Pediatric Asthma in the Community Emergency Department: Room for Improvement and Aligned Incentives |
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| Institution: | 2. Division of Hematology and Oncology, Department of Pediatrics, University of Mississippi Medical Center Jackson, MS;2. Department of Pediatrics, Northwestern University Feinberg School of Medicine;3. Cook Children''s Hospital, Fort Worth, TX;3. Division of Neurology;4. Division of Endocrinology;5. Ann & Robert H. Lurie Children’s Hospital of Chicago, Northwestern University Feinberg School of Medicine;2. Department of Pediatrics, Children''s Healthcare of Atlanta and Emory University, Atlanta, GA;3. Division of Emergency Medicine, Nationwide Children’s Hospital, Columbus, OH;4. Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, OH;6. Division of Hematology/Oncology/BMT, Nationwide Children’s Hospital, Columbus, OH |
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| Abstract: | Asthma is a common reason for emergency department (ED) visits in children. Over 80% of children who visit an ED go to a general, not a pediatric-specific, ED. The treatment children with asthma receive in general EDs is not as compliant with national guidelines as is treatment in pediatric-specific centers. Several studies document improvements in pediatric asthma care through quality improvement initiatives, but few address the emergency care of pediatric asthma in the community setting. National programs such as Pathways for Improving Pediatric Asthma and Translating Emergency Knowledge for Kids provide resources to community EDs for improving pediatric asthma care. More research is needed to determine if programs such as these, as well as partnerships at the local level, can have a positive impact on the emergency care of pediatric asthma. It is essential that we bridge the gaps in care between community and pediatric-specific EDs to improve the quality of emergency care for the over 7 million children in the US with asthma. |
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