Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse practitioners.
Missed injuries contribute to increased morbidity in trauma patients. A retrospective chart review was conducted of pediatric trauma patients from 2010 to 2013 with a documented missed injury. A significant percentage of missed injuries were identified (3.01% during July 2012 to December 2013 vs 0.39% during January 2010 to July 2012) with the addition of acute care trained pediatric nurse practitioners to the trauma service at a pediatric trauma center. The increase is thought to be due to improvement in charting, consistent personnel performing tertiary examinations, and improved radiology reads of outside films.
Department of Trauma Services, Riley Hospital for Children at IU Health, Indianapolis, Indiana (Mss Resler, Hackworth, and Mayo and Dr Rouse); Department of Surgery, Indiana University School of Medicine, Riley Hospital for Children at IU Health, Indianapolis, Indiana (Dr Rouse).
Julia
J
Resler
Jodi
J
Hackworth
Erin
E
Mayo
Thomas M
TM
Rouse
D000293:Adolescent; D002648:Child; D003951:Diagnostic Errors / Q000706:statistics & numerical data*; D005260:Female; D017052:Hospital Mortality; D006776:Hospitals, Pediatric / Q000458:organization & administration; D006801:Humans; D015994:Incidence; D015601:Injury Severity Score; D008297:Male; D009104:Multiple Trauma / Q000175:diagnosis / Q000401:mortality* / Q000451:nursing; D064701:Pediatric Nurse Practitioners / Q000458:organization & administration*; D012042:Registries; D012189:Retrospective Studies; D018570:Risk Assessment; D015996:Survival Rate; D014193:Trauma Centers / Q000458:organization & administration*; D014481:United States; D014947:Wounds and Injuries / Q000175:diagnosis* / Q000401:mortality / Q000451:nursing