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Evaluation of an Innovative Model of Care for a Limited-Stay Pediatric Unit
Elizabeth Johnson-Salerno1, Stacey O Bachman, Chalanda Evan Jones
1Author Affiliations: Director of Operational Performance Improvement and Staffing Resource Operations (Ms Johnson-Salerno), Director of Advanced Practice Nursing (Ms Bachman), Medical Director of Unit 4W (Dr Jones), Senior Director of Nursing, Acute Inpatient Services, Day Medicine/Sedation (Mr Hancox), Coordinator of Research and Evidence-Based Practice (Dr Haut), and Operational Vice President and Chief Nursing Executive (Dr Mericle), Nemours/Alfred I. duPont Hospital for Children, Wilmington, Delaware.
Abstract:
Information about pediatric observation and limited-stay unit design and function is lacking in the literature. A quality improvement approach was used to create new care processes on an inpatient unit within a large children's hospital. Outcomes included the use of advanced practice nurse patient care management, creation of 30 clinical pathways to model care, and consistent and faster transfer from emergency department to inpatient unit, resulting in high-level parent and patient satisfaction and decreased nursing turnover.
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