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

IF 1.8 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care Pub Date : 2025-07-25 DOI:10.1016/j.pedhc.2025.06.013

Emma K Hartman, Stefanie R Hartman, Alfred P See

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引用次数: 0

Abstract

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.

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提高医院资源利用和维持护理质量通过护士领导的儿科颅脑损伤门诊诊所。

目的：评价建立以pnp为主导的颅脑损伤门诊的医院资源利用率和护理质量。方法：回顾2017年至2023年单一机构儿科颅脑损伤患者的图表，并相对于2019年1月1日pnp主导的诊所进行分组。结果：在诊所建立之前，有217名独特的患者，每名患者就诊1.16次（20%由PNP就诊）。之后，共有420名患者，每位患者就诊1.15次（73%由PNP就诊）。对于有症状的患者，PNPs提供了重返学校/活动计划，转诊到物理/职业治疗和早期干预，以及转诊到亚专科护理后的持续管理，其比例明显更高。MDs将有症状的患者转出他们的护理的比率明显更高。讨论：pnp领导的门诊可以管理非急诊门诊头部损伤病例量，增加对有症状患者的组织护理能力，并最大限度地提高医院资源利用的价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Health Care NURSING-PEDIATRICS

CiteScore

3.40

自引率

10.70%

发文量

140

审稿时长

24 days

期刊介绍： The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.