From the Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School Boston, MA.
Division of Emergency Medicine, Department of Pediatrics, Ann and Robert H. Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, Chicago, IL.
Pediatr Emerg Care. 2022 Sep 1;38(9):423-425. doi: 10.1097/PEC.0000000000002713. Epub 2022 Apr 19.
Pediatric emergency care coordinators (PECCs) are associated with pediatric readiness of emergency departments (EDs). National organizations have called for PECCs in all EDs. Although the National Pediatric Readiness Program provides a list of suggested tasks for each PECC, little is known about implementation. Our objective was to describe the role of PECCs in EDs.
We analyzed data from the 2019 National ED Inventory-USA to identify EDs with PECCs in 8 states (Arkansas, Florida, Iowa, Maryland, Nebraska, New York, Vermont, and Wisconsin). We called each ED that reported having a PECC to administer a standardized survey assessing NRPP tasks, specifically quality improvement (QI), education provision, skill verification, equipment responsibilities, and how many hours the PECC devoted to the role.
Of the 201 of 830 EDs (24%) that reported a PECC, 167 (83%) completed the survey, with >80% response rate in each state. Of these, 153 EDs (92%) confirmed a PECC, and during the past year, 81% participated in QI initiatives, 93% provided pediatric education, 90% verified staff skills, and 90% were responsible for ensuring medications, equipment, supplies, and resources for children. The median number of hours per week that PECCs devoted to this role was 12 (interquartile range, 5-40). There was wide variation between states (eg, 50% of PECCs in Vermont participating in QI activities, as compared with 100% in Nebraska).
Most PECCs report participating in the suggested National Pediatric Readiness Program tasks, although there was variation by state. Future directions for this work include assessing the association between PECC tasks and patient outcomes.
儿科急诊协调员（PECC）与急诊科的儿科准备情况有关。国家组织呼吁在所有急诊科都设立 PECC。虽然国家儿科准备计划为每个 PECC 提供了一系列建议任务，但对其实施情况知之甚少。我们的目标是描述急诊科中 PECC 的角色。
我们分析了 2019 年美国国家急诊库存调查的数据，以确定在 8 个州（阿肯色州、佛罗里达州、爱荷华州、马里兰州、内布拉斯加州、纽约州、佛蒙特州和威斯康星州）有 PECC 的急诊科。我们致电每个报告有 PECC 的 ED，对其进行一项标准化调查，评估 NRPP 任务，特别是质量改进（QI）、教育提供、技能验证、设备责任以及 PECC 花在该角色上的时间。
在报告有 PECC 的 201 个 830 个 ED 中，有 167 个（83%）完成了调查，每个州的回复率均超过 80%。其中，153 个 ED（92%）确认有 PECC，在过去一年中，81%参与了 QI 计划，93%提供儿科教育，90%验证员工技能，90%负责确保儿童的药物、设备、用品和资源。PECC 每周花在这个角色上的时间中位数为 12 小时（四分位距，5-40）。各州之间存在很大差异（例如，佛蒙特州的 50%的 PECC 参与 QI 活动，而内布拉斯加州则为 100%）。
大多数 PECC 报告参与了建议的国家儿科准备计划任务，尽管各州之间存在差异。这项工作的未来方向包括评估 PECC 任务与患者结局之间的关系。
