Pediatric Community Outreach Mobile Education (PCOME)

The Pediatric Community Outreach Mobile Education (PCOME) is a team of multi-professional educators and experts in pediatric critical care and pediatric emergency medicine including physicians, nurses, respiratory therapists and critical care transport members from Riley Hospital for Children.

The PCOME team thrives to improve the quality of care and outcomes of acutely ill and injured children seen in community hospitals by utilizing in situ simulation and other learning formats at no cost to community hospitals. The training is geared toward multidisciplinary teams in their own environment (community emergency departments, pediatric primary offices, etc.). Through providing in situ simulation-based education and training, the PCOME team aims to bridge the gap within pediatric acute care and provide all community providers with the knowledge and skills to care for acutely ill children. All simulation sessions place the learners in a safe learning environment where they actively participate in highly immersive, realistic and acute care scenarios. All educational activities are aimed at improving the safety, effectiveness and efficiency of healthcare services.

Our Vision

To ensure that all ill and injured children receive high quality emergency care whenever and wherever it is needed in the state of Indiana.

Our Mission

To establish a collaborative network between Riley Hospital for Children and all community hospitals to improve pediatric emergency readiness and quality of care across the emergency continuum.

Current Projects

Community Emergency Departments

Our team provides onsite simulation-based education for the initial stabilization and management of critically ill pediatric patients with goals to enhance preparedness to improve emergency departments readiness to care for the children in the state of Indiana. Our team provides a collaboration between Riley Hospital for Children and the community emergency departments. The PCOME team has collaborated with 29 community emergency departments in the state of Indiana.

National Collaboration with ImPACTS

The PCOME team has been collaborating with Improving Pediatric Acute Care Through Simulation (ImPACTS) since 2017. This is a national collaborative which aims to ensure that ill and injured children receive the highest quality emergency care whenever and wherever it is needed. Riley Hospital is co-leading ImPACTS and many multicenter national projects. Riley is one of 37 hospitals collaborating with their community hospitals through the ImPACTS network.

Pediatric Primary Offices

This is a national, multicenter, prospective, mixed methods project with the goals of objectively measuring and improving the readiness of pediatric primary care offices for pediatric emergencies. Our national improvement collaborative incorporates assessment checklists and simulation to both measure and improve performance and readiness at pediatric primary care offices across the United States.

LifeLine Transport Team

This project aims to describe, measure, and compare pediatric specialty transport teams. PCOME is collaborating with IU Health LifeLine Critical Care Transport Team and other academic medical centers to complete in situ sims of decompensating pediatric patients in their own transport vehicles.

Our Program By The Numbers

Below is a report displaying information about the simulation activities that our program has accomplished from 2016 to current throughout the state of Indiana. Data is collected and stored in REDCap and Qualtrics XM. Please contact our team for more information about our program.

Emergency Departments Visited

Our team has visited a total of 29 emergency departments in the state of Indiana with multiple visits at each site since 2016.

Pediatric Primary Care Offices Visited

Our team has visited a total of 16 pediatric primary care offices in the state of Indiana.

Total Learners

1,589

Our team has reached 1,499 total learners in emergency departments and pediatric primary care offices in the state of Indiana.

MD's: 300
RN's: 1,010
Other: 279

Total Simulations

601

Our team has run a total of 601 simulation cases from 2016 to present in emergency departments and pediatric primary care offices throughout the state of Indiana.