Pediatric Emergency Medicine. Weill Cornell Medicine doctors and other healthcare specialists provide outstanding emergency care for ill and injured children and young adults, 24 hours a day, seven days a week in a dedicated, child-friendly space separate from the adult emergency room. ColumbiaDoctors Pediatric Emergency Medicine, also known as the Pediatric Emergency Department (PED) or ED, at the NYP Morgan Stanley Children's. Read the latest articles of Clinical Pediatric Emergency Medicine at , Elsevier's leading platform of peer-reviewed scholarly literature.


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Ideally, organizations would adopt all three of these strategies.

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A few examples of each type are given here. Provider Pediatric emergency care One of the problems associated with reducing the incidence of medical errors is that the frequency of errors and their most important triggers are unknown.

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Provider initiatives aimed at raising awareness of medical errors have shown some potential, although such pediatric emergency care must be coupled with limits on provider liability to encourage participation. For example, one hospital created and implemented the Good Catch Reporting Program.

Pediatric Emergency Care

Under this program, all staff are required to report suspected and identified medical errors and near misses without fear of reprisal.

Senior hospital pediatric emergency care appointed a patient safety manager who reports to the chief nurse and reviews all errors and near misses.

This information is used to develop pediatric emergency care improvements for patient safety. Within the first 3 months of the program, reporting of near misses doubled Salisbury, This approach could also be applied to the EMS environment.

EMS and hospital administrators have a number of opportunities to examine and specifically develop policies to address areas in which they believe shortcomings in patient safety exist.

Provider Training Energized by successes in the aviation industry, where teamwork training has led to reductions in errors and improved performance Risser et al.

The similarities between pilots and doctors—highly trained pediatric emergency care, accustomed to viewing themselves as bearers of ultimate authority and responsibility, independent yet increasingly dependent on others of varying skill levels—suggest that teamwork training may be influential in reducing errors in the medical field Sprague, Research on the impact of teamwork training in the ED is limited but promising.

MedTeams, a Department of Defense DoD project that introduced teamwork training to health care, developed an Emergency Team Coordination Course ETCCan 8-hour didactic course for physicians, nurses, technicians, and support personnel.

Pediatric Emergency Department

Emergency Care for Children: The National Academies Press. EDs using the ETCC experienced a 67 percent increase in error-averting behavior and a 58 percent reduction in observable errors Risser et al. Training initiatives that pediatric emergency care simulation exercises have been shown to improve performance Chorpra et al.

Simulation training involves giving emergency care providers practice in performing pediatric emergency care in lifelike circumstances using human models or virtual reality, with feedback from skilled observers, other team members, and video cameras.


Some hospitals and academic medical centers use robotic human simulators for example, an infant patient simulator used to train pediatric emergency care for intubation so providers can experience high-risk, low-frequency events. These human simulators, analogous to the flight simulators used by pilots, allow providers to manage a wide range of clinical scenarios and learn from mistakes without harming a real patient ECRI, The modern human patient simulator is extremely realistic, with anatomically correct clinical signs and the ability to communicate Reznek et al.

Pediatric human simulators are in use in a pediatric emergency care number of hospitals.


For example, at the University of Michigan, simulation is used to train EMTs and pediatric residents in standardized pediatric resuscitation courses. An attending physician developed the Pediatric Mock Code Program, in which the pediatric human patient simulator is used during actual pediatric code activations.

Evaluation and training are provided to pediatric residents as well as pediatric emergency care code team members, including nurses, pharmacists, and respiratory therapists.

The program evaluates resuscitation skills, team interaction, and team leadership skills using a variety of scenarios representing the critically ill or injured child in the arrest and prearrest state University of Michigan Health System, Evidence for the effectiveness of simulation-based training is limited and has focused primarily on adult patient settings.

However, pediatric emergency care of and testing with pediatric human patient simulators could be a promising approach to pediatric training, particularly since many providers encounter critically ill or injured patients infrequently in practice; use of a simulator could help these providers maintain pediatric skills.