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Hoy — Diciembre 16th 2025Tus fuentes RSS

How can we improve low-volume paediatric emergency departments to enhance readiness?

Por: Goparaju · N. · Pines · J. M.

Commentary on:Michelson KA, Rees CA, Florin TA, et al. Emergency department volume and delayed diagnosis of serious pediatric conditions. JAMA Pediatr. 2024;178:362–8. doi:10.1001/jamapediatrics.2023.6672

Implications for practice and research

  • Low-paediatric-volume emergency departments (EDs) can increase paediatric readiness by improving diagnostic tools, expanding paediatric expertise (eg teleconsultation) and using electronic clinical decision support.

  • Further research is needed to examine the costs and effectiveness of specific interventions to improve readiness in low-volume paediatric EDs.

    • Context

    Children sometimes have subtle illness presentations and symptom overlap with non-serious conditions.1 Young age also presents a communication barrier. The combination of these factors can lead to diagnostic delays and sometimes misdiagnosis, particularly in emergency department (EDs) that do not see high volumes of children. In the USA, one in three EDs sees fewer than five children daily. A prior study linked low-paediatric ED volume to diagnostic delays in...
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