Related Experiment Video

Updated: Feb 11, 2026

Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis
04:05

Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis

Published on: June 30, 2023

2.9K

System outcomes associated with a pediatric emergency department clinical decision unit

Derin Karacabeyli1, Garth D Meckler1, David K Park1

  • 1*Department of Pediatrics,University of British Columbia,BC Children's Hospital Research Institute,Vancouver,BC.

CJEM
|April 16, 2018
PubMed

Insights

Most patients discharged from a clinical decision unit (CDU) did not return to the emergency department (ED). CDU implementation reduced short hospital stays, improving pediatric emergency care.

Area of Science:

  • Pediatric Emergency Medicine
  • Health Services Research
  • Hospital Administration

Background:

  • Clinical Decision Units (CDUs) aim to improve patient flow and resource utilization in emergency departments.
  • Evaluating the impact of CDUs on patient disposition and short-term hospitalizations is crucial for healthcare optimization.

Purpose of the Study:

  • To analyze disposition decisions and emergency department return (EDR) rates after a CDU stay.
  • To assess changes in short-stay hospitalization rates (<48 hours) post-CDU implementation.

Main Methods:

  • Retrospective cohort study of pediatric emergency department (PED) visits with CDU stays in 2015.
  • Data extraction for disposition and 7-day EDR rates, with blinded review for clinical relatedness.
  • Comparison of short-stay inpatient admission rates in 2013 (pre-CDU) and 2015 (post-CDU).

Main Results:

  • 89% of 1696 index CDU stays resulted in discharge, with 9.2% of discharged patients having a clinically-related EDR.
  • Median CDU length of stay was 4.4 hours; total PED length of stay was 7.8 hours.
  • Short-stay hospitalization rate decreased from 3.62% in 2013 to 3.23% in 2015 (p=0.001).

Conclusions:

  • The majority of patients managed in a CDU are discharged, with a low rate of clinically-related emergency department revisits.
  • CDU implementation demonstrated a statistically significant, albeit small, reduction in short-stay hospitalizations.
Abstract

Keywords:
clinical decision unithospitalizationobservation unitpediatric emergency departmentrevisitsystem outcomes

More Related Videos

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

18.0K
Expired CO2 Measurement in Intubated or Spontaneously Breathing Patients from the Emergency Department07:52

Expired CO2 Measurement in Intubated or Spontaneously Breathing Patients from the Emergency Department

Published on: January 29, 2011

17.0K

Related Concept Videos

Emerging Adulthood01:27

Emerging Adulthood

Jeffrey Arnett's concept of emerging adulthood offers a framework to understand the unique developmental stage between adolescence and full-fledged adulthood, generally from ages 18 to 25. This period is marked by extensive exploration and shifts in identity, relationships, and career choices, a process known in psychology as role experimentation. Emerging adulthood reflects the evolving cultural expectations surrounding adulthood and the dynamic process of personal transformation during...
725
Decision Making01:20

Decision Making

Decision-making is a fundamental cognitive process that involves evaluating alternatives and selecting among them. This process can range from simple choices, such as deciding what to wear, to complex decisions, like choosing a major in college or a career path. The complexity of the decision often dictates the approach we use, which can be broadly categorized into two types: automatic and controlled decision-making.
Automatic decision-making is fast, intuitive, and relies on gut feelings...
1.0K
Measurement: Standard Units03:38

Measurement: Standard Units

Every measurement provides three kinds of information: the size or magnitude of the measurement (a number), a standard of comparison for the measurement (a unit), and an indication of the uncertainty of the measurement. While the number and unit are explicitly represented when a quantity is written, the uncertainty is an aspect of the errors in the measurement results.
82.2K
Measurement: Derived Units03:02

Measurement: Derived Units

The International System of Units or SI system, by international agreement, has fixed measurement units for seven fundamental properties: length, mass, time, temperature, electric current, amount of substance, and luminosity. These are called the SI base units.
56.0K
Predicting Reaction Outcomes02:24

Predicting Reaction Outcomes

Kinetics describes the rate and path by which a reaction occurs. In contrast, thermodynamics deals with state functions and describes the properties, behavior, and components of a system. It is not concerned with the path taken by the process and cannot address the rate at which a reaction occurs. Although it does provide information about what can happen during a reaction process, it does not describe the detailed steps of what appears on an atomic or a molecular level. On the other hand,...
11.0K
Outcomes of Glycolysis01:13

Outcomes of Glycolysis

Nearly all the energy used by cells comes from the bonds that make up complex organic compounds. These organic compounds are broken down into simpler molecules, such as glucose. As a result, cells extract energy from glucose over many chemical reactions—a process called cellular respiration.
Cellular respiration can occur aerobically (with oxygen) or anaerobically (without oxygen). In the presence of oxygen, cellular respiration starts with glycolysis and continues with pyruvate...
107.7K