Positive impact of increased number of emergency consultants

Geelhoed, Gary C.; Geelhoed, Elizabeth A.
January 2008
Archives of Disease in Childhood;Jan2008, Vol. 93 Issue 1, p62
Academic Journal
The increased presence of consultant staff should theoretically lead to better outcomes in emergency departments (EDs). A retrospective observational study was conducted in a tertiary paediatric emergency department (PED) over a 10-year period documenting trends in percentage of children admitted, complaints to the department and average waiting times. Consultant numbers increased from 2.6 to 6.2 full time equivalent staff between 2000 and 2004. Other staffing numbers were essentially unchanged. All parameters examined improved coincident with increasing consultant numbers. The percentage of children admitted decreased by 27%, complaints fell by 41% and the average waiting time by 15%. The yearly cost of an additional 3.6 consultants (2005) was $A1 003 490 with net saving to the hospital of over $A9.48 million. The provision of additional consultant medical staff in a PED coincided with a decrease in the percentage of children admitted, complaints to the department and average waiting times, and was cost effective.


Related Articles

  • Dedicated children's units urged. Lipley, Nick // Emergency Nurse;May2003, Vol. 11 Issue 2, p3 

    Reports on the request for emergency nurses to help ensure that all Accident and Emergency Departments in Great Britain have dedicated children's units. Information on the national service framework for children; Remarks from Fiona Smith, Royal College of Nursing pediatric nursing adviser and...

  • Children's Emergencies. Belson, Martin // Pediatrics for Parents;2008, Vol. 24 Issue 2, p10 

    The article offers information on the proper measures in handling children during emergencies. It is stated that there are serious cases in which the child needs to go to the emergency department (ED) such as seizure, broken bones and bloody vomiting. It cites that one of the best ways to plan...

  • The ED Challenge: Designing for Excellence.  // Health Facilities Management;Jan2005, Vol. 18 Issue 1, p27 

    Presents a panel discussion among health care executives and industry experts sponsored by several health care companies which focuses on the challenges facing emergency departments in the U.S. and ways to deal with those issues. Thoughts on priority issues when considering reorganizing an...

  • The management of paediatric patients in a general Emergency Department in Papua New Guinea. Tsiperau, John; Vince, John D.; Tefuarani, Nakapi // Papua New Guinea Medical Journal;Mar-Jun2010, Vol. 53 Issue 1/2, p21 

    Children less than 13 years of age account for 27% of the case mix at the Emergency Department (ED) of the Port Moresby General Hospital (PMGH). The ED is busy, usually overcrowded, understaffed and under-equipped, resulting in less than optimal patient management. Children are a highly...

  • Ambulatory Child Health Services in Britain, Sweden, the Netherlands and France. Skinner, Alfred L. // Clinical Pediatrics;Dec1971, Vol. 10 Issue 12, p688 

    Explores ambulatory child health services in Great Britain, Sweden, the Netherlands and France. Roles and importance of nursing personnel; Nursing education in preparation for ambulatory child health services; Curricula for pediatric nursing; Facilities in which health personnel work; Broad...

  • A Schema for Improving Efficiency in an Ambulatory Care Setting. Katz, Harvey P. // Clinical Pediatrics;Jul1975, Vol. 14 Issue 7, p658 

    Describes a schema for improving efficiency in an ambulatory care setting. Description of an interoffice communication system; Role of the flag system in enabling pediatricians to achieve maximum productive time with patients and minimum time waiting for patient preparation or discussing...

  • Mobile medical clinic wheels into poor neighborhoods to care for needy kids.  // AHA News;2/19/2007, Vol. 43 Issue 4, p5 

    The article features the Kids Mobile Medical Clinic, a 40-foot van which helps Georgetown University Hospital extend its reach into some of the neediest neighborhoods in Washington, D.C. Patients attended by the mobile are young people ranging from infants to 21 years of age. The clinic provides...

  • The Pediatric Population of Two Free-standing Emergency Clinics. Yunker, Rose; Levine, Martha; Sajid, Abdul // Clinical Pediatrics;Apr1985, Vol. 24 Issue 4, p210 

    We studied the pediatric patient population of two freestanding emergency clinics (FECs) through an audit of medical records for 20 days randomly selected throughout 1983. We recorded the age, sex, number of visits, patient diagnoses, laboratory work, and charges. This information was compared...

  • Elsevier Health Sciences: Disparities in treatment of children in the emergency department based on their insurance status.  // Biomedical Market Newsletter;5/12/2012, Vol. 21, p1 

    The article offers information on the study related to difference in treatment of children in emergency department on bases of insurance status. According to the national hospital ambulatory medical care survey children with no private insurance received 25 percent less diagnostic and treatment...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics