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@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.
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