Interventions for reducing unplanned paediatric admissions: an observational study in one hospital
Kerryn Husk, Vashti Berry, Richard Tozer, Gina Skipwith, Robert Radmore, Susan Ball, Obioha C Ukoumunne, Stuart Logan
BMJ PAEDIATRICS OPEN | BMJ PUBLISHING GROUP | Published : 2018
Objective: Evidence on how best to intervene to improve paediatric acute care and therefore reduce unplanned hospital admissions is weak. We describe service evaluation work at one hospital to assess interventions at critical clinical and service decision points. Design: We conducted an observational study using routine daily-collected data (April 2009-December 2015) from a medium-sized district general hospital in south-west UK, using before-and-after comparisons of admissions-related data to evaluate two interventions implemented in April and November 2014, respectively: (1) an advice and guidance (A&G) phone line, where a senior paediatrician is available for general practitioners (GPs) a..View full abstract
Intervention costs and RT, GS and RR's time were funded by the Torbay and South Devon Foundation Hospital. KH, VB, SB, OCU and SL's time was funded by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care South West Peninsula at the Royal Devon and Exeter NHS Foundation Hospital.