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An observation unit in a pediatric emergency department: one children's hospital's experience.
J Emerg Nurs. 2002 Oct; 28(5):407-13.JE

Abstract

INTRODUCTION

The observation unit at The Children's hospital in Denver is a care delivery system which provides expanded ED services to patients. The purposes of this study of the observation unit included: constructing a demographic profile; determining the distribution of admissions by diagnosis and related disposition; and evaluating staffing patterns and nursing workload. Issues related to safety, length of stay, and appropriate utilization were raised as well as the need to accurately identify the most effective nursing staff requirements to provide safe, quality care.

METHODS

A sample of all patients admitted to the ED observation unit over a 6-month period (686 patients, 4.8% of ED patients) was studied. Descriptive statistics were used to describe the sample of patients. Nurse-to-patient staff ratios were calculated utilizing the BENCHmarking Effort to Network Children's Hospitals parameters.

RESULTS

The average age of patients admitted to the observation unit was 4.36 years, equally distributed between males and females. Diagnostic categories were correlated to length of stay. Patients with respiratory illnesses required the longest observation. The majority of patients were discharged home after an average stay of 8.4 hours.

DISCUSSION

Study findings inform clinical staffing and formulate guidelines for the ED observation unit usage.

Authors+Show Affiliations

The Children's Hospital, Denver, Colo, USA. MMIDUC@aol.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

12386621

Citation

Leduc, Karen, et al. "An Observation Unit in a Pediatric Emergency Department: One Children's Hospital's Experience." Journal of Emergency Nursing, vol. 28, no. 5, 2002, pp. 407-13.
Leduc K, Haley-Andrews S, Rannie M. An observation unit in a pediatric emergency department: one children's hospital's experience. J Emerg Nurs. 2002;28(5):407-13.
Leduc, K., Haley-Andrews, S., & Rannie, M. (2002). An observation unit in a pediatric emergency department: one children's hospital's experience. Journal of Emergency Nursing, 28(5), 407-13.
Leduc K, Haley-Andrews S, Rannie M. An Observation Unit in a Pediatric Emergency Department: One Children's Hospital's Experience. J Emerg Nurs. 2002;28(5):407-13. PubMed PMID: 12386621.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An observation unit in a pediatric emergency department: one children's hospital's experience. AU - Leduc,Karen, AU - Haley-Andrews,Stephanie, AU - Rannie,Michael, PY - 2002/10/19/pubmed PY - 2002/12/10/medline PY - 2002/10/19/entrez SP - 407 EP - 13 JF - Journal of emergency nursing JO - J Emerg Nurs VL - 28 IS - 5 N2 - INTRODUCTION: The observation unit at The Children's hospital in Denver is a care delivery system which provides expanded ED services to patients. The purposes of this study of the observation unit included: constructing a demographic profile; determining the distribution of admissions by diagnosis and related disposition; and evaluating staffing patterns and nursing workload. Issues related to safety, length of stay, and appropriate utilization were raised as well as the need to accurately identify the most effective nursing staff requirements to provide safe, quality care. METHODS: A sample of all patients admitted to the ED observation unit over a 6-month period (686 patients, 4.8% of ED patients) was studied. Descriptive statistics were used to describe the sample of patients. Nurse-to-patient staff ratios were calculated utilizing the BENCHmarking Effort to Network Children's Hospitals parameters. RESULTS: The average age of patients admitted to the observation unit was 4.36 years, equally distributed between males and females. Diagnostic categories were correlated to length of stay. Patients with respiratory illnesses required the longest observation. The majority of patients were discharged home after an average stay of 8.4 hours. DISCUSSION: Study findings inform clinical staffing and formulate guidelines for the ED observation unit usage. SN - 0099-1767 UR - https://www.unboundmedicine.com/medline/citation/12386621/An_observation_unit_in_a_pediatric_emergency_department:_one_children's_hospital's_experience_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0099176702000351 DB - PRIME DP - Unbound Medicine ER -