Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse practitioners.

J Trauma Nurs 2014 Nov-Dec;21(6):272-5; quiz 276-7

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).

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.

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http://dx.doi.org/10.1097/JTN.0000000000000080DOI Listing
November 2016
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