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Paediatric ED reattendance rates: comparing nurse practitioners and other clinicians
Jane E Feetham1, Will Christian1, Jonathan R Benger2
1Emergency Department, Bristol Royal Hospital for Children, Bristol, UK.
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.
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