ArticleIrish journal of medical science2016
Emergency review clinic: impact on paediatric admissions.
Article in Irish journal of medical science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
4 authors.
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Abstract
backgroundInappropriate or unnecessary paediatric inpatient admissions are sometimes unavoidable but are costly and increase pressure on services. Various measures, including paediatric observation units, have been undertaken in an attempt to reduce these admissions.
aimsWe established an emergency review clinic to assess whether we could reduce admission rates by giving carefully selected children follow-up ED review appointments.
methodsAn emergency review clinic was run in the paediatric room of the Emergency Department by a senior paediatric registrar during the hours 10 a.m. to 12 midday, Monday to Friday inclusive. Patients were booked into this review clinic from ED. Data relating to paediatric admissions in the years prior to and after the institution of the review clinic were analysed.
resultsA significant reduction (p < 0.0001) was noted in the paediatric inpatient admission rates following establishment of the review clinic.
conclusionsA paediatric emergency review clinic can significantly reduce unnecessary or inappropriate admissions but more research is needed to quantitatively characterise parent/patient satisfaction in this regard.
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Registered trials
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