Featured Research

from universities, journals, and other organizations

Adding nurse practitioner reduces unnecessary emergency department visits, study finds

Date:
November 28, 2011
Source:
Loyola University Health System
Summary:
Adding a nurse practitioner to a busy hospital staff can decrease unnecessary emergency department (ED) visits, according to a new study. Researchers found that the nurse practitioner reduced ED visits by improving the continuity in care and troubleshooting problems for patients. The addition of an NP also resulted in an improved use of resources and financial benefits for the health system.

Adding a nurse practitioner (NP) to a busy hospital staff can decrease unnecessary emergency department (ED) visits, according to a study published in the latest issue of Surgery by researchers at Loyola University Health System. Researchers found that the nurse practitioner reduced ED visits by improving the continuity in care and troubleshooting problems for patients. The addition of an NP also resulted in an improved use of resources and financial benefits for the health system.

Related Articles


"This study demonstrates the important role that nurse practitioners have in our increasingly complex health-care system," said senior author Margo Shoup, MD, FACS, Division Director of Surgical Oncology, Loyola University Health System. "With resident work restrictions and changes in reimbursement, the addition of a nurse practitioner to a busy practice can fill a void and maintain communication and care after a patient is released from the hospital."

This study evaluated the addition of an NP to a department with three surgeons. Patient records were analyzed one year before (415 patients) and one year after (411 patients) the NP joined the staff. The two groups were statistically similar in age, race, type of surgery, length of hospital stay and hospital readmissions. Patients were tracked after they were sent home from the hospital to determine how many unnecessarily returned to the ED. Researchers defined this as an ED visit that did not result in an inpatient admission.

Mary Kay Larson, BS, MSN, CNN, APRN-BC, is the nurse practitioner who was involved with this study. She communicated with patients and coordinated their discharge plan. Telephone conversations with patients increased by 64 percent during this time. Visiting nurse, physical therapy or occupational therapy services also increased from 25 percent before Larson joined the department to 39 percent after. These services resulted in significantly fewer unnecessary ED visits (25 vs. 13 percent) after she was involved.

"The major decrease in ED visits was due in large part to the communication I had with patients after they left the hospital," Larson said. "I routinely checked on their progress and responded to their concerns by ordering lab tests, calling in prescriptions and arranging to care for them in the outpatient setting to maintain continuity in treatment."

In 2003, resident work hours were restricted to 80 hours per week by the Accreditation Council for Graduate Medical Education. Hospitals have had to make adjustments to ensure patients continue to receive the best possible care. LUHS found that adding an NP to this department helped to accommodate this change without jeopardizing patient care.

"Hospitals must continue to adapt to the changing health-care environment," said Dr. Shoup, who also is an associate professor in the Department of Surgery at Loyola University Chicago Stritch School of Medicine. "The addition of a nurse practitioner clearly represents a way that we can adjust to meet the increasing demands of patient care while we are being asked to do more with less."

Additional LUHS investigators involved in this study included lead author Lourdes Robles, MD; Michele Slogoff, MD, FACS; Eva Ladwig-Scott, MD; Dan Zank, MD; Larson; and Gerard V. Aranha, MD, FRCSC, FRCSC.


Story Source:

The above story is based on materials provided by Loyola University Health System. Note: Materials may be edited for content and length.


Journal Reference:

  1. Lourdes Robles, Michele Slogoff, Eva Ladwig-Scott, Dan Zank, Mary Kay Larson, Gerard Aranha, Margo Shoup. The addition of a nurse practitioner to an inpatient surgical team results in improved use of resources. Surgery, 2011; 150 (4): 711 DOI: 10.1016/j.surg.2011.08.022

Cite This Page:

Loyola University Health System. "Adding nurse practitioner reduces unnecessary emergency department visits, study finds." ScienceDaily. ScienceDaily, 28 November 2011. <www.sciencedaily.com/releases/2011/11/111105153317.htm>.
Loyola University Health System. (2011, November 28). Adding nurse practitioner reduces unnecessary emergency department visits, study finds. ScienceDaily. Retrieved November 26, 2014 from www.sciencedaily.com/releases/2011/11/111105153317.htm
Loyola University Health System. "Adding nurse practitioner reduces unnecessary emergency department visits, study finds." ScienceDaily. www.sciencedaily.com/releases/2011/11/111105153317.htm (accessed November 26, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Wednesday, November 26, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

From Popcorn To Vending Snacks: FDA Ups Calorie Count Rules

From Popcorn To Vending Snacks: FDA Ups Calorie Count Rules

Newsy (Nov. 25, 2014) — The US FDA is announcing new calorie rules on Tuesday that will require everywhere from theaters to vending machines to include calorie counts. Video provided by Newsy
Powered by NewsLook.com
Daily Serving Of Yogurt Could Reduce Risk Of Type 2 Diabetes

Daily Serving Of Yogurt Could Reduce Risk Of Type 2 Diabetes

Newsy (Nov. 25, 2014) — Need another reason to eat yogurt every day? Researchers now say it could reduce a person's risk of developing type 2 diabetes. Video provided by Newsy
Powered by NewsLook.com
Madagascar Working to Contain Plague Outbreak

Madagascar Working to Contain Plague Outbreak

AFP (Nov. 24, 2014) — Madagascar said Monday it is trying to contain an outbreak of plague -- similar to the Black Death that swept Medieval Europe -- that has killed 40 people and is spreading to the capital Antananarivo. Duration: 00:42 Video provided by AFP
Powered by NewsLook.com
Are Female Bosses More Likely To Be Depressed?

Are Female Bosses More Likely To Be Depressed?

Newsy (Nov. 24, 2014) — A new study links greater authority with increased depressive symptoms among women in the workplace. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins