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Pediatric emergency care: Associations between process factors and outcomes - Children's and parents' views combined

Katja Janhunen1, Päivi Kankkunen2, Tarja Kvist2

  • 1University of Eastern Finland, Department of Nursing Science, P.O. Box 1627, 70211 Kuopio, Finland.

International Emergency Nursing
|November 14, 2020
PubMed

Insights

Emergency department care processes influence children's length of stay and predict patient satisfaction. Factors like triage level and diagnostic tests impact outcomes and perceived care quality.

Area of Science:

  • Pediatric Emergency Medicine
  • Healthcare Quality Improvement
  • Health Services Research

Background:

  • Hospital care quality is assessed via structure, process, and outcomes.
  • The interrelationships between these elements are crucial but understudied.

Purpose of the Study:

  • To examine the links between emergency care process factors, length of stay, and care outcomes.
  • Specifically investigating relationships with care quality and patient satisfaction in pediatric emergency departments.

Main Methods:

  • Combined medical/administrative registry data with survey data from 89 child-parent pairs.
  • Utilized descriptive statistics, median test, and linear regression for analysis across four emergency departments.

Main Results:

  • Shorter length of stay was associated with lower triage levels.
  • More diagnostic tests and procedures correlated with longer stays.
  • Patient satisfaction was linked to more tests/procedures, higher triage levels, and pediatrician care track.

Conclusions:

  • Emergency care process factors significantly influence pediatric length of stay.
  • These factors can predict both children's and parents' satisfaction and evaluations of care quality.
Abstract

Keywords:
Care qualityChildLength of stayParentPediatric emergency careSatisfaction

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