scholarly journals Evaluation of a Screening Tool for Child Sex Trafficking Among Patients With High‐Risk Chief Complaints in a Pediatric Emergency Department

2018 ◽  
Vol 25 (11) ◽  
pp. 1193-1203 ◽  
Author(s):  
Sheri‐Ann O. Kaltiso ◽  
V. Jordan Greenbaum ◽  
Maneesha Agarwal ◽  
Courtney McCracken ◽  
April Zmitrovich ◽  
...  
Keyword(s):  
Emergency Department ◽  
High Risk ◽  
Sex Trafficking ◽  
Screening Tool ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Child Sex Trafficking ◽  
Chief Complaints

An Evidence-Based Review of Hyperbilirubinemia in the Late Preterm Infant, with Implications for Practice: Management, Follow-Up, and Breastfeeding Support

2007 ◽  
Vol 26 (6) ◽  
pp. 395-405 ◽  
Author(s):  
Joan Renaud Smith ◽  
Ann Donze ◽  
Lisa Schuller
Keyword(s):  
Emergency Department ◽  
Bowel Movement ◽  
Pediatric Emergency ◽  
Evidence Based ◽  
Pediatric Emergency Department ◽  
Late Preterm Infant ◽  
Breastfeeding Support ◽  
The Past ◽  
Chief Complaints

SIX-DAY-OLD BABY DANNY WAS brought to the pediatric Emergency Department (ED) by his parents with chief complaints of persistent sleeping, difficulty arousing for feedings, and a lack of interest in breastfeeding. Danny’s parents reported that he had had only two wet and very yellow diapers within the past 12 hours. Danny’s mother was concerned because he had not had a bowel movement for more than 48 hours.

scholarly journals The Effect of the COVID-19 Pandemic on the Pediatric Emergency Department Flow

2021 ◽  
pp. 1-25
Author(s):  
Andrea Rivera-Sepulveda ◽  
Timothy Maul ◽  
Katherine Dong ◽  
Kylee Crate ◽  
Talia Helman ◽  
...  
Keyword(s):  
Emergency Department ◽  
Patient Flow ◽  
Admission Rate ◽  
Severity Index ◽  
Pediatric Emergency ◽  
Cross Sectional Study ◽  
P Value ◽  
Pediatric Emergency Department ◽  
Cross Sectional ◽  
Chief Complaints

ABSTRACT Objective: To determine how the early stages of the COVID-19 pandemic affected the utilization of the Pediatric Emergency Department (PED). Methods: Cross-sectional study of PED visits during January through April, 2016-2020. Data included: total PED visits, emergency severity index (ESI), disposition, chief complaint, age (months), time from first Provider to Disposition (PTD), and PED length of stay (PED-LOS). P-value <0.01 was statistically significant. Results: In total, 67,499 visits were reported. There was a significant decrease in PED visits of 24-71% from March to April 2020. Chief complaints for fever and cough were highest in March 2020; while April 2020 had a shorter mean PED-LOS (from 158 to 123 minutes), an increase of admissions (from 8% to 14%), a decrease in ESI 4 (10%), and an increase in ESI 3 (8%) (p<0.001). There was no difference in mean monthly PTD time. Conclusions: Patient flow in the PED was negatively affected by a decrease in PED visits and increase in admission rate that may be related to higher acuity. By understanding the interaction between hospital processes on PEDs and patient factors during a pandemic, we are able to anticipate and better allocate future resources.

scholarly journals Automating a Manual Sepsis Screening Tool in a Pediatric Emergency Department

2018 ◽  
Vol 09 (04) ◽  
pp. 803-808 ◽  
Author(s):  
Julia Lloyd ◽  
Erin Ahrens ◽  
Donnie Clark ◽  
Terri Dachenhaus ◽  
Kathryn Nuss
Keyword(s):  
Emergency Department ◽  
Electronic Health Record ◽  
Screening Tool ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Health Record ◽  
Electronic Health Record Data ◽  
Electronic Tool ◽  
Electronic Health ◽  
Sepsis Screening

Objective This article describes the method of integrating a manual pediatric emergency department sepsis screening process into the electronic health record that leverages existing clinical documentation and keeps providers in their current, routine clinical workflows. Methods Criteria in the manual pediatric emergency department sepsis screening tool were mapped to standard documentation routinely entered in the electronic health record. Data elements were extracted and scored from the medical history, medication record, vital signs, and physical assessments. Scores that met a predefined sepsis risk threshold triggered interruptive system alerts which notified emergency department staff to perform sepsis huddles and consider appropriate interventions. Statistical comparison of the new electronic tool to the manual process was completed by a two-tail paired t-test. Results The performance of the pediatric electronic sepsis screening tool was evaluated by comparing flowsheet row documentation of the manual, sepsis alert process against the interruptive system alert instance of the electronic sepsis screening tool. In an 8-week testing period, the automated pediatric electronic sepsis screening tool identified 100% of patients flagged by the manual process (n = 29), on average, 68 minutes earlier. Conclusion Integrating a manual sepsis screening tool into the electronic health record automated identification of pediatric sepsis screening in a busy emergency department. The electronic sepsis screening tool is as accurate as a manual process and would alert bedside clinicians significantly earlier in the emergency department course. Deployment of this electronic tool has the capability to improve timely sepsis detection and management of patients at risk for sepsis without requiring additional documentation by providers.

scholarly journals Confidential Screening for Sex Trafficking Among Minors in a Pediatric Emergency Department

PEDIATRICS ◽  
2021 ◽  
pp. e2020013235
Author(s):  
Irene A. Hurst ◽  
Denise C. Abdoo ◽  
Scott Harpin ◽  
Jan Leonard ◽  
Kathleen Adelgais
Keyword(s):  
Emergency Department ◽  
Sex Trafficking ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department

Identifying Adolescent Females at High Risk of Pregnancy in a Pediatric Emergency Department

2012 ◽  
Vol 51 (2) ◽  
pp. 171-178 ◽  
Author(s):  
Lauren Chernick ◽  
Elyse Olshen Kharbanda ◽  
John Santelli ◽  
Peter Dayan
Keyword(s):  
Emergency Department ◽  
High Risk ◽  
Pediatric Emergency ◽  
Adolescent Females ◽  
Pediatric Emergency Department

Medication Safety in the Pediatric Emergency Department

2003 ◽  
Vol 38 (5) ◽  
pp. 426-435 ◽  
Author(s):  
Stuart Levine ◽  
Kay Holbrook ◽  
Barbara O'connor-Pepe ◽  
Deidre Shinn
Keyword(s):  
Emergency Department ◽  
High Risk ◽  
Medication Safety ◽  
Pediatric Emergency ◽  
High Risk Population ◽  
Pediatric Emergency Department ◽  
Pharmacological Agents ◽  
Pharmacological Response ◽  
Neonatal Patient ◽  
Error Risk

This continuing feature will focus on recent advancements in the areas of pediatrics and neonatal pharmacology and on methods for reducing medication error risk in this patient population. Most pharmacological agents are designed with the adult in mind, and there is little literature-based data from which to derive dosing schedules and proper drug administration techniques for the pediatric and neonatal patient. Moreover, pharmacological response in this group is not well understood. We hope that this feature will help you provide pharmaceutical care to this high-risk population. Direct questions or comments to Stuart Levine, PharmD, at [email protected] .

Screening for Developmental Delay in High-Risk Users of an Urban Pediatric Emergency Department

2010 ◽  
Vol 26 (11) ◽  
pp. 793-797 ◽  
Author(s):  
Devin S. Grossman ◽  
Alan L. Mendelsohn ◽  
Michael G. Tunik ◽  
Benard P. Dreyer ◽  
Samantha B. Berkule ◽  
...  
Keyword(s):  
Emergency Department ◽  
High Risk ◽  
Developmental Delay ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department

Can a youth violence screening tool be used in a Pediatric Emergency Department setting?

2012 ◽  
Vol 73 ◽  
pp. S243-S247 ◽  
Author(s):  
Steven C. Rogers ◽  
Kevin Borrup ◽  
Chirag Parikh ◽  
Hassan Saleheen ◽  
Garry Lapidus ◽  
...  
Keyword(s):  
Emergency Department ◽  
Youth Violence ◽  
Screening Tool ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Emergency Department Setting

Humor in the Pediatric Emergency Department: A 20-Year Retrospective

PEDIATRICS ◽  
1992 ◽  
Vol 89 (6) ◽  
pp. 1089-1090
Author(s):  
Douglas S. Nelson
Keyword(s):  
Emergency Department ◽  
Emergency Departments ◽  
Medical Training ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Hospital Data ◽  
Children's Hospital ◽  
Chief Complaints ◽  
Children’S Hospital

Humorous events often take place in pediatric emergency departments without being recorded. A written account of amusing situations occurring in an emergency department has been compiled over 20 years by personnel at a large urban children's hospital. Data from this reference were analyzed for humorous content and presented in the following categories: most interesting chief complaints, suspicious sounding chief complaints, favorite telephone inquiries, and illustrative cases. This study demonstrates that an emergency department may be a fertile source of medical humor. Recognition of these statements and events helps to relieve the stress of medical training and emergency department work.

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