Paediatric ED reattendance rates: comparing nurse practitioners and other clinicians

Feetham, Jane E, Christian, Will, Benger, Jonathan R, Hoskins, Rebecca, Odd, David ORCID: https://orcid.org/0000-0002-6416-4966 and Lyttle, Mark D 2015. Paediatric ED reattendance rates: comparing nurse practitioners and other clinicians. Emergency Medicine Journal 32 (5) , pp. 379-397. 10.1136/emermed-2013-203514

Preview

PDF - Accepted Post-Print Version Available under License Creative Commons Attribution Non-commercial. Download (260kB) | Preview

Abstract

Objective The aim of this project is to establish the unplanned reattendance rate for paediatric emergency nurse practitioners (PENPs) working in a designated paediatric emergency department (PED) while identifying the case mix of patients seen by PENPs compared with their medical counterparts. Design Quantitative data regarding patient characteristics and reattendance were collected during retrospective review of case notes across two representative 2-week periods. Setting The study site is a tertiary urban PED with an annual attendance of 32 000 patients aged from birth to 15 years. Main outcome measures Reattendance rates, patient characteristics, triage scores, presenting complaint and numbers of patients discussed with a paediatric emergency medicine consultant were evaluated. Results The results showed that PENPs have a lower reattendance rate (1.75%) when compared with senior and junior doctors in training (4.29%, 5.76%); however, PENPs treat a different population of children. When the odds of PENP reattendance are adjusted for this, the significance of the difference becomes less certain. Conclusions PENPs work autonomously when seeing children presenting with minor trauma and make a positive contribution in achieving the reattendance Clinical Quality Indicator.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Publisher:	BMJ Publishing Group
ISSN:	1472-0205
Date of First Compliant Deposit:	14 November 2023
Date of Acceptance:	8 May 2014
Last Modified:	16 Nov 2024 14:15
URI:	https://orca.cardiff.ac.uk/id/eprint/133361

Citation Data

Cited 8 times in Scopus. View in Scopus. Powered By Scopus® Data

Actions (repository staff only)

Edit Item