The BIIS enables the automatic extraction of patient data from electronic medical records according to criteria set by researchers ( 13). Based on Prometheus, the Information Technology department of the hospital developed a business intelligence information system (BIIS) that provides reporting and analytical functions across multiple datasets. It contains any data collected in real-time by the triage nurses, including vital signs, triage category level, and pain scores. The Prometheus is a computerized mandatory working tool for all physicians, nursing staff, and any pediatric ED healthcare personnel. We present the following article in accordance with the STROBE reporting checklist (available at ).Īll patients seen have their episode of care recorded in a patient data management system (‘Prometheus’, integrated electronic medical records system, Haifa, Israel). The present study sought to find out if the type of face mask influenced children’s reports of pain. Currently, no study has examined the possible effect of the type of face mask worn by healthcare providers on the pain reported by children.ĭuring a 4-month period of the SARS-CoV-2 pandemic, nurses in a pediatric ED of a tertiary medical center in Israel used surgical (standard covered) or clear face masks in triage, throughout the whole shift. Previous studies reported that surgical face masks worn by adults may have a significant effect on children’s emotion recognition accuracy ( 5- 7). This may be particularly important in the pediatric emergency department (ED), where the environment is stressful for children ( 1, 4). However, covering the lower part of the face with a mask, especially a mouth, might influence nonverbal communication of emotions by affecting the ability to infer sentiment from facial expressions ( 3). Since the emergence of the severe acute respiratory coronavirus 2 (SARS-CoV-2) pandemic, physicians and nurses have been required to wear medical face masks that cover their lower faces during routine activities ( 2). Effective communication is a vital necessity in building therapeutic relationships between healthcare providers and children ( 1).
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