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

作     者：Courtney M Rowan A Ioana Cristea Jennifer C Hamilton Nicole M Taylor Mara E Nitu Veda L Ackerman 

作者机构：Department of Pediatrics Section of Critical Care Indiana University School of Medicine Riley Hospital for Children at Indiana University Health Department of Pediatrics Section of Pulmonology Indiana University School of Medicine Riley Hospital for Children at Indiana University Health Department of Psychology University of Indianapolis Indianapolis 

出 版 物：《World Journal of Clinical Pediatrics》 (世界临床儿科杂志)

年 卷 期：2016年第5卷第2期

页      面：191-197页

学科分类：1011[医学-护理学（可授医学、理学学位）] 10[医学] 

主　　题：Nurse practitioners Length of stay Cost effective health care Ventilation Pediatrics 

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 ***: 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.