PEDOCS Score for Pediatric Emergency Department Overcrowding
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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Perform a crowding score assessment every shift, as well as at times of large influxes of patients to the ED.
Many hospitals have developed “surge plans” similar to disaster plans that provide additional resources to the hospital and ED when an ED goes above a certain score threshold.
Pediatric ED Overcrowding Scale (PEDOCS)= 33.3 * [0.11 + 0.07 * (patients in the waiting room)+ 0.04 * (total registered patients)]
Facts & Figures
|Level 1||1-20||Not busy|
|Level 3||61-100||Extremely busy but not overcrowded|
|Level 5||141-180||Severely overcrowded|
|Level 6||181-200||Dangerously overcrowded|
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