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dc.contributor.authorAnders, Jennifer F.
dc.contributor.authorFishe, Jennifer N.
dc.contributor.authorFratta, Kyle A.
dc.contributor.authorKatznelson, Jessica H.
dc.contributor.authorLevy, Matthew J.
dc.contributor.authorLichenstein, Richard
dc.contributor.authorMilin, Michael G.
dc.contributor.authorSimpson, Joelle N.
dc.contributor.authorWalls, Theresa A.
dc.contributor.authorWinger, Heather L.
dc.date.accessioned2021-08-30T17:15:24Z
dc.date.available2021-08-30T17:15:24Z
dc.date.issued2021-07-29
dc.identifier.urihttp://hdl.handle.net/10713/16502
dc.description.abstractDecisions for patient transport by emergency medical services (EMS) are individualized; while established guidelines help direct adult patients to specialty hospitals, no such pediatric equivalents are in wide use. When children are transported to a hospital that cannot provide definitive care, care is delayed and may cause adverse events. Therefore, we created a novel evidencebased decision tool to support EMS destination choice. A multidisciplinary expert panel (EP) of stakeholders reviewed published literature. Four facility capability levels for pediatric care were defined. Using a modified Delphi method, the EP matched specific conditions to a facility pediatriccapability level in a draft tool. The literature review and EP recommendations identified seventeen pediatric medical conditions at risk for secondary transport. In the first voting round, two were rejected, nine met consensus for a specific facility capability level, and six did not reach consensus on the destination facility level. A second round reached consensus on a facility level for the six conditions as well as revision of one previously rejected condition. In the third round, the panel selected a visual display format. Finally, the panel unanimously approved the PDTree. Using a modified Delphi technique, we developed the PDTree EMS destination decision tool by incorporating existing evidence and the expertise of a multidisciplinary panel. © 2021 by the authors.en_US
dc.description.sponsorshipHealth Resources and Services Administrationen_US
dc.description.urihttps://doi.org/10.3390/children8080658en_US
dc.language.isoenen_US
dc.publisherMDPI AGen_US
dc.relation.ispartofChildrenen_US
dc.subjectEmergency careen_US
dc.subjectEmergency medical services (EMS)en_US
dc.subjectPediatricsen_US
dc.subjectPrehospitalen_US
dc.subjectRegionalizationen_US
dc.subjectSpecialty careen_US
dc.subjectTransporten_US
dc.subjectTriageen_US
dc.titleCreating a pediatric prehospital destination decision tool using a modified Delphi methoden_US
dc.typeArticleen_US
dc.identifier.doi10.3390/children8080658
dc.source.volume8
dc.source.issue8


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