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Related Experiment Videos

Follow-up: who does it and how do they do it?

J M Chamberlain1, C L Carraccio

  • 1Department of Pediatrics, George Washington University.

Pediatric Emergency Care
|December 1, 1994
PubMed
Summary

Emergency departments (EDs) have variable follow-up mechanisms for pediatric patients. Deficiencies exist in communication, documentation, and resources for conditions like child abuse, impacting patient outcomes.

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Area of Science:

  • Pediatric Emergency Medicine
  • Healthcare Systems Analysis
  • Patient Follow-up Care

Background:

  • Effective follow-up care after emergency department (ED) visits is crucial for pediatric patient outcomes.
  • Current practices for tracking illness progression, positive test results, and specific conditions vary significantly among EDs.

Purpose of the Study:

  • To assess the current mechanisms for pediatric patient follow-up after ED discharge.
  • To identify deficiencies in follow-up care related to illness progression, test results, and specific pediatric conditions.

Main Methods:

  • A survey was distributed to ED directors at hospitals with accredited pediatric residency programs.
  • Response rate was 65% (135 of 207 directors).
  • Data collected focused on follow-up for progression of illness (POI), positive results, and specific conditions (child abuse, burns, complex wounds).

Main Results:

  • Significant variability exists in follow-up strategies, with many EDs lacking formal mechanisms or adequate communication with community physicians.
  • 20% of EDs have no formal telephone follow-up for POI, and 16% do not record phone contact.
  • 11% of EDs lack a follow-up mechanism for child abuse cases.

Conclusions:

  • Deficiencies in inter-physician communication, documentation of patient contacts, and resources for child abuse follow-up were identified.
  • These gaps in pediatric ED follow-up care have potential negative implications for optimal patient outcomes.
  • Standardizing and improving follow-up protocols are essential for enhancing the quality of pediatric emergency care.

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