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PubMed · 14575185

Preadmission testing in a children's facility.

Kathleen Sexton·Michelle Redfearn
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Abstract

NURSES IN A SAME DAY SURGERY (SDS) UNIT used their hospital's quality model to identify a long-term problem, establish a project, analyze the problem, and make recommendations for changes to improve patient care. THE PROCESS included conducting a review of the literature, collecting data about procedure delays and cancellations, making a site visit to another children's hospital, and presenting pertinent findings to the OR committee. THE NURSES initiated a pilot program to bring surgical patients into the SDS area for a preadmission testing visit. DELAYS AND CANCELLATIONS decreased, and satisfaction among nurses working in the SDS unit increased as a result of this program.

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Ambulatory Surgical ProceduresChildData CollectionDiagnostic Tests, RoutineHospitals, PediatricHumansMissouriOutcome Assessment, Health CarePatient AdmissionPediatric NursingPerioperative NursingPilot ProjectsQuality of Health CareJournal Article

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BibTeXRIS

Kathleen Sexton, Michelle Redfearn. 2003. Preadmission testing in a children's facility.. https://doi.org/10.1016/s0001-2092(06)60668-6

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PubMed2007

The role of gait analysis in the orthopaedic management of ambulatory cerebral palsy.

PURPOSE OF REVIEW: The literature was reviewed to describe the role of gait analysis in the orthopaedic management of ambulatory children with cerebral palsy and examine the current best evidence to support these roles. RECENT FINDINGS: Gait laboratory analysis is superior to visual or observational analysis of gait because it provides an objective record of gait that is able to quantify the magnitude of deviations of pathologic gait from normal and also explain these abnormalities. Recognizable gait patterns can be classified and used for making treatment decisions, the effectiveness of which can be assessed using gait analysis as a measure of gait outcomes. There are many sources of variability, however, including patients themselves, the gait laboratories and testing processes, interpretation of data and surgeons' surgical recommendations. SUMMARY: Although gait analysis has been shown to alter decision making, there is little evidence that the decisions based on gait analysis lead to better outcomes. Consequently, clinical gait analysis remains controversial, with wide variation in the rates of utilization of gait analysis in the management of children with ambulatory cerebral palsy. The time is ripe for clinical trials and cohort studies to provide the evidence to establish the appropriate utilization of this technology.

Ambulatory Surgical Procedures↗