a Prospective Pharmacist Review Process in a Pediatric Emergency Department.
Pediatric emergency department (ED) patients are at an increased risk for experiencing a preventable medication error. Studies show that pharmacists are effective at decreasing medication errors on inpatient orders but there are few studies looking at error reduction on discharge prescriptions. Children's Health implemented a prospective pharmacist verification process on all ED discharge prescriptions. The objective of this study is to identify and describe the prescription errors leaving a pediatric ED after the implementation of this pharmacist review process. ⋯ Forty-one errors were identified from 750 randomly selected prescriptions for a total error rate of 5.5%. The most common subtypes of errors were missing duration (39%) and antimicrobial optimization (24.4%). When using the Taylor et al 2005 scale, no prescriptions were classified as severe or serious. None of the errors led to patient harm.
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Pediatric emergency care · Sep 2020
How Important Are Parental Age and Educational Level in Nonurgent Admissions to the Pediatric Emergency Department?
The aims of the present study were to investigate the reasons parents prefer the pediatric emergency department for nonurgent admissions and to evaluate the effect of parental age and educational level on nonurgent admissions and the relationship between the reasons for nonurgent admissions and child age. ⋯ It is critically important to examine why parents prefer the emergency department for nonurgent conditions of their children and to develop solution offers in this regard. The improvements to be made in the emergency department would both prioritize patients requiring urgent care and increase the productivity of emergency department staff.
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Pediatric emergency care · Sep 2020
Intranasal Fentanyl and Midazolam for Procedural Analgesia and Anxiolysis in Pediatric Urgent Care Centers.
Intranasal fentanyl and midazolam use is increasing in the acute care setting for analgesia and anxiolysis, but there is a lack of literature demonstrating their use, alone or in combination, at pediatric urgent care centers. ⋯ Intranasal fentanyl and midazolam when administrated alone and in combination can provide analgesia and anxiolysis for minor procedures in pediatric patients treated in the urgent care setting.