Strategies Used by Children’s Hospitals During the 2022 Viral Respiratory Surge

• 2025

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• Amanda Adler; Larry Kociolek; Nicolaus Glomb; Lynn Ramírez-Àvila; Helen Kest; Michelle Niescierenko
PMID: 39947234DOI: https://doi.org/10.1542/hpeds.2024-008152

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​This article examines how pediatric hospitals across the U.S. responded to a significant increase in respiratory viral infections in fall 2022. This surge, intensified by the ongoing COVID-19 pandemic, staffing shortages, and a pediatric mental health crisis, led to overcrowded emergency departments and strained resources. Researchers surveyed 10 regional pediatric hospitals within the Pediatric Pandemic Network to document adaptive strategies such as repurposing spaces, modifying staffing models, and implementing innovative care delivery methods. The study aims to inform future preparedness for similar pediatric healthcare crises.​

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Tags

Focus Area: Infectious Disease

Audiences: Emergency Managers; EMS Clinicians; Nurses; Physicians

Emergency Management Stages: Response; Preparedness (Prevention / Protection)

Keywords: Disaster Planning; Epidemics; Health Resources; Hospitals, Pediatric; Pediatrics; Respiratory Tract Infections; Virus Diseases; Emergency Service, Hospital; Surge Capacity; COVID-19

Institutions: Seattle Children's Hospital; Lurie Children’s Hospital of Chicago; University of California San Francisco; UCSF Benioff Children's Hospital; St. Joseph’s Health; Boston Children's Hospital; University of Washington; Pediatric Pandemic Network (PPN)

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