Pediatric trauma nurse practitioners provide excellent care with superior patient satisfaction for injured children

Fanta, Kaaren; Cook, Bernard; Falcone, Richard A.; Rickets, Crystal; Schweer, Lynn; Brown, Rebeccah L.; Garcia, Victor F.

doi:10.1016/j.jpedsurg.2005.10.049

Cited by 48 publications

(41 citation statements)

References 13 publications

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“…[17] Fanta et al also found that pediatric trauma patients admitted to a trauma nurse practitioner service had decreased LOS compared to patients admitted to a resident service. [18] This effect may be secondary to improved charting and consistent staff performing tertiary surveys,[17] as well as better familiarity with protocols as nurse practitioners are a constant presence on trauma teams.…”

Section: Discussionmentioning

confidence: 99%

Missed injuries and unplanned readmissions in pediatric trauma patients

Choi

Keller

2017

Journal of Pediatric Surgery

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Background We sought to determine the incidence and characteristics of missed injuries and unplanned readmissions at a Level-1 pediatric trauma center. Methods We conducted a retrospective review of all trauma patients who presented to our ACS-Verified Level-1 pediatric trauma center from 2009–2014. Results Overall, there were 27 readmissions and 27 missed injuries (0.38%). Patients who were unplanned readmissions had a greater Injury Severity Score (ISS) (8.6 vs 5.2, p=0.03), had longer hospitalizations (4.9 vs 2.5 days, p=0.02), and were more likely to have required operative intervention (51.9% vs 32.3%, p=0.04). Similarly, patients identified with missed injuries had a higher ISS (15.2 vs 5.2, p<0.0001), greater length of stay (12.7 vs 2.5 days, p<0.0001), and were also more likely to be intubated (25.9% vs 3.6%, p <0.0001) or require critical care (48.1% vs 10.3%, p<0.0001). Seven missed injuries were in patients who were deemed non-accidental trauma (25.9%) and significantly altered their hospital course while 10 patients (37%) required operative intervention. On multivariate analysis, only ISS was found to be an independent risk factor for readmissions and missed injuries. Conclusions Missed injuries and unplanned readmissions were rare occurrences among our pediatric patient population. These events, however, did result in longer hospitalizations and additional procedures. Patients with multisystem injuries and compromised physical exam are at higher risk.

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Section: Discussionmentioning

confidence: 99%

Missed injuries and unplanned readmissions in pediatric trauma patients

Choi

Keller

2017

Journal of Pediatric Surgery

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“…12Y15 One such study of note was performed in a pediatric trauma population; the authors found higher patient satisfaction ratings in several categories and a shorter stay for NPs. 16 Ours is the first study to compare a unit-based NP model directly with a resident service. This model has been described in two publications as a theoretical model, 17,18 but we were unable to find published studies evaluating the effectiveness of this model.…”

Section: Discussionmentioning

confidence: 99%

The influence of unit-based nurse practitioners on hospital outcomes and readmission rates for patients with trauma

Morris

Reilly

Rohrbach

et al. 2012

Journal of Trauma and Acute Care Surgery

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“…In addition to their increased training, these nurses have been empowered to increase their leadership role in the care of the injured child. The importance of such specially trained nurses in the care of injured patients has been previously demonstrated in both the resuscitation bay [26] and throughout the hospital stay [27,28]. Their consistent presence in the trauma bay was replicated by their increased participation during simulated scenarios and likely contributed to the observed improved team performance.…”

Section: Discussionmentioning

confidence: 81%