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Compounded by widespread hospital supply chain issues, staffing shortages due to infection and attrition, and a concurrent pediatric mental health crisis, the surges have pushed pediatric emergency department leaders to re-examine traditionally defined clinical processes, and adopt innovative operational strategies. This study describes the strategic surge response and lessons learned by 3 major freestanding academic pediatric emergency departments in the western United States to help inform current and future pediatric pandemic preparedness.<\/jats:p>","DOI":"10.1017\/dmp.2023.75","type":"journal-article","created":{"date-parts":[[2023,6,29]],"date-time":"2023-06-29T06:24:57Z","timestamp":1688019897000},"source":"Crossref","is-referenced-by-count":2,"title":["Strategic Surge Responses in the COVID-19 era: Operational Themes, Innovative Solutions and Lessons Learned by Three Freestanding Pediatric Emergency Departments"],"prefix":"10.1017","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5076-1145","authenticated-orcid":false,"given":"Yongtian Tina","family":"Tan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cortney","family":"Braund","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin P","family":"Carney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natasha","family":"Gill","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bradley","family":"Goldberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8209-6381","authenticated-orcid":false,"given":"Emily A","family":"Hartford","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernadette K","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Keilman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly","family":"Stone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiromi","family":"Yoshida","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah R","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2023,6,29]]},"reference":[{"key":"S1935789323000757_ref5","unstructured":"5. 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Centers for Disease Control and Prevention. Hospitalizations of children and adolescents with laboratory-confirmed COVID-19 \u2013 Covid-net, 14 states, July 2021 \u2013 January 2022. https:\/\/www.cdc.gov\/mmwr\/volumes\/71\/wr\/mm7107e4.htm. Accessed June 30, 2022."},{"key":"S1935789323000757_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2008.03.014"},{"key":"S1935789323000757_ref1","unstructured":"1. Centers for Disease Control and Prevention. 2009 H1N1 pandemic (H1N1PDM09 virus). https:\/\/www.cdc.gov\/flu\/pandemic-resources\/2009-h1n1-pandemic.html. 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