Premium
Emergency nurse practitioner care and emergency department patient flow: Case–control study
Author(s) -
Considine Julie,
Martin Roslyn,
Smit DeVilliers,
Winter Craig,
Jenkins Jane
Publication year - 2006
Publication title -
emergency medicine australasia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.602
H-Index - 52
eISSN - 1742-6723
pISSN - 1742-6731
DOI - 10.1111/j.1742-6723.2006.00870.x
Subject(s) - medicine , emergency department , managed care , medical diagnosis , emergency medicine , nurse practitioners , medical emergency , health care , nursing , pathology , economics , economic growth
Objective: The present study aimed to compare ED waiting times (for medical assessment and treatment), treatment times and length of stay (LOS) for patients managed by an emergency nurse practitioner candidate (ENPC) with patients managed via traditional ED care. Methods: A case–control design was used. Patients were selected using the three most common ED discharge diagnoses for ENPC managed patients: hand/wrist wounds, hand/wrist fractures and removal of plaster of Paris. The ENPC group ( n = 102) consisted of patients managed by the ENPC who had ED discharge diagnoses as mentioned above. The control group ( n = 623) consisted of patients with the same ED discharge diagnoses who were managed via traditional ED care. Results: There were no significant differences in median waiting times, treatment times and ED LOS between ENPC managed patients and patients managed via traditional ED processes. There appeared to be some variability between diagnostic subgroups in terms of treatment times and ED LOS. Conclusion: Patient flow outcomes for ENPC managed patients are comparable with those of patients managed via usual ED processes.