RT Book, Section
A1 Shah, Binita R.
A1 Mahajan, Prashant
A1 Amodio, John
A1 Lucchesi, Michael
SR Print(0)
ID 1162822112
T1 Preface
T2 Atlas of Pediatric Emergency Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259863387
LK accesspediatrics.mhmedical.com/content.aspx?aid=1162822112
RD 2024/04/16
AB Emergency  care  is  a  highly  complex,  cognitively  demanding  specialty  that  is  often  challenging  because  providers  work  in  time-,  resource-,  and  information-constrained  settings  while  caring  for  patients  whose  illnesses  are  still  evolving.  In  the  United  States  alone,  there  are  approximately  145  million  annual  visits  to  EDs  and  many  more  to  urgent  care  settings.  The  pressures  of  clinical  practice  continue  to  increase  with  demands  on  productivity  in  the  face  of  decreasing  reimbursement  and  a  steadily  rising  volume  of  patients.  All  these  factors  unfortunately  have  “contaminated”  the  “art”  of  medicine  (ie,  arrival  at  a  diagnosis  after  careful  and  comprehensive  clinical  examination)  with  the  “knee  jerk”  aspect  of  indiscriminate  ordering  of  tests  to  arrive  at  the  diagnosis.  The  diagnostic  process  is  even  more  complex  in  the  context  of  pediatric  emergency  care  not  only  because  of  the  spectrum  of  physiological,  anatomical,  and  psychological  differences  compared  with  adults  but  also  because  many  clinicians  are  uncomfortable  with  pediatric  patients,  are  inadequately  trained,  or  work  in  settings  that  do  not  have  population-specific  management  resources.  The  dangers  of  over-  or  under-diagnosis,  over-  or  under-testing,  or  over-  or  under-treatment  is  the  risk  of  patient  harm.  Injury  to  patients  due  to  diagnostic  mishaps  is  currently  recognized  as  the  most  important  yet  understudied  aspect  of  patient  safety  (ie,  “the  blind  spot”  in  the  patient  safety  movement.)  The  National  Academies  of  Science,  Engineering,  and  Medicine  has  highlighted  the  importance  of  making  a  timely  and  accurate  diagnosis.