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Emerg Med Australas. 2004 Oct-Dec;16(5-6):417-24.

Improving emergency care for children: a model of collaboration between emergency departments.

Author information

1
Department of Emergency Medicine, Royal Children's Hospital, Melbourne, Victoria, Australia. ed.oakley@rch.org.au

Abstract

OBJECTIVES:

To determine whether a partnership between a tertiary paediatric hospital and a hospital with a mixed population of children and adults can improve emergency care for children. To describe the process of creating and maintaining such a partnership.

METHODS:

A partnership was created and various strategies employed to improve emergency paediatric care. This was evaluated by examination of demographic data, clinical audit, patient satisfaction surveys and staff satisfaction surveys.

RESULTS:

Paediatric attendances increased by 12% (P = 0.001), with a 33% increase in children under the age of 5 years (P = 0.001). Despite this there was a reduction of 6% in inpatient paediatric bed usage. Staff decision making and documentation improved during paediatric patient care, and parent and staff satisfaction with care of children improved.

CONCLUSIONS:

This initiative was successful in improving local paediatric facilities and patient care and is a new and innovative means of improving paediatric emergency care.

[Indexed for MEDLINE]

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