title: Paediatric ED reattendance rates: comparing nurse practitioners and other clinicians.
abstract: OBJECTIVE
  The aim of this project is to establish the unplanned reattendance rate for paediatric emergency nurse practitioners (PENPs) working in a designated paediatric emergency department (PED) while identifying the case mix of patients seen by PENPs compared with their medical counterparts.
  
  
  METHODS
  Quantitative data regarding patient characteristics and reattendance were collected during retrospective review of case notes across two representative 2-week periods.
  
  
  METHODS
  The study site is a tertiary urban PED with an annual attendance of 32 000 patients aged from birth to 15 years.
  
  
  METHODS
  Reattendance rates, patient characteristics, triage scores, presenting complaint and numbers of patients discussed with a paediatric emergency medicine consultant were evaluated.
  
  
  RESULTS
  The results showed that PENPs have a lower reattendance rate (1.75%) when compared with senior and junior doctors in training (4.29%, 5.76%); however, PENPs treat a different population of children. When the odds of PENP reattendance are adjusted for this, the significance of the difference becomes less certain.
  
  
  CONCLUSIONS
  PENPs work autonomously when seeing children presenting with minor trauma and make a positive contribution in achieving the reattendance Clinical Quality Indicator.
authors.affiliation: Emergency Department, Bristol Royal Hospital for Children, Bristol, UK.
authors.forename: Jane E
authors.initials: JE
authors.lastname: Feetham
authors.affiliation: Emergency Department, Bristol Royal Hospital for Children, Bristol, UK.
authors.forename: Will
authors.initials: W
authors.lastname: Christian
authors.affiliation: Emergency Department, Bristol Royal Infirmary, Bristol, UK Academic Department of Emergency Care, University of the West of England, Bristol, UK.
authors.forename: Jonathan R
authors.initials: JR
authors.lastname: Benger
authors.affiliation: Emergency Department, Bristol Royal Infirmary, Bristol, UK.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Hoskins
authors.affiliation: Neonatal Intensive Care Unit, North Bristol NHS Trust, Southmead Hospital, Bristol, UK.
authors.forename: David
authors.initials: D
authors.lastname: Odd
authors.affiliation: Emergency Department, Bristol Royal Hospital for Children, Bristol, UK Academic Department of Emergency Care, University of the West of England, Bristol, UK.
authors.forename: Mark D
authors.initials: MD
authors.lastname: Lyttle
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008505:Medical Staff, Hospital / Q000706:statistics & numerical data*; D064701:Pediatric Nurse Practitioners / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012621:Seasons; D006113:United Kingdom
keywords: Emergency Department; Nursing, Practitioners; Paediatrics, Paediatric Emergency Medicine