Validation of the paediatric appropriateness evaluation protocol in British practice.

Abstract:

:The reliability and validity of the North American paediatric appropriateness evaluation protocol (PAEP) for use in paediatric practice in Britain was tested. The protocol was applied to 418 case records of consecutive emergency admissions to three Yorkshire district general hospitals. The PAEP ratings were then compared with a clinical consensus opinion obtained from two expert panels. Altogether 32% of the admissions were rated inappropriate by the PAEP and 36% by the panels. Validity of the PAEP, as measured by agreement beyond chance with the expert panel rating, was only moderate with a kappa of 0.29 (95% confidence interval 0.11 to 0.47). The PAEP has limited validity for evaluating British paediatric practice. Utilisation review instruments developed in differing clinical cultures should be used with caution until shown to be valid for the practice setting under review.

journal_name

Arch Dis Child

authors

Werneke U,Smith H,Smith IJ,Taylor J,MacFaul R

doi

10.1136/adc.77.4.294

subject

Has Abstract

pub_date

1997-10-01 00:00:00

pages

294-8

issue

4

eissn

0003-9888

issn

1468-2044

journal_volume

77

pub_type

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