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Paediatric Admissions

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was included.  The key phrases of “tertiary care center” and “community hospital” were an important distinction in the literature as was the phrase criteria for admission.  To achieve more depth in the literature search, the term “regionalization” was included. The SEARCH participant tried to find out if there was any existing admission algorithms developed for facilities.  The phrase “Paediatric Risk of Hospital Admission score (P.R.I.S.A.)” was repeated several times in the literature was so a search of the literature was done with this term. Also, the phrase “appropriate/inappropriate admission” was included.  Various settings in acute and community care hospitals were considered, but the primary search focused on the Emergency Department, PICU, and inpatient facilities (both community based and tertiary/teaching hospitals). The final phrase that was included in the search was “hospital requirements” specifically in regards to pediatric hospital admissions, Emergency departments and facilities in general.  “MeSH” equivalencies were sought for each term and/or phrase and included in the literature search. Any related articles generated were assessed for relevance.

For the SEARCH local project, the inclusion criteria for articles selected for reading and then for analysis included:

English language or translated into English

any paediatric or neonatal population

any country (eg. Canada, USA, UK and others)

research articles, grey literature, algorithms, guidelines, policy or position statements

any publication date

articles discussing tertiary vs. community hospital settings

articles discussing regionalization of services

articles discussing physical requirements of hospital settings

articles discussing alternative care arrangements

The exclusion criteria included:

adult populations

articles discussing admissions of patients to various levels of Intensive Care settings

articles discussing appropriateness of admission measures

articles solely discussing predictive risk of admission or severity of illness measures in   

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