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Evaluating the success of an inpatient PA and NP program through trends in ED consults.
- Source :
- JAAPA: Journal of the American Academy of Physician Assistants (Lippincott Williams & Wilkins); Jan2024, Vol. 37 Issue 1, p41-46, 6p
- Publication Year :
- 2024
-
Abstract
- Objective: We investigated the effect of an inpatient physician associate/assistant (PA) and NP program on consult volume, length of stay (LOS), and ED returns. Methods: A retrospective observational study of 4,118 orthopedic ED consults was conducted from January 2017 to March 2022. Univariate statistics were used to evaluate outcomes between cohorts and multivariate regression to evaluate the odds of an LOS of less than 24 hours. Results: After implementation of the PA and NP program, surgeon consults steadily declined and orthopedic consults increased markedly. Statistically significant differences were found in LOS of less than 24 hours and ED arrival-todischarge time. Adjusting for case mix, patients were 47% more likely to be discharged within 24 hours. Survey results noted that more than 80% of surgeons felt on-call workload, disruptions to clinic and surgical schedules decreased, and quality of care increased. Conclusions: Implementation of an inpatient PA and NP program reduced orthopedic surgeon consults and hospital LOS while improving surgeon satisfaction with on-call workload, schedule disruptions, and quality of care. [ABSTRACT FROM AUTHOR]
- Subjects :
- STATISTICS
LENGTH of stay in hospitals
HOSPITAL patients
HOSPITAL emergency services
SCIENTIFIC observation
CONFIDENCE intervals
MULTIVARIATE analysis
CROWDS
RETROSPECTIVE studies
INSTITUTIONAL review boards
EMPLOYEE recruitment
T-test (Statistics)
SOFTWARE architecture
DESCRIPTIVE statistics
CHI-squared test
NURSE practitioners
LOGISTIC regression analysis
ORTHOPEDICS
LONGITUDINAL method
Subjects
Details
- Language :
- English
- ISSN :
- 15471896
- Volume :
- 37
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- JAAPA: Journal of the American Academy of Physician Assistants (Lippincott Williams & Wilkins)
- Publication Type :
- Academic Journal
- Accession number :
- 175537556
- Full Text :
- https://doi.org/10.1097/01.JAA.0000995648.20577.85