From the Division of Emergency Medicine, Boston Children's Hospital, Department of Emergency Medicine and Pediatrics, Harvard Medical School.
Department of Emergency Medicine, Tufts Medical Center/Floating Hospital for Children.
Pediatr Emerg Care. 2022 Feb 1;38(2):75-78. doi: 10.1097/PEC.0000000000002456.
The aim of this study was to describe our expansion of a Massachusetts grassroots initiative-to increase the appointment of pediatric emergency care coordinators (PECCs) in emergency departments (EDs)-to all 6 New England states.
We conducted annual surveys of all EDs in New England from 2015 to 2020 regarding 2014 to 2019, respectively. Data collection included ED characteristics. The intervention from 2018 to 2019 relied on principles of self-organization and collaboration with local stakeholders including state Emergency Medical Services for Children agencies, American College of Emergency Physician state chapters, and Emergency Nursing Association state chapters to help encourage appointment of at least 1 PECC to every ED. Most ED leadership were contacted in person at regional meetings, by e-mail and/or telephone. We reached out to each individual ED to both educate and encourage action.
Survey response rates were greater than 85% in all years. From 2014 to 2016, less than 30% of New England EDs reported a PECC. In 2017, 51% of EDs in New England reported a PECC, whereas in 2019, 91% of New England EDs reported a PECC. All other ED characteristics remained relatively consistent from 2014 to 2019.
We successfully expanded a Massachusetts grassroots initiative to appoint PECCs to all of New England. Through individual outreach, and using principles of self-organization and creating collaborations with local stakeholders, we were able to increase the prevalence of PECCs in New England EDs from less than 30% to greater than 90%. This framework also led to the creation of a New England-wide PECC network and has fostered ongoing collaboration and communication throughout the region.
本研究旨在描述我们对马萨诸塞州基层倡议的扩展-将儿科急诊护理协调员（PECC）的任命扩大到新英格兰的所有 6 个州。
我们在 2015 年至 2020 年期间对新英格兰的所有急诊部进行了年度调查，分别涉及 2014 年至 2019 年的数据。数据收集包括急诊部的特征。2018 年至 2019 年的干预措施依赖于自我组织的原则和与当地利益相关者的合作，包括州紧急医疗服务儿童机构、美国急诊医师学院州分会和紧急护理协会州分会，以帮助鼓励每一个急诊部任命至少 1 名 PECC。大多数急诊部领导都是在区域会议上亲自联系，通过电子邮件和/或电话联系。我们与每个急诊部进行了接触，既进行了教育，也鼓励采取行动。
在所有年份，调查的回复率都超过 85%。从 2014 年到 2016 年，不到 30%的新英格兰急诊部报告有 PECC。2017 年，新英格兰 51%的急诊部报告有 PECC，而 2019 年，新英格兰 91%的急诊部报告有 PECC。2014 年至 2019 年，所有其他急诊部的特征相对保持一致。
我们成功地将马萨诸塞州的一项基层倡议扩展到新英格兰的所有地区，任命 PECC。通过个别外联，并利用自我组织的原则和与当地利益相关者建立合作关系，我们能够将新英格兰急诊部的 PECC 普及率从不到 30%提高到 90%以上。这一框架还促成了一个新英格兰范围内的 PECC 网络的建立，并在该地区内促进了持续的合作和沟通。
