scholarly journals The Pediatric Emergency Care Applied Research Network: a history of multicenter collaboration in the United States

2014 ◽  
Vol 1 (2) ◽  
pp. 78-86 ◽  
Author(s):  
Leah Tzimenatos ◽  
Emily Kim ◽  
Nathan Kuppermann
Keyword(s):  
United States ◽  
Emergency Care ◽  
Applied Research ◽  
The United States ◽  
Pediatric Emergency ◽  
Research Network ◽  
History Of ◽  
Pediatric Emergency Care

The Pediatric Emergency Care Applied Research Network and Knowledge Translation

2018 ◽  
Vol 19 (3) ◽  
pp. 295-303 ◽  
Author(s):  
Rachel M. Stanley ◽  
Mona Jabbour ◽  
Jessica M. Saunders ◽  
Sally Jo Zuspan
Keyword(s):  
Knowledge Translation ◽  
Emergency Care ◽  
Applied Research ◽  
Pediatric Emergency ◽  
Research Network ◽  
Pediatric Emergency Care

scholarly journals Pediatric Emergency Care Applied Research Network head injuryprediction rules: on the basis of cost and effectiveness

2017 ◽  
Vol 47 ◽  
pp. 1770-1777 ◽  
Author(s):  
Fatma Dilek GÖKHARMAN ◽  
Sonay AYDIN ◽  
Erdem FATİHOĞLU ◽  
Pınar Nercis KOŞAR
Keyword(s):  
Emergency Care ◽  
Applied Research ◽  
Pediatric Emergency ◽  
Research Network ◽  
Pediatric Emergency Care

scholarly journals The Pediatric Emergency Care Applied Research Network Registry: A Multicenter Electronic Health Record Registry of Pediatric Emergency Care

2018 ◽  
Vol 09 (02) ◽  
pp. 366-376 ◽  
Author(s):  
Sara Deakyne Davies ◽  
Robert Grundmeier ◽  
Diego Campos ◽  
Katie Hayes ◽  
Jamie Bell ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Data Quality ◽  
Emergency Care ◽  
Data Model ◽  
Applied Research ◽  
Pediatric Emergency ◽  
Research Network ◽  
Health Record ◽  
Pediatric Emergency Care ◽  
Central Data

Background Electronic health record (EHR)-based registries allow for robust data to be derived directly from the patient clinical record and can provide important information about processes of care delivery and patient health outcomes. Methods A data dictionary, and subsequent data model, were developed describing EHR data sources to include all processes of care within the emergency department (ED). ED visit data were deidentified and XML files were created and submitted to a central data coordinating center for inclusion in the registry. Automated data quality control occurred prior to submission through an application created for this project. Data quality reports were created for manual data quality review. Results The Pediatric Emergency Care Applied Research Network (PECARN) Registry, representing four hospital systems and seven EDs, demonstrates that ED data from disparate health systems and EHR vendors can be harmonized for use in a single registry with a common data model. The current PECARN Registry represents data from 2,019,461 pediatric ED visits, 894,503 distinct patients, more than 12.5 million narrative reports, and 12,469,754 laboratory tests and continues to accrue data monthly. Conclusion The Registry is a robust harmonized clinical registry that includes data from diverse patients, sites, and EHR vendors derived via data extraction, deidentification, and secure submission to a central data coordinating center. The data provided may be used for benchmarking, clinical quality improvement, and comparative effectiveness research.

Pediatric Emergency Medicine: State of the Art

PEDIATRICS ◽  
1993 ◽  
Vol 91 (3) ◽  
pp. 587-590
Author(s):  
Daniel J. Isaacman ◽  
Holly W. Davis
Keyword(s):  
United States ◽  
Nurse Practitioners ◽  
Emergency Care ◽  
Current Practice ◽  
Training Programs ◽  
The United States ◽  
Pediatric Emergency ◽  
Radio Communications ◽  
Pediatric Emergency Care ◽  
The Mean

To assess the current practice of pediatric emergency care in the United States, a questionnaire was mailed to the directors of all 240 emergency departments (EDs) affiliated with pediatric residency training programs in the United States. One hundred seventy-two programs (72%) returned completed surveys, which comprised 32 questions highlighting staffing patterns, ancillary services, clinical issues, and resident education. The mean annual ED census was 39 290; the mean number of visits for children 0 to 18 years of age was 17 473. Seven percent of pediatric visits were categorized as critical, 23% as urgent, and 70% as nonurgent. Eleven percent of patients were admitted to the hospital. During peak periods, patients whose visits were triaged as nonurgent waited an average of 1.5 hours to be seen by a physician. Twenty-eight percent of programs provided 24-hour onsite coverage by a pediatric attending physician or fellow. Of the remaining programs, the average daily on-site pediatric coverage was 8.6 ± 6.2 hours. Eighteen percent of programs used physician assistants or nurse practitioners in the ED. During their first, second, and third years of training, pediatric residents spent an average of 5.2, 5.8, and 3.5 weeks in the ED, respectively. The majority of EDs handled all levels of pediatric trauma (84%), had dedicated trauma teams (73%), employed social workers specifically assigned to the ED (62%), and had child abuse teams (72%). Ninety-one percent of EDs had radio communications with prehospital care vehicles and 67% provided medical command for incoming pediatric patients. Fifty-four percent of programs had a mechanism for ensuring telephone follow-up of worrisome patients, and 69% used a system for ensuring feedback to the referring physician. Ninety-five percent of programs had a system in place for contacting patients with positive cultures; in most cases this function was handled by physicians. Seventy-five percent of programs provided medical advice by telephone. These data highlight current practice patterns in EDs associated with pediatric training programs and may assist in the development of practice standards for pediatric emergency care.

Sign in / Sign up

Export Citation Format

Share Document