Quality initiatives in the emergency department.
OBJECTIVE
To report on recent advances in quality initiatives in emergency departments (EDs), with a special focus on applicability to pediatric EDs (PED) RECENT FINDINGS: Although healthcare quality improvement has made great strides in the last couple of decades, quality improvement efforts in pediatrics have lagged behind. Over the last decade, as quality initiatives have matured in adult hospitals, there has been a downstream effect on general EDs, as system-wide clinical guidelines are usually initiated through the ED--such efforts are being reported in the literature. There is significant overlap in quality improvement efforts in adult and pediatric EDs. In this article, we review the recent relevant articles, with particular emphasis on pediatrics where appropriate.


CONCLUSIONS
There is an opportunity in pediatric emergency medicine to reduce practice variability, decrease cost and improve efficiency of care. There is an urgent need to report the successes and failures of these initiatives, so we can develop benchmarks and optimize services provided in the PED.
Khan
Naghma S
NS
Department of Pediatrics, Division of Pediatric Emergency Medicine, Emory University School of Medicine, Children's Healthcare of Atlanta, Atlanta, Georgia, USA. nkhan01@emory.edu
Jain
Shabnam
S
D003363:Cost Control; D017598:Efficiency, Organizational; D004636:Emergency Service, Hospital / Q000191:economics / Q000592:standards*; D019983:Guideline Adherence; D017721:Hospital Costs; D006801:Humans; D018802:Patient-Centered Care / Q000191:economics / Q000592:standards; D010372:Pediatrics / Q000191:economics / Q000592:standards*; D011785:Quality Assurance, Health Care