This is the current release of the guideline.

All clinical reports and policy statements from the American Academy of Pediatrics automatically expire 5 years after publication unless reaffirmed, revised, or retired at or before that time.

Any condition requiring a visit to the emergency department

Management

Emergency Medicine
Pediatrics

Emergency Medical Technicians/Paramedics
Health Care Providers
Hospitals
Nurses
Patients
Physicians

To address the particular challenges in, and opportunities for, providing patient- and family-centered care in the emergency department setting

Pediatric patients and their families presenting to the emergency department

Establishing patient- and family-centered care (PFCC) in the emergency department (ED) including:

• Knowledge of the patient's experience
• Patient and family involvement in the decision-making regarding patient's medical care
• Encouraging family-member presence during invasive procedures
• Providing information to family
• Encouraging collaboration with other health care professionals

Not stated

Searches of Electronic Databases

Not stated

Not stated

Not stated

Not applicable

Review

Not stated

Not stated

Not applicable

A formal cost analysis was not performed and published cost analyses were not reviewed.

Peer Review

Not stated

The American Academy of Pediatrics (AAP) and American College of Emergency Physicians support the following:

1. Knowledge of the patient's experience and perspective is essential to practice culturally effective care that promotes patient dignity, comfort, and autonomy.
2. The patient and family are key decision-makers regarding the patient's medical care.
3. The interdependence of child and parent, patient and family wishes for privacy, and the evolving independence of the pediatric patient should be respected.
4. The option of family-member presence should be encouraged for all aspects of emergency department care.
5. Information should be provided to the family during interventions regardless of the family's decision to be present or not.
6. Patient- and family-centered care encourages collaboration with other health care professionals along the continuum of care and acknowledgment of the importance of the patient's medical home to the patient's continued well-being.
7. Institutional policies should be developed for provision of patient- and family-centered care through environmental design, practice, and staffing in collaboration with patients and their families.

None provided

The type of evidence supporting each recommendation is not specifically stated.

Establishing patient- and family-centered care results in better health care, safety, and patient and family satisfaction

Not stated

An implementation strategy was not provided.

Getting Better

Effectiveness
Patient-centeredness

Not applicable: The guideline was not adapted from another source.

2006 Nov

American Academy of Pediatrics - Medical Specialty Society
American College of Emergency Physicians - Medical Specialty Society

American Academy of Pediatrics

Committee on Pediatric Emergency Medicine
Pediatric Emergency Medicine Committee

American Academy of Pediatrics (AAP) Committee on Pediatric Emergency Medicine, 2005-2006: Steven E. Krug, MD, Chairperson; Thomas Bojko, MD, MS; Margaret A. Dolan, MD; Karen Frush, MD; *Patricia O'Malley, MD; Robert Sapien, MD; Kathy N. Shaw, MD, MSCE; Joan Shook, MD, MBA; Paul Sirbaugh, DO; Loren Yamamoto, MD, MPH, MBA

Liaisons: Jane Ball, RN, DrPH; Susan Eads Role, JD, MSLS, EMSC National Resource Center; *Kathleen Brown, MD, National Association of EMS Physicians; Kim Bullock, MD, American Academy of Family Physicians; Dan Kavanaugh, MSW; Tina Turgel, BSN, RN, C, Maternal and Child Health Bureau; Sharon E. Mace, MD, American College of Emergency Physicians; David W. Tuggle, MD, American College of Surgeons

Staff: Susan Tellez

American College of Emergency Physicians (ACEP) Pediatric Emergency Medicine Committee, 2005–2006: *Sharon E. Mace, MD, FACEP, Chairperson; Beverly H. Bauman, MD, FACEP, Vice Chair; Isabel A. Barata, MD, FACEP; Jill M. Baren, MD, FACEP; Lee S. Benjamin, MD; *Kathleen Brown, MD, FACEP; Lance A. Brown, MD, MPH, FACEP; Joseph H. Finkler, MD; Ran D. Goldman, MD; Phyllis L. Hendry, MD, FACEP; Martin I. Herman, MD, FACEP; Dennis A. Hernandez, MD; Christy Hewling, MD; Mark A. Hostetler, MD, FACEP; Ramon W. Johnson, MD, FACEP; Neil E. Schamban, MD; Gerald R. Schwartz, MD, FACEP; Ghazala Q. Sharieff, MD, FACEP

Liaisons: Steven E. Krug, MD, AAP Committee on Pediatric Emergency Medicine; Marianne Gausche-Hill, MD, FACEP, AAP Section on Emergency Medicine; Ronald A. Furnival, MD, FACEP, National EMSC Data Analysis Resource Center Liaison; Gregory L. Walker, MD, FACEP, Public Relations Committee Liaison

Staff: Nancy Medina, CAE, Staff Liaison

* Lead author

Not stated

This is the current release of the guideline.

All clinical reports and policy statements from the American Academy of Pediatrics automatically expire 5 years after publication unless reaffirmed, revised, or retired at or before that time.

None available

None available

This NGC summary was completed by ECRI on January 10, 2007. The information was verified by the guideline developer on January 23, 2007.

This NGC summary is based on the original guideline, which is subject to the guideline developer's copyright restrictions. Please contact the Permissions Editor, American Academy of Pediatrics (AAP), 141 Northwest Point Blvd, Elk Grove Village, IL 60007.