Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Mar 3;9(1):46.
doi: 10.1186/s13643-020-01310-z.

Implementation strategies in emergency management of children: a scoping review protocol

Alex Aregbesola  1   2 , Ahmed M Abou-Setta  3   4 , Maya M Jeyaraman  3   4 , George Okoli  3   4 , Otto Lam  3   4 , Kathryn M Sibley  3   4 , Terry P Klassen  5   6   3   4
Affiliations

Implementation strategies in emergency management of children: a scoping review protocol

Alex Aregbesola et al. Syst Rev. .

Abstract

Background: Behavior change is not simple, and the introduction of guidelines or protocols does not mean that they will be followed. As such, implementation strategies are vital for the uptake and sustainability of changes in medical protocols. Medical or mental emergencies may be life-threatening, especially in children due to their unique physiological needs. In emergency departments (EDs), where timely decisions are often made, practice change requires thoughtful considerations regarding the best approaches to implementation. As there are many studies reporting on a wide variety of implementation strategies in the emergency management of children in EDs, we aim to identify and map the characteristics of these studies.

Methods: We will conduct a scoping review to identify various implementation strategies in the emergency management of children using the Arksey and O'Malley framework. We will search MEDLINE (Ovid), Embase (Ovid), Cochrane Central (Wiley), and CINAHL (Ebsco), from inception to May 29, 2019, for implementation studies among the pediatric population (≤ 21 years) in a pediatric emergency setting. Two pairs of reviewers will independently select studies for inclusion and extract the data. We will perform a descriptive, narrative analysis of the characteristics of the identified implementation strategies.

Discussion: We will present specific characteristics and outcome measures of all included studies in a tabular form. The results of this review are expected to help identify and characterize successful implementation strategies in the emergency management of children in EDs.

Systematic review registration: Open Science Framework https://osf.io/h6jv2.

Keywords: Emergency; Emergency department; Emergency management; Implementation strategies; Pediatrics; Scoping review.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no competing interests.

References

    1. Frazier A, Hunt EA, Holmes K. Pediatric cardiac emergencies: children are not small adults. J Emerg Trauma Shock. 2011;4:89–96. doi: 10.4103/0974-2700.76842. - DOI - PMC - PubMed
    1. American Academy of Pediatrics Committee on Pediatric Emergency Medicine. Yamamoto LG. Access to optimal emergency care for children. Pediatrics. 2007;119:161–164. doi: 10.1542/peds.2006-2900. - DOI - PubMed
    1. Canadian Institute for Health Information . Sources of potentially avoidable emergency department visits. Ottawa: CIHI; 2014.
    1. Donnell Z, Hoffman R, Myers G, Sarmiento K. Seeking to improve care for young patients: development of tools to support the implementation of the CDC Pediatric mTBI Guideline. J Safety Res. 2018;67:203–209. doi: 10.1016/j.jsr.2018.09.006. - DOI - PMC - PubMed
    1. Johnson DP, Arnold DH, Gay JC, Grisso A, O’Connor MG, O’Kelley E, et al. Implementation and improvement of pediatric asthma guideline improves hospital-based care. Pediatrics. 2018;141:2017–1630. doi: 10.1542/peds.2017-1630. - DOI - PubMed

Publication types