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Effect of house officer clerking on short-term outcomes in paediatric orthopaedic patients.

Abstract Children who are admitted with acute orthopaedic problems are often fit and healthy. The house officer (ie, intern) is required to carry out the formal clerking/admission of inpatients. However, they are often also busy with sick ward patients, which leads to delays in formal clerking of these children until after they have been to the operating theatre (OT). The aim of this study was to assess what information, if any, is missed in children who were seen by a house officer prior to going to OT, compared to those who were not.
PMID
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Authors

Mayor MeshTerms

Internship and Residency

Medical Staff, Hospital

Orthopedic Procedures

Keywords
Journal Title the new zealand medical journal
Publication Year Start




PMID- 28384146
OWN - NLM
STAT- MEDLINE
DA  - 20170406
DCOM- 20170418
LR  - 20170418
IS  - 1175-8716 (Electronic)
IS  - 0028-8446 (Linking)
VI  - 130
IP  - 1453
DP  - 2017 Apr 07
TI  - Effect of house officer clerking on short-term outcomes in paediatric orthopaedic
      patients.
PG  - 46-49
AB  - AIM: Children who are admitted with acute orthopaedic problems are often fit and 
      healthy. The house officer (ie, intern) is required to carry out the formal
      clerking/admission of inpatients. However, they are often also busy with sick
      ward patients, which leads to delays in formal clerking of these children until
      after they have been to the operating theatre (OT). The aim of this study was to 
      assess what information, if any, is missed in children who were seen by a house
      officer prior to going to OT, compared to those who were not. METHODS: All
      patients admitted to the paediatric surgical ward, under the orthopaedics service
      care, between 1 September 2015 and 30 November 2015 were included in this study. 
      Information on age, sex, medical background, details of the admission and
      post-operative complications were collected. RESULTS: A total of 139 children
      were admitted during the study period. The median age was 7.4 years (range,
      0.2-17.5) and a male:female ratio of 1.3:1. In this study, there was no
      statistically significant difference in patient characteristics, post-operative
      complications or length of hospital stay. However, patients clerked by house
      officers had better documentation of their regular medications and
      non-orthopaedic examination findings. CONCLUSION: To the author's knowledge, this
      is the first study to examine the effect of house officer admission on paediatric
      orthopaedic patient outcomes. A suggested solution would be to encourage
      documentation of medication history and examination findings by the anaesthetic
      registrar, since all patients must be reviewed pre-operatively.
FAU - Alamri, Yassar
AU  - Alamri Y
AD  - Department of Medicine, New Zealand Brain Research Institute, Christchurch.
LA  - eng
PT  - Journal Article
DEP - 20170407
PL  - New Zealand
TA  - N Z Med J
JT  - The New Zealand medical journal
JID - 0401067
SB  - IM
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - Documentation/*statistics & numerical data
MH  - Female
MH  - Fractures, Bone/*surgery
MH  - Humans
MH  - Hypersensitivity
MH  - Infant
MH  - *Internship and Residency
MH  - Length of Stay
MH  - Male
MH  - Medical History Taking/statistics & numerical data
MH  - *Medical Staff, Hospital
MH  - Medication Reconciliation/statistics & numerical data
MH  - *Orthopedic Procedures/adverse effects
MH  - Patient Admission/*statistics & numerical data
MH  - Postoperative Complications/etiology
MH  - Preoperative Period
MH  - Prospective Studies
MH  - Time Factors
COI - Nil.
EDAT- 2017/04/07 06:00
MHDA- 2017/04/19 06:00
CRDT- 2017/04/07 06:00
PST - epublish
SO  - N Z Med J. 2017 Apr 7;130(1453):46-49.

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