Nurse practitioner coverage is associated with a decrease in length of stay in a pediatric chronic ventilator dependent unit

• 作者: A Ioana Cristea Courtney M Rowan Jennifer C Hamilton Mara E Nitu Nicole M Taylor Veda L Ackerman
• 来源期刊: 世界临床儿科杂志
• 学科: 医学
• 关键词: NURSE practitioners Length of stay Cost effective health care Ventilation PEDIATRICS
• 年，卷（期）: 2016,（2）
• 页码范围: 191-197
• 页数: 7页
• 分类号: R

摘要

AIM:To hypothesize a dedicated critical care nurse practitioner(NP)is associated with a decreased length of stay(LOS)from a pediatric chronic ventilator dependent unit(PCVDU).METHODS:We retrospectively reviewed patients requiring care in the PCVDU from May 2001 through May 2011 comparing the 5 years prior to the 5 years post implementation of the critical care NP in 2005.LOS and room charges were obtained.RESULTS:The average LOS decreased from a median of 55 d[interquartile range(IQR):9.8-108.3]to a median of 12(IQR:4.0-41.0)with the implementation of a dedicated critical care NP(P<1.0001).Post implementation of a dedicated NP,a savings of 25738049 in room charges was noted over 5 years.CONCLUSION:Our data demonstrates a critical care NP coverage model in a PCVDU is associated with a significantly reduced LOS demonstrating that the NP is an efficient and likely cost-effective addition to a medically comprehensive service.