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Ready for Our Children? Results From a Survey of Upstate New York Hospitals' Utilization of Pediatric Emergency Preparedness Toolkit Guidance

Published online by Cambridge University Press:  08 April 2013

Kathleen A. Clancy  and
Marilyn A. Kacica
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Abstract

Objective: This project evaluated New York (NY) hospitals outside of New York City (upstate) for their awareness and utilization of the NY State Department of Health Pediatric and Obstetric Emergency Preparedness Toolkit (toolkit) and presence of pediatric emergency preparedness planning elements.

Methods: A survey assessing toolkit awareness and utilization was distributed to all 145 upstate NY hospitals. Quantitative survey data were analyzed using summary statistics, χ2 analysis, and odds ratios (OR) in aggregate, by hospital size, and by presence of pediatric medicine/surgery, pediatric intensive care unit (PICU), and/or neonatal ICU (NICU) beds (pediatric beds).

Results: Of the 145 hospitals, 116 (80%) completed the survey; 86% of these had reviewed the toolkit. Most had staff clinicians with pediatric expertise, but fewer had appointed pediatric clinical (physician or nurse) coordinators. Hospitals with at least one pediatric bed were more than 2.5 times more likely to have an emergency management plan (EMP) for pediatric patients (P =. 0223) and nearly 8 times more likely to have appointed a pediatric physician coordinator (P <. 0001) than were hospitals without pediatric beds. Appointment of a pediatric clinical coordinator was significantly associated (P <. 001) with presence of various pediatric emergency plan elements (OR range: 3.06-15.13), while staff pediatric clinical expertise or toolkit review were not.

Conclusions: Appointment of at least one pediatric clinical coordinator and the presence of one or more pediatric beds were significantly associated with having developed key EMP pediatric elements. Further research should examine barriers to pediatric clinical coordinator appointment and explore the awareness that pediatric patients may arrive at nonpediatric hospitals during a disaster with no option for transfer.

(Disaster Med Public Health Preparedness. 2012;6:138–145)

Keywords

pediatric preparednesshospital pediatric preparednesshospital emergency preparednesspediatric emergency planningpediatric surge capacitychildren's healthNew Yorkhospitalsemergency service, hospitaldisaster planning
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 6 , Issue 2 , June 2012 , pp. 138 - 145
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2012

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References

REFERENCES

1.Centers for Disease Control and Prevention. People at high risk of developing flu-related complications. http://www.cdc.gov/h1n1flu/highrisk.htm. Accessed August 30, 2010.Google Scholar
2.Siston, AM, Rasmussen, SA, Honein, MA, et alPandemic H1N1 Influenza in Pregnancy Working Group. Pandemic 2009 influenza A(H1N1) virus illness among pregnant women in the United States. JAMA. 2010;303 (15):1517–1525.Google Scholar
3.Shirm, S, Liggin, R, Dick, R, et alPrehospital preparedness for pediatric mass-casualty events [published online October 1, 2007]. Pediatrics. doi:10.1542/peds.2006-2856.Google Scholar
4.Gausche-Hill, M, Schmitz, C, Lewis, RJ.Pediatric preparedness of US emergency departments: a 2003 survey. Pediatrics. 2007;120 (6):1229–1237.Google Scholar
5.American Academy of Pediatrics. The youngest victims: disaster preparedness to meet children's needs. http://www.aap.org/disasters/pdf/Youngest-Victims-Final.pdf. Accessed July 14, 2010.Google Scholar
6.Cicero, MX, Baum, CR.Pediatric disaster preparedness: best planning for the worst-case scenario. Pediatr Emerg Care. 2008;24 (7):478–481, quiz 482-484.Google Scholar
7.Kanter, RK, Moran, JR.Hospital emergency surge capacity: an empiric New York statewide study [published online December 18, 2006]. Ann Emerg Med. doi:10.1016/j.annemergmed.2006.10.019.CrossRefGoogle Scholar
8.National Working Group for Women and Infant Needs in Emergencies in the United States. Women and Infants Services Package (WISP). April 2007. http://www.whiteribbonalliance.org/wra/assets/file/WISP.Final.07.27.07.pdf Accessed September 7, 2010.Google Scholar
9.Ferrer, RR, Balasuriya, D, Iverson, E, Upperman, JS.Pediatric disaster preparedness of a hospital network in a large metropolitan region. Am J Disaster Med. 2010;5 (1):27–34.CrossRefGoogle Scholar
10.Fox, L, Trimm, N.Pediatric issues in disaster preparedness: meeting the educational needs of nurses–are we there yet [published online March 10, 2008]? J Pediatr Nursing. doi:10.1016/j.pedn.2007.12.008.Google Scholar
11.New York State Department of Health. Pediatric and Obstetric Emergency Preparedness Toolkit. http://www.health.ny.gov/facilities/hospital/emergency_preparedness/guideline_for_hospitals/. Accessed August 30, 2010.Google Scholar
12.National Commission on Children and Disasters. 2010 Report to the President and Congress. August 23, 2010. http://cybercemetery.unt.edu/archive/nccd/20110427002908/http:/www.childrenanddisasters.acf.hhs.gov/index.html. Accessed September 8, 2010.Google Scholar
13.American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Committee, Emergency Nurses Association Pediatric Committee. Joint policy statement –guidelines for care of children in the emergency department [published online September 21, 2009]. Pediatrics. doi:10.1542/peds.2009 -1807.CrossRefGoogle Scholar
14.Barbera, JA, Yeatts, DJ, Macintyre, AG.Challenge of hospital emergency preparedness: analysis and recommendations. Disaster Med Public Health Prep. 2009;3 2(suppl)S74–S82.CrossRefGoogle ScholarPubMed
15.Gamble, MS, Hanners, RB, Lackey, C, Beaudin, CL.Leadership and hospital preparedness: disaster management and emergency services in pediatrics. J Trauma. 2009;67 2(suppl)S79–S83.Google ScholarPubMed
16.Kaji, AH, Langford, V, Lewis, RJ.Assessing hospital disaster preparedness: a comparison of an on-site survey, directly observed drill performance, and video analysis of teamwork [published online January 11, 2008]. Ann Emerg Med. doi:10.1016/j.annemergmed.2007.10.026.Google Scholar