The Pediatric Emergency Research Network: a decade old and growing

Bressan, Silvia; Klassen, Terry P; Dalziel, Stuart R; Babl, Franz E; Benito, Javier; Chamberlain, James M.; Freedman, Stephen B.; Loncarica, Guillermo Kohn; Lyttle, Mark D; Mintegi, Santiago; Mistry, Rakesh D.; Nigrovic, Lise E.; Plint, Amy C.; Rino, Pedro; Roland, Damian; Mosselaer, Gregory Van De; Oostenbrink, Rianne; Kuppermann, Nathan

doi:10.1097/mej.0000000000000847

Cited by 3 publications

(3 citation statements)

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“…The survey was distributed to ED physicians participating in the PERN, a consortium of global paediatric emergency care research networks. 15 PERN is a collaborative network of seven paediatric emergency care research networks including: (A) Research in European Paediatric Emergency Medicine (REPEM), (B) Paediatric Emergency Care Applied Research Network (PECARN), (C) Pediatric Emergency Medicine Collaborative Research Committee of the American Academy of Pediatrics, (D) Paediatric Emergency Research Canada (PERC), (E) Paediatric Research in Emergency Departments International Collaborative, (F) Paediatric Emergency Research in the United Kingdom and Ireland (PERUKI) and (G) Red de Investigación de la Sociedad Española de Urgencias de Pediatría (RISeuP)/Spanish Paediatric Emergency Research Grou. Together, the 7 research networks manage >2 million paediatric emergency presentations per annum, in 71 hospitals, in 5 of the 6 WHO regions.…”

Section: Methodsmentioning

confidence: 99%

“…The survey was distributed to ED physicians participating in the PERN, a consortium of global paediatric emergency care research networks. 15 14 Each participating network within PERN identified a lead investigator who was responsible for providing a list of sites and site champions from their network. Site champions completed a brief survey describing their ED characteristics and provided names and emails of potential participants at their site.…”

Section: Participants and Survey Distributionmentioning

confidence: 99%

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Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network

et al. 2023

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BackgroundDiagnostic errors, reframed as missed opportunities for improving diagnosis (MOIDs), are poorly understood in the paediatric emergency department (ED) setting. We investigated the clinical experience, harm and contributing factors related to MOIDs reported by physicians working in paediatric EDs.MethodsWe developed a web-based survey in which physicians participating in the international Paediatric Emergency Research Network representing five out of six WHO regions, described examples of MOIDs involving their own or a colleague’s patients. Respondents provided case summaries and answered questions regarding harm and factors contributing to the event.ResultsOf 1594 physicians surveyed, 412 (25.8%) responded (mean age=43 years (SD=9.2), 42.0% female, mean years in practice=12 (SD=9.0)). Patient presentations involving MOIDs had common undifferentiated symptoms at initial presentation, including abdominal pain (21.1%), fever (17.2%) and vomiting (16.5%). Patients were discharged from the ED with commonly reported diagnoses, including acute gastroenteritis (16.7%), viral syndrome (10.2%) and constipation (7.0%). Most reported MOIDs (65%) were detected on ED return visits (46% within 24 hours and 76% within 72 hours). The most common reported MOID was appendicitis (11.4%), followed by brain tumour (4.4%), meningitis (4.4%) and non-accidental trauma (4.1%). More than half (59.1%) of the reported MOIDs involved the patient/parent–provider encounter (eg, misinterpreted/ignored history or an incomplete/inadequate physical examination). Types of MOIDs and contributing factors did not differ significantly between countries. More than half of patients had either moderate (48.7%) or major (10%) harm due to the MOID.ConclusionsAn international cohort of paediatric ED physicians reported several MOIDs, often in children who presented to the ED with common undifferentiated symptoms. Many of these were related to patient/parent–provider interaction factors such as suboptimal history and physical examination. Physicians’ personal experiences offer an underexplored source for investigating and mitigating diagnostic errors in the paediatric ED.

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Section: Methodsmentioning

confidence: 99%

Section: Participants and Survey Distributionmentioning

confidence: 99%

Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network

et al. 2023

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“…However, clinical research is often compromised by multiple challenges, of which many are amplified in the emergency department (ED), with continuous time pressure and overcrowding as the main obstacles to patient inclusion [1,2]. Although multicenter studies are able to overcome some of these factors, achieving adequate inclusion rates at the ED remains a challenge [3,4]. In general, only 31% of clinical trials achieve their intended inclusion target with negative consequences for the statistical power and possibly causing ethical and financial problems [5,6].…”

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confidence: 99%