Modern Paediatric Emergency Department: Potential Improvements
in Light of New Evidence

J 2023

Modern Paediatric Emergency Department: Potential Improvements in Light of New Evidence

KULA, Roman, Stanislav POPELA, Jozef KLUČKA, Daniela CHARWATOVA, Jana DJAKOW et. al.

Basic information

Original name

Modern Paediatric Emergency Department: Potential Improvements in Light of New Evidence

Authors

KULA, Roman (203 Czech Republic, belonging to the institution), Stanislav POPELA (203 Czech Republic), Jozef KLUČKA (703 Slovakia, belonging to the institution), Daniela CHARWATOVA (203 Czech Republic), Jana DJAKOW (203 Czech Republic, guarantor, belonging to the institution) and Petr ŠTOURAČ (203 Czech Republic, belonging to the institution)

Edition

Children-Basel, BASEL, SWITZERLAND, MDPI AG, 2023, 2227-9067

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30221 Critical care medicine and Emergency medicine

Country of publisher

Switzerland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 2.400 in 2022

RIV identification code

RIV/00216224:14110/23:00130972

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.3390/children10040741

UT WoS

000978669600001

Keywords in English

emergency; triage; guidelines; checklist; ultrasound

Abstract

V originále

The increasing attendance of paediatric emergency departments becomes a serious health issue. To reduce an elevated burden of medical errors, inevitably caused by high level of stress exerted on emergency physicians, we propose potential areas for improvement in regular paediatric emergency departments. In effort to guarantee demanded quality of care to all incoming patients, the workflow in paediatric emergency departments should be sufficiently optimized. The key component remains implementing one of the validated paediatric triage systems upon patient's arrival at emergency department and fast-tracking patients with low level of risk according to the triage system. To ensure the patient's safety, emergency physicians should follow issued guidelines. Cognitive aids, such as well-designed checklists, posters or flow charts, generally improve physicians' adherence to guidelines and should be therefore available in every paediatric emergency department. To sharpen diagnostic accuracy, the use of ultrasound in paediatric emergency department, according to ultrasound protocols, should be targeted to answer specific clinical questions. Combining all mentioned improvements might reduce number of errors linked with overcrowding. The review serves not only as a blueprint for modernizing paediatric emergency departments, but also as a bin of useful literature which can be suitable in the paediatric emergency field.

Links

MUNI/A/1166/2021, interní kód MU

Name: Protektivní plicní ventilace během celkové anestezie a intenzivní péče u pediatrických pacientů: retrospektivní studie III (Acronym: TIVAC 3)

Investor: Masaryk University

MUNI/A/1178/2021, interní kód MU

Name: Simulační trénink v identifikaci a prevenci kritických událostí v anesteziologii a intenzivní medicíně III. (Acronym: SIMUCRITICAL)

Investor: Masaryk University

Citovat

KULA, Roman, Stanislav POPELA, Jozef KLUČKA, Daniela CHARWATOVA, Jana DJAKOW and Petr ŠTOURAČ. Modern Paediatric Emergency Department: Potential Improvements in Light of New Evidence. Children-Basel. BASEL, SWITZERLAND: MDPI AG, 2023, vol. 10, No 4, p. 1-16. ISSN 2227-9067. Available from: https://dx.doi.org/10.3390/children10040741.

@article{2291647,
   author = {Kula, Roman and Popela, Stanislav and Klučka, Jozef and Charwatova, Daniela and Djakow, Jana and Štourač, Petr},
   article_location = {BASEL, SWITZERLAND},
   article_number = {4},
   doi = {http://dx.doi.org/10.3390/children10040741},
   keywords = {emergency; triage; guidelines; checklist; ultrasound},
   language = {eng},
   issn = {2227-9067},
   journal = {Children-Basel},
   title = {Modern Paediatric Emergency Department: Potential Improvements in Light of New Evidence},
   url = {https://www.mdpi.com/2227-9067/10/4/741},
   volume = {10},
   year = {2023}
}

TY  - JOUR
ID  - 2291647
AU  - Kula, Roman - Popela, Stanislav - Klučka, Jozef - Charwatova, Daniela - Djakow, Jana - Štourač, Petr
PY  - 2023
TI  - Modern Paediatric Emergency Department: Potential Improvements in Light of New Evidence
JF  - Children-Basel
VL  - 10
IS  - 4
SP  - 1-16
EP  - 1-16
PB  - MDPI AG
SN  - 22279067
KW  - emergency
KW  - triage
KW  - guidelines
KW  - checklist
KW  - ultrasound
UR  - https://www.mdpi.com/2227-9067/10/4/741
N2  - The increasing attendance of paediatric emergency departments becomes a serious health issue. To reduce an elevated burden of medical errors, inevitably caused by high level of stress exerted on emergency physicians, we propose potential areas for improvement in regular paediatric emergency departments. In effort to guarantee demanded quality of care to all incoming patients, the workflow in paediatric emergency departments should be sufficiently optimized. The key component remains implementing one of the validated paediatric triage systems upon patient's arrival at emergency department and fast-tracking patients with low level of risk according to the triage system. To ensure the patient's safety, emergency physicians should follow issued guidelines. Cognitive aids, such as well-designed checklists, posters or flow charts, generally improve physicians' adherence to guidelines and should be therefore available in every paediatric emergency department. To sharpen diagnostic accuracy, the use of ultrasound in paediatric emergency department, according to ultrasound protocols, should be targeted to answer specific clinical questions. Combining all mentioned improvements might reduce number of errors linked with overcrowding. The review serves not only as a blueprint for modernizing paediatric emergency departments, but also as a bin of useful literature which can be suitable in the paediatric emergency field.
ER  -

KULA, Roman, Stanislav POPELA, Jozef KLUČKA, Daniela CHARWATOVA, Jana DJAKOW and Petr ŠTOURAČ. Modern Paediatric Emergency Department: Potential Improvements in Light of New Evidence. \textit{Children-Basel}. BASEL, SWITZERLAND: MDPI AG, 2023, vol.~10, No~4, p.~1-16. ISSN~2227-9067. Available from: https://dx.doi.org/10.3390/children10040741.

Detailed Information on Publication Record