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Improving emergency care for children: a model of collaboration between emergency departments. 2004

Edward Oakley, and Dianne Crellin, and Natalie Barty, and George Braitberg, and Simon Young
Department of Emergency Medicine, Royal Children's Hospital, Melbourne, Victoria, Australia. ed.oakley@rch.org.au

OBJECTIVE To determine whether a partnership between a tertiary paediatric hospital and a hospital with a mixed population of children and adults can improve emergency care for children. To describe the process of creating and maintaining such a partnership. METHODS A partnership was created and various strategies employed to improve emergency paediatric care. This was evaluated by examination of demographic data, clinical audit, patient satisfaction surveys and staff satisfaction surveys. RESULTS Paediatric attendances increased by 12% (P = 0.001), with a 33% increase in children under the age of 5 years (P = 0.001). Despite this there was a reduction of 6% in inpatient paediatric bed usage. Staff decision making and documentation improved during paediatric patient care, and parent and staff satisfaction with care of children improved. CONCLUSIONS This initiative was successful in improving local paediatric facilities and patient care and is a new and innovative means of improving paediatric emergency care.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D008297 Male Males
D008485 Medical Audit A detailed review and evaluation of selected clinical records by qualified professional personnel for evaluating quality of medical care. Audit, Medical,Audits, Medical,Medical Audits
D010372 Pediatrics A medical specialty concerned with maintaining health and providing medical care to children from birth to adolescence.
D011787 Quality of Health Care The levels of excellence which characterize the health service or health care provided based on accepted standards of quality. Pharmacy Audit,Quality of Care,Quality of Healthcare,Audit, Pharmacy,Care Quality,Health Care Quality,Healthcare Quality,Pharmacy Audits
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D003299 Cooperative Behavior The interaction of two or more persons or organizations directed toward a common goal which is mutually beneficial. An act or instance of working or acting together for a common purpose or benefit, i.e., joint action. (From Random House Dictionary Unabridged, 2d ed) Compliant Behavior,Behavior, Compliant,Behavior, Cooperative,Compliant Behaviors,Cooperative Behaviors
D004632 Emergency Medical Services Services specifically designed, staffed, and equipped for the emergency care of patients. Emergency Care,Emergency Health Services,Emergicenters,Prehospital Emergency Care,Emergency Care, Prehospital,Emergency Services, Medical,Medical Services, Emergency,Services, Emergency Medical,Emergency Health Service,Emergency Medical Service,Emergency Service, Medical,Emergicenter,Health Service, Emergency,Health Services, Emergency,Medical Emergency Service,Medical Emergency Services,Medical Service, Emergency,Service, Emergency Health,Service, Emergency Medical,Service, Medical Emergency,Services, Emergency Health,Services, Medical Emergency

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