Liza Bialy1, Amy C Plint2, Stephen B Freedman3, David W Johnson4, Janet A Curran5, Antonia S Stang6. 1. Department of Pediatrics, University of Alberta, Alberta Research Centre for Health Evidence, Edmonton, Alberta, Canada. 2. Departments of Pediatrics and Emergency Medicine, University of Ottawa, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada. 3. Sections of Pediatric Emergency Medicine and Gastroenterology, Departments of Pediatrics, University of Calgary, Alberta Children's Hospital and Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada. 4. Departments of Pediatrics, Emergency Medicine, and Pharmacology & Physiology, University of Calgary, Alberta Children's Hospital and Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada. 5. School of Nursing, Faculty of Health Professions, Department of Emergency Medicine, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada. 6. Department of Pediatrics, Emergency Medicine and Community Health Sciences, University of Calgary, Alberta Children's Hospital and Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada.
Abstract
BACKGROUND: A growing body of literature supports patient and public involvement in the design, prioritization, and dissemination of research and evidence-based medicine. The objectives of this project were to engage patients and families in developing a prioritized list of research topics for pediatric emergency medicine (PEM) and to compare results with prior research prioritization initiatives in the emergency department (ED) setting. METHODS: We utilized a systematic process to combine administrative data on frequency of patient presentations to the ED with multiple stakeholder input including an initial stakeholder survey followed by a modified Delphi consensus methodology consisting of two Web-based surveys and a face-to-face meeting. RESULTS: The prioritization process resulted in a ranked list of 15 research priorities. The top five priorities were mental health presentations, pain and sedation, practice tools, quality of care delivery, and resource utilization. Mental health, pain and sedation, clinical prediction rules, respiratory illnesses/wheeze, patient safety/medication error, and sepsis were identified as shared priorities with prior initiatives. Topics identified in our process that were not identified in prior work included resource utilization, ED communication, antibiotic stewardship, and patient/family adherence with recommendations. CONCLUSIONS: This work identifies key priorities for research in PEM. Comparing our results with prior initiatives in the ED setting identified shared research priorities and opportunities for collaboration among PEM research networks. This work in particular makes an important contribution to the existing literature by including the patient/family perspective missing from prior work.
BACKGROUND: A growing body of literature supports patient and public involvement in the design, prioritization, and dissemination of research and evidence-based medicine. The objectives of this project were to engage patients and families in developing a prioritized list of research topics for pediatric emergency medicine (PEM) and to compare results with prior research prioritization initiatives in the emergency department (ED) setting. METHODS: We utilized a systematic process to combine administrative data on frequency of patient presentations to the ED with multiple stakeholder input including an initial stakeholder survey followed by a modified Delphi consensus methodology consisting of two Web-based surveys and a face-to-face meeting. RESULTS: The prioritization process resulted in a ranked list of 15 research priorities. The top five priorities were mental health presentations, pain and sedation, practice tools, quality of care delivery, and resource utilization. Mental health, pain and sedation, clinical prediction rules, respiratory illnesses/wheeze, patient safety/medication error, and sepsis were identified as shared priorities with prior initiatives. Topics identified in our process that were not identified in prior work included resource utilization, ED communication, antibiotic stewardship, and patient/family adherence with recommendations. CONCLUSIONS: This work identifies key priorities for research in PEM. Comparing our results with prior initiatives in the ED setting identified shared research priorities and opportunities for collaboration among PEM research networks. This work in particular makes an important contribution to the existing literature by including the patient/family perspective missing from prior work.
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