Diagnostic accuracy of emergency nurse practitioners versus physicians related to minor illnesses and injuries

Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association
Christien van der LindenRien de Vos

Abstract

Our objectives were to determine the incidence of missed injuries and inappropriately managed cases in patients with minor injuries and illnesses and to evaluate diagnostic accuracy of the emergency nurse practitioners (ENPs) compared with junior doctors/senior house officers (SHOs). In a descriptive cohort study, 741 patients treated by ENPs were compared with a random sample of 741 patients treated by junior doctors/SHOs. Groups were compared regarding incidence and severity of missed injuries and inappropriately managed cases, waiting times, and length of stay. Within the total group, 29 of the 1,482 patients (1.9%) had a missed injury or were inappropriately managed. No statistically significant difference was found between the ENP and physician groups in terms of missed injuries or inappropriate management, with 9 errors (1.2%) by junior doctors/SHOs and 20 errors (2.7%) by ENPs. The most common reason for missed injuries was misinterpretation of radiographs (13 of 17 missed injuries). There was no significant difference in waiting time for treatment by junior doctors/SHOs versus ENPs (20 minutes vs 19 minutes). The mean length of stay was significantly longer for junior doctors/SHOs (65 minutes for ENPs and 85 minutes for...Continue Reading

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Citations

Jan 30, 2016·The Journal of Emergency Medicine·Mark ReiterBrady W Allen
Dec 7, 2013·International nursing review·A ter Maten-SpeksnijderA L van Staa
Jun 7, 2014·Emergency Medicine Journal : EMJ·Jane E FeethamMark D Lyttle
Jun 4, 2013·International Emergency Nursing·Beverly Snaith, Maryann Hardy
Feb 14, 2018·The Cochrane Database of Systematic Reviews·Daniela Gonçalves-BradleySasha Shepperd
Aug 11, 2018·Journal of the American Association of Nurse Practitioners·Karen Sue HoytDonna Agan
Nov 15, 2011·Advanced Emergency Nursing Journal·Karen Sue Hoyt, Jean A Proehl
Nov 16, 2012·The Cochrane Database of Systematic Reviews·Jaspreet K KhanguraSasha Shepperd
Mar 28, 2021·International Journal of Nursing Studies·Erika BomanLisbeth Fagerström

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