Mark D. Lyttle
Paediatric ED reattendance rates: Comparing nurse practitioners and other clinicians
Lyttle, Mark D.; Benger, Jonathan R.; Feetham, Jane E.; Christian, Will; Benger, Jonathan; Hoskins, Rebecca; Odd, David; Lyttle, Mark
Authors
Jonathan R. Benger
Jane E. Feetham
Will Christian
Jonathan Benger
Rebecca Hoskins Rebecca.Hoskins@uwe.ac.uk
Senior Lecturer in Advanced Practice
David Odd
Mark Lyttle mark.lyttle@uwe.ac.uk
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.
Citation
Lyttle, M. D., Benger, J. R., Feetham, J. E., Christian, W., Benger, J., Hoskins, R., …Lyttle, M. (2015). Paediatric ED reattendance rates: Comparing nurse practitioners and other clinicians. Emergency Medicine Journal, 32(5), 379-382. https://doi.org/10.1136/emermed-2013-203514
Journal Article Type | Article |
---|---|
Publication Date | May 1, 2015 |
Publicly Available Date | Mar 29, 2024 |
Journal | Emergency Medicine Journal |
Print ISSN | 1472-0205 |
Electronic ISSN | 1472-0213 |
Publisher | BMJ Publishing Group |
Peer Reviewed | Peer Reviewed |
Volume | 32 |
Issue | 5 |
Pages | 379-382 |
DOI | https://doi.org/10.1136/emermed-2013-203514 |
Keywords | paediatric, nurse practitioner, reattendance |
Public URL | https://uwe-repository.worktribe.com/output/835074 |
Publisher URL | http://dx.doi.org/10.1136/emermed-2013-203514 |
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