Table 4.

Potential points for intervention/redesign in the paediatric accident and emergency room

Key Domain	Factor	Potential or current intervention strategies
Physical Space	Crowding	Create a dedicated space for education Improve signage to orient patients to pA&E
	Efficient use of space	Addition of designated spaces for radiology, pharmacy Develop flexible spaces for bereavement, adolescent care, short stay patients
	Hygiene	Improve access to hand hygiene supplies (running water and soap or antiseptic)
Resource utilization	Equipment	Establish standard process for equipment maintenance and identification Permanently place equipment to ensure security
Staff Capacity	Establish roles	Clarify the roles and responsibilities for department staff
	Provider knowledge	Develop opportunities for continued professional development Implement infection control training
	Provider retention	Develop training and onboarding process for new hires Implement strategies to promote provider retention
Quality improvement	Communication	Develop communication tools for staff and patients Encourage use of existing suggestion box Implement name badges for all personnel
	Patient flow	Design and disseminate protocols for flow within and out of the department Clear identification of severely ill patients in the department and prior to transfer
	Quality improvement	Design a system for quality audits and improvement