Examining the Appropriateness and Motivations Behind Low-Acuity Pediatric Emergency Department Visits.

Abstract:

OBJECTIVES:High patient volumes have a deleterious effect on care in the pediatric emergency department (PED). Our study assessed the motivation for PED visits that could have been assessed by a primary care physician. METHODS:We identified a convenience sample of patients presenting to the SickKids Hospital PED in June and July 2011 with a Paediatric Canadian Triage and Acuity Score 4 or 5. Patients completed a forced answer yes/no survey describing potential motivators for visiting the PED. Visit appropriateness was determined by a modified version of the DeAngelis tool, an explicit criteria-based tool frequently used for this purpose. RESULTS:Of the included 635 patients with Paediatric Canadian Triage and Acuity Score 4 and 5, 25% were truly inappropriate as per DeAngelis criteria. Of these, perceived expertise at the tertiary care hospital (93.1%) and ease of getting tests (80.8%) were the most common reasons behind PED presentation. CONCLUSIONS:Patients presenting to our PED typically have primary care physicians; however, access to their physicians during off-hours and availability of off-site testing is limited. Public policy aimed at decreasing overcrowding in the PED should address these themes.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Haasz M,Ostro D,Scolnik D

doi

10.1097/PEC.0000000000001598

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

647-649

issue

9

eissn

0749-5161

issn

1535-1815

pii

00006565-201809000-00010

journal_volume

34

pub_type

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