CHILDREN'S SAFETY INITIATIVE: A NATIONAL ASSESSMENT OF PEDIATRIC EDUCATIONAL NEEDS AMONG EMERGENCY MEDICAL SERVICES PROVIDERS

被引:43
|
作者
Hansen, Matthew [1 ]
Meckler, Garth [2 ]
Dickinson, Caitlyn [3 ]
Dickenson, Kathryn [3 ]
Jui, Jonathan [1 ]
Lambert, William [4 ]
Guise, Jeanne-Marie [3 ]
机构
[1] Oregon Hlth & Sci Univ, Dept Emergency Med, Portland, OR 97201 USA
[2] Univ British Columbia, Div Pediat Emergency Med, Vancouver, BC V5Z 1M9, Canada
[3] Oregon Hlth & Sci Univ, Dept Obstet & Gynecol, Portland, OR 97201 USA
[4] Oregon Hlth & Sci Univ, Dept Publ Hlth & Prevent Med, Portland, OR 97201 USA
基金
美国国家卫生研究院;
关键词
Pediatric EMS; prehospital education;
D O I
10.3109/10903127.2014.959223
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objective. Emergency medical services (EMS) providers may have critical knowledge gaps in pediatric care due to lack of exposure and training. There is currently little evidence to guide educators to the knowledge gaps that most need to be addressed to improve patient safety. The objective of this study was to identify educational needs of EMS providers related to pediatric care in various domains in order to inform development of curricula. Methods. The Children's Safety Initiative-EMS performed a three-phase Delphi survey on patient safety in pediatric emergencies among providers and content experts in pediatric emergency care, including physicians, nurses, and prehospital providers of all levels. Each round included questions related to educational needs of providers or the effect of training on patient safety events. We identified knowledge gaps in the following domains: case exposure, competency and knowledge, assessment and decision making, and critical thinking and proficiency. Individual knowledge gaps were ranked by portion of respondents who ranked them "highly likely" (Likert-type score 7-10 out of 10) to contribute to safety events. Results. There were 737 respondents who were included in analysis of the first phase of the survey. Paramedics were 50.8% of respondents, EMT-basics/first responders were 22%, and physicians 11.4%. The top educational priorities identified in the final round of the survey include pediatric airway management, responder anxiety when working with children, and general pediatric skills among providers. The top three needs in decision-making include knowing when to alter plans mid-course, knowing when to perform an advanced airway, and assessing pain in children. The top 3 technical or procedural skills needs were pediatric advanced airway, neonatal resuscitation, and intravenous/intraosseous access. For neonates, specific educational needs identified included knowing appropriate vital signs and preventing hypothermia. Conclusions. This is the first large-scale Delphi survey related to pediatric prehospital education. Our results provide foundational information related to the educational needs of prehospital providers. Medical directors and educators can use the results to shape future curricular development.
引用
收藏
页码:287 / 291
页数:5
相关论文
共 50 条
  • [1] Pediatric Airway Management and Prehospital Patient Safety: Results of a National Delphi Survey by the Children's Safety Initiative-Emergency Medical Services for Children
    Hansen, Matthew
    Meckler, Garth
    O'Brien, Kerth
    Engle, Phillip
    Dickinson, Caitlin
    Dickinson, Kathryn
    Jui, Jonathan
    Lambert, William
    Cottrell, Erika
    Guise, Jeanne-Marie
    [J]. PEDIATRIC EMERGENCY CARE, 2016, 32 (09) : 603 - 607
  • [2] Paramedic assessment and treatment of upper airway obstruction in pediatric patients: an exploratory analysis by the Children's Safety Initiative-Emergency Medical Services
    Hansen, Matthew
    Meckler, Garth
    Lambert, William
    Dickinson, Caitlin
    Dickinson, Kathryn
    Guise, Jeanne-Marie
    [J]. AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2016, 34 (03): : 599 - 601
  • [3] Pediatric Educational Needs Assessment for Urban and Rural Emergency Medical Technicians
    Fleischman, Ross J.
    Yarris, Lalena M.
    Curry, Merlin T.
    Yuen, Stephanie C.
    Breon, Alia R.
    Meckler, Garth D.
    [J]. PEDIATRIC EMERGENCY CARE, 2011, 27 (12) : 1130 - 1135
  • [4] A National Assessment of the Health and Safety of Emergency Medical Services Professionals
    Bentley, Melissa A.
    Levine, Roger
    [J]. PREHOSPITAL AND DISASTER MEDICINE, 2016, 31 : S96 - S104
  • [5] Understanding the value of mixed methods research: the Children's Safety Initiative-Emergency Medical Services
    Hansen, Matthew
    O'Brien, Kerth
    Meckler, Garth
    Chang, Anna Marie
    Guise, Jeanne-Marie
    [J]. EMERGENCY MEDICINE JOURNAL, 2016, 33 (07) : 489 - +
  • [6] EMERGENCY MEDICAL-SERVICES AND THE PEDIATRIC-PATIENT - ARE THE NEEDS BEING MET .2. TRAINING AND EQUIPPING EMERGENCY MEDICAL-SERVICES PROVIDERS FOR PEDIATRIC EMERGENCIES
    SEIDEL, JS
    [J]. PEDIATRICS, 1986, 78 (05) : 808 - 812
  • [7] Needs Assessment of Rural Emergency Medical Services
    Qin, Xiao
    He, Zhaoxiang
    Samra, Haifa
    [J]. TRANSPORTATION RESEARCH RECORD, 2015, (2513) : 30 - 39
  • [8] Pediatric Patient Safety in Emergency Medical Services
    Meckler, Garth
    Leonard, Julie
    Hoyle, John, Jr.
    [J]. CLINICAL PEDIATRIC EMERGENCY MEDICINE, 2014, 15 (01) : 18 - 27
  • [9] An assessment of information needs and workflows for emergency service providers and caregivers of children with medical complexity
    Aubree Honcoop
    Russell J. McCulloh
    Ellen Kerns
    Bethany Lowndes
    Tiffany Simon
    Natalie McCawley
    Ricky Flores
    Martina Clarke
    [J]. BMC Health Services Research, 23
  • [10] An assessment of information needs and workflows for emergency service providers and caregivers of children with medical complexity
    Honcoop, Aubree
    McCulloh, Russell J. J.
    Kerns, Ellen
    Lowndes, Bethany
    Simon, Tiffany
    McCawley, Natalie
    Flores, Ricky
    Clarke, Martina
    [J]. BMC HEALTH SERVICES RESEARCH, 2023, 23 (01)