Paired analysis of ED efficiency for low-acuity children treated by PAs and pediatricians.
| Autor: | McKinley KW; At Children's National Hospital in Washington, D.C., Kenneth W. McKinley practices in the Emergency Medicine Section of Data Analytics, Jennifer Q. Tran practices in Emergency Medicine and Trauma Services, and James M. Chamberlain and Deena D. Berkowitz practice in the Emergency Medicine Section of Data Analytics. The authors have disclosed no potential conflicts of interest, financial or otherwise., Tran JQ, Chamberlain JM, Berkowitz DD |
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| Jazyk: | angličtina |
| Zdroj: | JAAPA : official journal of the American Academy of Physician Assistants [JAAPA] 2023 May 01; Vol. 36 (5), pp. 34-37. |
| DOI: | 10.1097/01.JAA.0000923540.64933.12 |
| Abstrakt: | Objective: To determine if there was a clinically important difference (15 minutes or more) in length of stay (LOS) for low-acuity pediatric ED patients treated by PAs compared with those treated by pediatricians. Methods: Between July 2017 and February 2020, shifts were identified that had shared PA and pediatrician staffing in the low-acuity care area for a large, urban ED. LOS was collected for every patient during the 6 hours of overlap for each shift. Using a paired analysis, we calculated the difference in mean LOS for these shifts. Results: Mean shift LOS for children seen by PAs (160.1 minutes, SD: 48.6) was 10.1 minutes longer (95% CI: 6.1, 14.1) than mean shift LOS for children seen by pediatricians (150 minutes, SD: 47.3). Conclusions: No clinically important difference in LOS was found for low-acuity children treated by PAs compared with those treated by pediatricians in a large, urban ED. (Copyright © 2023 American Academy of Physician Associates.) |
| Databáze: | MEDLINE |
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