Abstract
This is a revision of the previous American Academy of Pediatrics policy statement
titled “Patient Safety in the Emergency Care Setting” and is the first joint policy
statement by the American Academy of Pediatrics, the American College of Emergency
Physicians, and the Emergency Nurses Association to address pediatric patient safety
in the emergency care setting. Caring for children in the emergency setting can be
prone to medical errors because of a number of environmental and human factors. The
emergency department has frequent workflow interruptions, multiple care transitions,
and barriers to effective communication. In addition, the high volume of patients,
high decision density under time pressure, diagnostic uncertainty, and limited knowledge
of patients’ history and preexisting conditions make the safe care of critically ill
and injured patients even more challenging. It is critical that all emergency departments,
including general emergency departments who care for the majority of ill and injured
children, understand the unique safety issues related to children. Furthermore, it
is imperative that all emergency departments practice patient safety principles, support
a culture of safety, and adopt best practices to improve safety for all children seeking
emergency care. This policy statement outlines the recommendations necessary for emergency
departments to minimize pediatric medical errors and to provide safe care for children
of all ages.
Abbreviations:
AAP (American Academy of Pediatrics), ACEP (American College of Emergency Physicians), AI (artificial intelligence), CDS (clinical decision support), CPOE (computerized physician order entry), ED (emergency department), EHR (electronic health record), ENA (Emergency Nurses Association), EMS (Emergency Medical Services)To read this article in full you will need to make a payment
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Biography
Madeline M. Joseph, Division of Pediatric Emergency Medicine, Department of Emergency Medicine, University of Florida College of Medicine—Jacksonville, Jacksonville, Florida; University of Florida Health Sciences Center—Jacksonville, Jacksonville, Florida.
Biography
Prashant Mahajan, Departments of Pediatrics and Emergency Medicine, University of Michigan Medical School, Ann Arbor, Michigan.
Biography
Sally K. Snow, Independent Consultant in Pediatric Emergency and Trauma Nursing.
Biography
Brandon C. Ku, Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Biography
Mohsen Saidinejad, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA, David Geffen School of Medicine at UCLA, Los Angeles, California.
Article info
Publication history
Published online: October 05, 2022
Footnotes
This document is copyrighted and is property of the American Academy of Pediatrics and its Board of Directors. All authors have filed conflict of interest statements with the American Academy of Pediatrics. Any conflicts have been resolved through a process approved by the Board of Directors. The American Academy of Pediatrics has neither solicited nor accepted any commercial involvement in the development of the content of this publication.
Policy statements from the American Academy of Pediatrics benefit from expertise and resources of liaisons and internal (AAP) and external reviewers. However, policy statements from the American Academy of Pediatrics may not reflect the views of the liaisons or the organizations or government agencies that they represent.
The guidance in this statement does not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate.
All policy statements from the American Academy of Pediatrics automatically expire 5 years after publication unless reaffirmed, revised, or retired at or before that time.
Published simultaneously in Pediatrics, Annals of Emergency Medicine, and Journal of Emergency Nursing.
FUNDING: No external funding.
CONTRIBUTORS’ STATEMENT: Drs Joseph, Ku, Mahajan, and Saidinejad and Ms Snow were each responsible for all aspects of writing and editing the document and reviewing and responding to questions and comments from reviewers and the Board of Directors. All authors approved the final manuscript as submitted.
FINANCIAL DISCLOSURE: The authors have indicated they do not have a financial relationship relevant to this article to disclose.
POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.
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