Abstract
This chapter utilizes different scenarios to illustrate the various aspects of administrative and organizational aspects of care in the prehospital and emergency department setting. It contains a variety of cases designed to stimulate thought and further reading in pediatric emergency medicine.
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Question 1
American Academy of Pediatrics, Committee on Pediatric Emergency Medicine, American College of Emergency Physicians, Pediatric Committee, Emergency Nurses Association Pediatric Committee. Pediatrics. 2009;124(4):1233–43. https://doi.org/10.1542/peds.2009-1807.
Joint Policy Statement—Guidelines for Care of Children in the Emergency Department
Kocher KE, Sklar DP, Mehrotra A, et al. Categorization, designation, and regionalization of emergency care: definitions, a conceptual framework, and future challenges. Acad Emerg Med. 2010;17(12):1306–11.
Question 2
Alessandrini E, Varadarajan K, Alpern ER, et al. Emergency department quality: an analysis of existing pediatric measures. Acad Emerg Med. 2011;18(5):519–26.
https://psnet.ahrq.gov/primers/primer/10/root-cause-analysis. (Last Accessed 20 Oct 2018).
Lavallee DC, Austin E, Franklin PD. How can health systems advance patient-reported outcome measurement? Jt Comm J Qual Patient Saf. 2018;44:439–40.
Question 4
Belli K, Purcell E, Weik TS. The Application of the Emergency Medical Treatment and Labor Act (EMTALA) to Hospital Inpatients Issue Brief. Emergency Medical Services for Children National Resource Center. 2009.
Bitterman RA. EMTALA and the ethical delivery of hospital emergency services. Emerg Med Clin North Am. 2006;24(3):557–77.
Taylor TB. Emergency medical treatment and labor Act (EMTALA). In: Barent JM, Rothrock SG, Brennan JA, Brown L, editors. Pediatric emergency medicine. Philadelphia, PA: Saunders; 2008. p. 1053–61.
Question 5
English A, Ford CA. The HIPAA privacy rule and adolescents: legal questions and clinical challenges. Guttmacher Instit. 36(2):80–6. https://doi.org/10.1363/3608004.
https://www.hhs.gov/hipaa/for-professionals/security/laws-regulations/index.html. Accessed 20 Oct 2018.
https://www.ama-assn.org/practice-management/hipaa-privacy-security-resources. Accessed 20 Oct 2018.
Summary of the HIPPAA Privacy Rule, HIPPAA Compliance Assistance, OCR Privacy Brief. United States Department of Health and Human Services. Revised May 2003.
Question 6
Jacobstein CR. Issues of consent, confidentiality, and minor status. In: Barent JM, Rothrock SG, Brennan JA, Brown L, editors. Pediatric emergency medicine. Philadelphia, PA: Saunders; 2008. p. 1062–4.
https://www.ama-assn.org/delivering-care/confidential-health-care-minors#. Accessed 20 Oct 2018.
Middleman AM, Olson KA. Confidentiality in adolescent health care. In: UpToDate, Post TW (Ed), UpToDate, Waltham, MA. Accessed on 20 Oct 2018.
Question 7
Bioethics CoPEMaCo. Consent for emergency medical services for children and adolescents. Pediatrics. 2011;128(2):427–33.
Diekema DS. Parental refusals of medical treatment: the harm principle as a threshold for state intervention. Theor Med Bioeth. 2004;25(4):243–64.
http://www.guttmacher.org/pubs/journals/3608004.html. Accessed 29 March 2106.
Question 8
Bioethics CoPEMaCo. Consent for emergency medical services for children and adolescents. Pediatrics. 2011;128(2):427–33.
http://www.ncga.state.nc.us/EnactedLegislation/Statutes/PDF/ByArticle/Chapter_90/Article_1A.pdf. Accessed 31 March 2016.
Question 9
Davies CE, Shaul RZ. Physicians’ legal duty of care and legal right to refuse to work during a pandemic. CMAJ. 2010;182(2):167–70.
Question 11
Selbst SM, Friedman NJ, Singh SB. Epidemiology and etiology of malpractice lawsuits involving children in US emergency departments and urgent care centers. Pediatr Emerg Care. 2005;21(3):165–9.
Selbst SM. Medical-legal considerations. Chap. 23. In: Pediatric emergency medicine resource. 5th ed. Burlington: Jones & Bartlett APLS; 2012.
Question 12
Bioethics CoPEMaCo. Consent for emergency medical services for children and adolescents. Pediatrics. 2011;128(2):427–33.
Ryan M, Sinha MS. Informed procedural consent. In UpToDate, Collins KA, UpToDate, Waltham, MA. (20 Oct 2018).
Wendler DS. Assent in pediatric research: theoretical and practical considerations. J Med Ethics. 2006;32(4):229–34.
Question 13
Tien I. Physical abuse and Child Neglect. In: Baren JM, Rothrock SG, Brennan JA, Brown L, editors. Pediatric emergency medicine: Saunders Elsevier; 2008. p. 816–24.
Narang SK. Child Abuse: social and medicolegal issues. In: UpToDate, Wiley JF (Ed). Accessed 20 Oct 2018.
Wood JN, Ludwig S. Child abuse. In: Fleisher GR, Ludwig S, Henretig FM, editors. Textbook of pediatric emergency medicine. 6th ed. Lippincott Williams & Wilkins: Philadelphia; 2010. p. 1656–700.
Question 14
Bayer R, Fairchild L. Public health. Surveillance and privacy. Science. 2000;290(5498):1898–9.
https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6153a1.htm. Accessed 20 Oct 2018.
Jajosky R, Rey A, Park M, et al. Findings from the Council of State and Territorial Epidemiologists’ 2008 assessment of state reportable and nationally notifiable conditions in the United States and considerations for the future. J Public Health Manag Practice. 2011;17:255–64.
Question 15
Hamza A. Declining rate of autopsies: implications for anatomic pathology residents. Autops Case Rep. 2017;7(4):1–2.
https://www.cdc.gov/phlp/publications/coroner/investigations.html. Accessed 20 Oct 2018.
Newton D, Coffin CM, Clark EB, Lowichik A. How the pediatric autopsy yields valuable information in a vertically integrated health care system. Arch Pathol Lab Med. 2004;128:1239–46.
Question 16
Committee on Hospital Care, Section on Surgery, and Section on Critical Care. Policy statement—pediatric organ donation and transplantation. Pediatrics. 2010;125(4):822.
Vyas H, Nakagawa TA. Assessment of the pediatric patient for potential organ donation. In: UpToDate. Hoppin AG (Ed). 20 Oct 2018.
Question 17
Bioethics CoPEMaCo. Consent for emergency medical services for children and adolescents. Pediatrics. 2011;128(2):427–33.
Fallat ME, Deshpande JK. American Academy of Pediatrics Section on Surgery ScoAaPM, and Committee on Bioethics. Do-not-resuscitate orders for pediatric patients who require anesthesia and surgery. Pediatrics. 2004;114(6):1686–92.
Question 18
Horowitz LM, Bridge JA, Teach SJ, et al. Ask Suicide-Screening Questions (ASQ): a brief instrument for the pediatric emergency department. Arch Pediatr Adolesc Med. 2012;(12):1170–6.
Kerwin ME, Kirby KC, Speziali D, et al. What can parents do? a review of state laws regarding decision making for adolescent drug abuse and mental health treatment. J Child Adolesc Subst Abuse. 2015;24(3):166–76.
Tishler CL, Reiss NS, Rhodes AR. Suicidal behavior in children younger than twelve: a diagnostic challenge for emergency department personnel. Acad Emerg Med. 2007;14(9):810.
Question 19
American College of Emergency Physicians. Policy Statement: Code of Ethics for Emergency Medicine. Reaffirmed 2001. Revised 2017.
Roeland E, Cain J, Onderdonk C, Kerr K, Mitchell W, Thornberry K. When open-ended questions don’t work: the role of palliative paternalism in difficult medical decisions. J Palliat Med. 2014;17(4):415–20.
Question 20
Detering K, Silveira MJ. Advance care planning and advance directives. In UpToDate. Savarese, DM (Ed). Accessed 20 Oct 2018.
Sabatino CP. The evolution of health care advance planning law and policy. Milbank Q. 2010;88(2):211–39.
Fallat ME, Trauma ACoSCo, Committee ACoEPPEM, Physicians NAoE, Medicine AAoPCoPE. Withholding or termination of resuscitation in pediatric out-of-hospital traumatic cardiopulmonary arrest. Pediatrics. 2014;133(4):e1104–16.
Question 21
American Board of Pediatrics Ethics Committee. Bioethics references applicable to the care of pediatric patients: https://www.abp.org/sites/abp/files/pdf/bioethics.pdf. Accessed 20 Oct 2018.
Fallat ME, Trauma ACoSCo, Committee ACoEPPEM, Physicians NAoE, Medicine AAoPCoPE. Withholding or termination of resuscitation in pediatric out-of-hospital traumatic cardiopulmonary arrest. Pediatrics. 2014;133(4):e1104–16.
National Coalition for Hospice and Palliative Care. The National Consensus Project Clinical Practice Guidelines for Quality Palliative Care, 3rd ed. 2013.
Michelson KN, Steinhorn DM. Pediatric end-of-life issues and palliative care. Clin Pediatr Emerg Med. 2007;8(3):212–9.
Question 22
US Department of Health & Human Services, Office for Human Research Protections. https://www.hhs.gov/ohrp/regulations-and-policy/. Content last reviewed Feb 16, 2016. Accessed 20 Oct 2018.
US Department of Health & Human Services. Office of Research Integrity. https://ori.hhs.gov/. Accessed 20 Oct 2018.
Question 23
International Committee of Medical Journal Editors. Defining the Roles of Authors and Contributors. http://www.icmje.org/recommendations/browse/roles-and-responsibilities/defining-the-role-of-authors-and-contributors.html. Accessed 20 Oct 2018.
US Department of Health & Human Services, Office for Human Research Protections. The Belmont Report. https://www.hhs.gov/ohrp/regulations-and-policy/belmont-report/index.html#xbasic. Accessed 20 Oct 2018.
Question 24
US Department of Health & Human Services, Office for Human Research Protections. Informed Consent. https://www.hhs.gov/ohrp/regulations-and-policy/guidance/faq/informed-consent/index.html. Last Accessed 20 Oct 2018.
Question 25
DeBord J, Burke W, Dudzinski DM. Confidentiality. Ethics in Medicine. University of Washington School of Medicine. 2013. https://depts.washington.edu/bioethx/topics/confiden.html. Accessed 20 Oct 2018.
Jonsen AR, Siegler M, Winslade WJ. clinical ethics: a practical approach to ethical decisions in clinical medicine. 7th ed. New York: McGraw-Hill; 2010. p. 174–80.
Waz W. The need to know: disclosure of information to pediatric patients. Ethics Med. 2010;26:75–9.
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Srivastava, G., Avva, U., Jara, F. (2020). Administration. In: Waseem, M., Barata, I., Chao, J., Foster, D., Kondamudi, N. (eds) Prepare for the Pediatric Emergency Medicine Board Examination. Springer, Cham. https://doi.org/10.1007/978-3-030-28372-8_32
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