Division of Emergency Medicine, Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, OH.
Department of Emergency Medicine, C.S. Mott Children's Hospital of Michigan, University of Michigan Medical School, Ann Arbor, MI.
Acad Emerg Med. 2018 Dec;25(12):1336-1344. doi: 10.1111/acem.13656. Epub 2018 Dec 5.
Pediatric emergency care research networks have evolved substantially over the past two decades. Some networks are specialized in specific areas (e.g., sedation, simulation) while others study a variety of medical and traumatic conditions. Given the increased collaboration between pediatric emergency research networks, the logical next step is the development of a research priorities agenda to guide global research in emergency medical services for children (EMSC).
An international group of pediatric emergency network research leaders was assembled to develop a list of research priorities for future collaborative endeavors within and between pediatric emergency research networks.
Before an in-person meeting, we used a modified Delphi approach to achieve consensus around pediatric emergency research network topic priorities. Further discussions took place on May 15, 2018, in Indianapolis, Indiana, at the Academic Emergency Medicine (AEM) consensus conference "Aligning the Pediatric Emergency Medicine Research Agenda to Reduce Health Outcome Gaps." Here, a group of 40 organizers and participants met in a 90-minute "breakout" session to review and further develop the initial priorities.
We reached consensus on five clinical research priorities that would benefit from collaboration among the existing and future emergency networks focused on EMSC: sepsis, trauma, respiratory conditions, pharmacology of emergency conditions, and mental health emergencies. Furthermore, we identified nonclinical research priorities categorized under the domains of technology, knowledge translation, and organization/administration of pediatric emergency care.
The identification of pediatric emergency care network research priorities within the domains of clinical care, technology, knowledge translation and organization/administration of EMSC will facilitate and help focus collaborative research within and among research networks globally. Engagement of essential stakeholders including EMSC researchers, policy makers, patients, and their caregivers will stimulate advances in the delivery of emergency care to children around the globe.
在过去的二十年中，儿科急诊护理研究网络有了很大的发展。一些网络专门研究特定领域（例如镇静、模拟），而另一些网络则研究各种医疗和创伤情况。鉴于儿科急诊研究网络之间的合作增加，下一步逻辑上是制定研究优先事项议程，以指导儿童急诊医疗服务（EMSC）的全球研究。
召集了一组国际儿科急诊网络研究负责人，以制定未来儿科急诊研究网络内部和之间合作的研究优先事项清单。
在现场会议之前，我们使用改良的 Delphi 方法就儿科急诊研究网络主题优先事项达成共识。2018 年 5 月 15 日，在印第安纳州印第安纳波利斯举行的学术急诊医学（AEM）共识会议“调整儿科急诊医学研究议程以缩小健康结果差距”上进行了进一步的讨论。在这里，40 名组织者和参与者聚集在一个 90 分钟的“分组”会议上，审查和进一步制定初始优先事项。
我们就五项临床研究优先事项达成了共识，这些优先事项将受益于专注于 EMSC 的现有和未来急诊网络之间的合作：脓毒症、创伤、呼吸状况、急诊条件药理学和心理健康紧急情况。此外，我们确定了非临床研究优先事项，分为技术、知识转化和儿科急诊护理组织/管理领域。
在临床护理、技术、知识转化和 EMSC 儿科急诊护理组织/管理领域确定儿科急诊护理网络研究优先事项将促进和帮助全球范围内研究网络内部和之间的协作研究。让包括 EMSC 研究人员、政策制定者、患者及其照顾者在内的重要利益相关者参与进来，将激发全球范围内儿童急诊护理服务的进步。
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