Article Text

This article has a correction. Please see:

Download PDFPDF
Assessment of acute admissions by middle grade trainees and consultants will reduce the need for overnight hospital admissions
  1. M M Madlom1,
  2. R Singh1,
  3. A S Rigby2
  1. 1Doncaster and Bassetlaw NHS Trust, The Children’s Hospital, Doncaster Royal Infirmary, Armthorpe Road, Doncaster DN2 5LT, UK;
  2. 2Division of Child Health, Sheffield Children’s Hospital, Western Bank, Sheffield, UK

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

We carried out an audit to assess the impact on hospital admissions of patients being assessed by either middle grade trainees (residents) or consultants in a district general hospital (DGH). Our aims were to establish:

  • Number of children kept in hospital overnight and those discharged the same day

  • Number of readmissions of those discharged the same day

  • Any adverse events in those discharged home the same day.

We studied retrospectively all acute admissions to the children’s wards at Doncaster Royal Infirmary, a medium sized district general hospital, over the months of January and July 1998. We excluded all surgical and non-acute admissions. At the time of the study the Children’s Hospital did not have a day or acute assessment unit. Therefore the children were reviewed following admission to the wards. Whether trainees or consultants reviewed patients was an entirely random process, dependent on willingness and …

View Full Text