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  • Assessment of acute admissions by middle grade trainees and consultants will reduce the need for overnight hospital admissions

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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; madlom@hotmail.com
  2. 2Division of Child Health, Sheffield Children’s Hospital, Western Bank, Sheffield, UK

https://doi.org/10.1136/adc.87.4.357-a

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    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 …

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