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Related Experiment Videos

School referral survey

D M Macgregor1, J A Hiscox

  • 1Accident and Emergency Department, Royal Aberdeen Childrens Hospital.

Scottish Medical Journal
|July 31, 1998
PubMed
Summary
This summary is machine-generated.

School referrals to Accident & Emergency (A&E) departments often involve children with minor injuries. Many parents find these A&E visits unnecessary, highlighting potential system inefficiencies and costs.

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Area of Science:

  • Pediatric emergency medicine
  • School health services
  • Healthcare management

Background:

  • Schools frequently refer injured children directly to Accident & Emergency (A&E) departments.
  • This practice contributes to the workload and costs within A&E services.

Purpose of the Study:

  • To prospectively monitor school-referred pediatric cases presenting to an A&E department.
  • To evaluate the nature of injuries and parental perceptions of A&E appropriateness for school-related incidents.

Main Methods:

  • Prospective study design over one school term (January-March 1996).
  • Data collection on 200 children under 14 years referred from school to the Royal Aberdeen Children's Hospital (RACH) A&E.
  • Inclusion of parental feedback on the appropriateness of A&E attendance.

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Main Results:

  • The majority of school-referred cases involved trivial or mild injuries.
  • 45% of parents believed A&E attendance was inappropriate for their child's injury.
  • Accidents frequently occurred with unsupervised children, and rural/working parents were less likely to utilize A&E referrals.

Conclusions:

  • School referrals to A&E generate significant, potentially unnecessary, workload and costs in the Grampian Region.
  • A substantial number of these attendances may stem from schools' risk aversion to avoid complaints or litigation.
  • Re-evaluation of school referral protocols for pediatric injuries is warranted.