Published online July 28, 2008
PEDIATRICS Vol. 122 No. 2 August 2008, pp. e511-e521 (doi:10.1542/peds.2008-1569)
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TECHNICAL REPORT

Patient- and Family-Centered Care of Children in the Emergency Department

Patricia J. O'Malley, MD, Kathleen Brown, MD, Steven E. Krug, MD and the Committee on Pediatric Emergency Medicine

ABSTRACT

Patient- and family-centered care is an innovative approach to the planning, delivery, and evaluation of health care that is grounded in a mutually beneficial partnership among patients, families, and health care professionals. Providing patient- and family-centered care to children in the emergency department setting presents many opportunities and challenges. This technical report draws on previously published policy statements and reports, reviews the current literature, and describes the present state of practice and research regarding patient- and family-centered care for children in the emergency department setting as well as some of the complexities of providing such care. This technical report has been endorsed by the Academic Pediatric Association (formerly the Ambulatory Pediatric Association), the American College of Osteopathic Emergency Physicians, the National Association of Emergency Medical Technicians, the Institute for Family-Centered Care, and the American College of Emergency Physicians. This report is also supported by the Emergency Nurses Association.

Key Words: patient- and family-centered care • family-centered care • family-member presence • cultural sensitivity • pediatric patient's medical home

Abbreviations: PFCC—patient- and family-centered care • ED—emergency department • AAP—American Academy of Pediatrics • IOM—Institute of Medicine • EMTALA—Emergency Medical Treatment and Active Labor Act of 1986


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