Guideline:
Patient- and family-centered care and the role of the emergency physician providing care to a child in the emergency department
Bibliographic Source(s)
- American Academy of Pediatrics Committee on Pediatric Emergency Medicine American College of Emergency Physicians Pediatric Emergency Medicine O'Malley P Brown K Mace SE. Patient- and family-centered care and the role of the emergency physician providing care to a child in the emergency department. Pediatrics 2006 Nov;118(5):2242-4. [8 references] PubMed
Guideline Status
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.
Guideline Category
Management
Intended Users
Emergency Medical Technicians/Paramedics
Health Care Providers
Hospitals
Nurses
Patients
Physicians
Guideline Objective(s)
To address the particular challenges in and opportunities for providing patient- and family-centered care in the emergency department setting
Target Population
Pediatric patients and their families presenting to the emergency department
Interventions and Practices Considered
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
Major Outcomes Considered
Not stated
Methods Used to Collect/Select Evidence
Searches of Electronic Databases
Description of Methods used to Collect/Select the Evidence
Not stated
Number of Source Documents
Not stated
Methods Used to Assess the Quality and Strength of the Evidence
Not stated
Rating Scheme for the Strength of the Evidence
Not applicable
Methods Used to Analyze the Evidence
Review
Description of the Methods Used to Analyze the Evidence
Not stated
Methods Used to Formulate the Recommendations
Not stated
Rating Scheme for the Strength of the Recommendations
Not applicable
Cost Analysis
A formal cost analysis was not performed and published cost analyses were not reviewed.
Method of Guideline Validation
Peer Review
Description of Method of Guideline Validation
Not stated
Major Recommendations
The American Academy of Pediatrics (AAP) and American College of Emergency Physicians support the following:
- Knowledge of the patient's experience and perspective is essential to practice culturally effective care that promotes patient dignity comfort and autonomy.
- The patient and family are key decision-makers regarding the patient's medical care.
- The interdependence of child and parent patient and family wishes for privacy and the evolving independence of the pediatric patient should be respected.
- The option of family-member presence should be encouraged for all aspects of emergency department care.
- Information should be provided to the family during interventions regardless of the family's decision to be present or not.
- 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.
- 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.
Clinical Algorithm(s)
None provided
Type of Evidence supporting the Recommendations
The type of evidence supporting each recommendation is not specifically stated.
Potential Benefits
Establishing patient- and family-centered care results in better health care safety and patient and family satisfaction
Potential Harms
Not stated
Description of Implementation Strategy
An implementation strategy was not provided.
IOM Care Need
Getting Better
IOM Domain
Effectiveness
Patient-centeredness
Bibliographic Source(s)
- American Academy of Pediatrics Committee on Pediatric Emergency Medicine American College of Emergency Physicians Pediatric Emergency Medicine O'Malley P Brown K Mace SE. Patient- and family-centered care and the role of the emergency physician providing care to a child in the emergency department. Pediatrics 2006 Nov;118(5):2242-4. [8 references] PubMed
Adaptation
Not applicable: The guideline was not adapted from another source.
Source(s) of Funding
American Academy of Pediatrics
Guideline Committee
Committee on Pediatric Emergency Medicine
Pediatric Emergency Medicine Committee
Composition of Group that Authored the Guideline
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
Financial Disclosures/Conflicts of Interest
Not stated
Guideline Status
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.
Guideline Availability
Electronic copies: Available from the American Academy of Pediatrics (AAP) Policy Web site.
Print copies: Available from American Academy of Pediatrics 141 Northwest Point Blvd. P.O. Box 927 Elk Grove Village IL 60009-0927.
Availability of Companion Documents
None available
Patient Resources
None available
NGC STATUS
This NGC summary was completed by ECRI on January 10 2007. The information was verified by the guideline developer on January 23 2007.
COPYRIGHT STATEMENT
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.
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