Comanagement of Surgical Pediatric Patients in the Acute Care Inpatient Setting

Author:

Rosenberg Rebecca E.1,Pressel David M.2,Rappaport David I.34,Abzug Joshua M.5,Singhal Geeta,Marek Rachel,Allan Jessica,Goore Zoey,Nell Hodo Laura,Khona Dimple,Tarchichi Tony,Fromme H. Barrett,Ganem Jorge,Sharp Eleanor,Alexander S. Niccole,

Affiliation:

1. aDeceased; formerly Department of Pediatrics, New York University Grossman School of Medicine, Hassenfeld Children’s Hospital, New York, New York

2. bDepartment of Pediatrics, Capital Health, Pennington, New Jersey

3. cDepartment of Pediatrics, Nemours Children’s Hospital of Delaware, Wilmington, Delaware

4. dSidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania

5. eDepartments of Orthopedics and Pediatrics, University of Maryland Medical Center and Children’s Hospital, Baltimore, Maryland

Abstract

The care of children with primary surgical diagnoses in acute care units often involves a shared surgical and medical model (“comanagement”). There are no formal guidelines for how such programs should be structured or care provided. We used a modified Delphi process, including national experts in pediatrics and pediatric medical subspecialties, pediatric surgical specialties, and pediatric anesthesiology, to develop recommendations for best practices for comanagement programs in community and tertiary care settings.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

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