Table 4 Potential points for intervention/redesign in the paediatric accident and emergency room
Key Domain | Factor | Potential or current intervention strategies |
|---|---|---|
Physical Space | Crowding | Create a dedicated space for education Improve signage to orient patients to pA&E |
Efficient use of space | Addition of designated spaces for radiology, pharmacy Develop flexible spaces for bereavement, adolescent care, short stay patients | |
Hygiene | Improve access to hand hygiene supplies (running water and soap or antiseptic) | |
Resource utilization | Equipment | Establish standard process for equipment maintenance and identification Permanently place equipment to ensure security |
Staff Capacity | Establish roles | Clarify the roles and responsibilities for department staff |
Provider knowledge | Develop opportunities for continued professional development Implement infection control training | |
Provider retention | Develop training and onboarding process for new hires Implement strategies to promote provider retention | |
Quality improvement | Communication | Develop communication tools for staff and patients Encourage use of existing suggestion box Implement name badges for all personnel |
Patient flow | Design and disseminate protocols for flow within and out of the department Clear identification of severely ill patients in the department and prior to transfer | |
Quality improvement | Design a system for quality audits and improvement |