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    Patent Pending

    PEDOCS Score for Pediatric Emergency Department Overcrowding

    Estimates severity of overcrowding in pediatrics emergency departments.
    When to Use
    Pearls/Pitfalls
    Why Use

    Many EDs are using these scores every shift, or at times on shift with drastic changes in crowding (large influx of patients, for example).

    • PEDOCS was created as an improved analysis over the NEDOCS scoring system; both assess and quantify ED overcrowding.
    • PEDOCS was developed specifically with pediatric emergency departments in mind.
      • NEDOCS only targeted large, academic trauma centers.
    • Interestingly, its score was calibrated by comparing “busy-ness” to ratings by emergency physicians and emergency department charge nurses.

    Points to keep in mind:

    • The PEDOCS score should have additional validation done to verify its generalizabilty to other hospitals.

    Providing an objective, quantitative score can help EDs and their hospitals provide appropriate resources to the ED and rest of the hospital to reduce delays in care, and boarding, which have been shown to have significant impacts on patient morbidity and mortality.

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    Evidence
    Creator Insights
    Dr. Steven Weiss

    About the Creator

    Steven Weiss, MS, MD FACP, FACEP, is a professor of medicine at University of New Mexico. He is presently the medical director of the Critical Care Transport Team for AAS. Dr. Weiss is the creator of both the CEDOCS, NEDOCS, and the more recent PEDOCS, and he is an avid researcher in Emergency Medicine, working towards ways to improve efficiency and efficacy of ED workflow.

    To view Dr. Steven Weiss's publications, visit PubMed

    Are you Dr. Steven Weiss? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
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