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Normothermic Negative Pressure Ventilation Ex Situ Lung Perfusion: Evaluation of Lung Function and Metabolism
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Nurse practitioner coverage is associated with a decrease in length of stay in a pediatric chronic ventilator

Courtney M Rowan1, A Ioana Cristea1, Jennifer C Hamilton1

  • 1Courtney M Rowan, Jennifer C Hamilton, Mara E Nitu, Veda L Ackerman, Department of Pediatrics, Section of Critical Care, Indiana University School of Medicine, Riley Hospital for Children at Indiana University Health, Indianapolis, IN 46202, United States.

World Journal of Clinical Pediatrics
|May 13, 2016
PubMed
Summary
This summary is machine-generated.

A dedicated critical care nurse practitioner (NP) significantly reduced length of stay (LOS) in a pediatric chronic ventilator-dependent unit (PCVDU). This NP model proved efficient and cost-effective for patient care.

Keywords:
Cost effective health careLength of stayNurse practitionersPediatricsVentilation

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Area of Science:

  • Pediatric Critical Care Medicine
  • Nursing Practice and Healthcare Management
  • Health Economics and Outcomes Research

Background:

  • Pediatric chronic ventilator-dependent units (PCVDUs) manage complex patients with prolonged hospitalizations.
  • The role of advanced practice providers, such as nurse practitioners (NPs), in optimizing care delivery is increasingly recognized.
  • Implementing specialized roles may impact patient outcomes and resource utilization.

Purpose of the Study:

  • To test the hypothesis that a dedicated critical care nurse practitioner (NP) is associated with a decreased length of stay (LOS) in a PCVDU.
  • To evaluate the impact of a critical care NP on patient LOS and associated costs.

Main Methods:

  • A retrospective review of patients in a PCVDU from May 2001 to May 2011.
  • Comparison of LOS and room charges for the 5 years before and 5 years after the implementation of a dedicated critical care NP in 2005.

Main Results:

  • The median LOS decreased significantly from 55 days to 12 days after NP implementation (P < 0.0001).
  • A cost savings of over $25 million in room charges was observed over the 5-year post-implementation period.

Conclusions:

  • A critical care NP coverage model in a PCVDU is associated with a significantly reduced LOS.
  • The implementation of a dedicated NP is an efficient and likely cost-effective addition to comprehensive pediatric critical care services.