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Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners · 2025

Improving Hospital Resource Utilization and Maintaining Quality of Care through a Nurse Practitioner-Led Pediatric Head Injury Outpatient Clinic.

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Hartman Emma K, Hartman Stefanie R, See Alfred P

Аннотация

OBJECTIVE: The authors evaluated hospital resource utilization and care quality relative to the establishment of a PNP-led outpatient clinic for head injury care.

METHOD: Charts for pediatric head injury patients at a single institution between 2017 and 2023 were reviewed and grouped relative to PNP-led clinic establishment on January 1, 2019.

RESULTS: Prior to clinic establishment, there were 217 unique patients with 1.16 visits per patient (with 20% seen by a PNP). Afterwards, there were 420 patients with 1.15 visits per patient (with 73% seen by a PNP). For symptomatic patients, PNPs provided return to school/activity planning, referrals to physical/occupational therapy and early intervention, and continued management after referral to subspecialty care at significantly higher rates. MDs referred symptomatic patients out of their care at significantly higher rates.

DISCUSSION: PNP-led outpatient clinics can manage nonemergent outpatient head injury case volume, increasing capacity to organize care for symptomatic patients, and maximizing value from hospital resource utilization.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты