Navigation Links
Loyola nurse practitioner reduces unnecessary emergency department visits
Date:11/4/2011

MAYWOOD, Ill. -- 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.

"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."


'/>"/>

Contact: Nora Dudley
nplunkett@lumc.edu
708-216-6268
Loyola University Health System
Source:Eurekalert

Related medicine news :

1. Doctor to the worlds poor to speak at Loyola
2. Loyolas on-site cardiology team dramatically improves care for heart attack patients
3. Loyola physician helps develop national guidelines for osteoporosis
4. Louisiana's First DNP Program Kicks Off Classes at Loyola University New Orleans
5. Chicago Trial Attorney Inducted as Loyola University Chicago School of Law's First Cooney & Conway Chair in Advocacy
6. Loyola among worlds top centers in pathology competition
7. New analysis from the Nurses Health Study: Association of alcohol with risk of breast cancer
8. NYUCN receives $1 million HRSA grant to incorporate primary care into nurse-midwives education
9. Nurses boost well-being for cancer survivors
10. Allegheny General nurse to receive 2011 ASTRO Nurse Excellence Award
11. National leader in nurse midwifery to present award
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/4/2016)... ... 2016 , ... Trinity Health today launched its inaugural Innovation ... at improving care and reducing readmission rates for patients who are dually eligible ... is to drive innovation that transforms our ministry and our industry to be ...
(Date:5/4/2016)... SCOTTSDALE, AZ (PRWEB) , ... May 04, 2016 ... ... 2016 Annual Technology & Business Conference. The conference opened on Tuesday with Frank ... panel discussion on NCPDP’s PDMP Solution provided a deep dive on NCPDP’s model ...
(Date:5/4/2016)... ... 04, 2016 , ... Level 10 Head Over Heels Athletic Arts’ gymnast Alessandra ... of Arizona for the fall of 2019. , After a handful of college ... the GymCats came from her connection with the coaching staff and the excitement surrounding ...
(Date:5/4/2016)... ... May 04, 2016 , ... IsoComforter, Inc., one of ... the innovative newly improved Iso-Hip Wrap. The newly designed hip wrap has ... comfort and enables the patient to enjoy the benefits of cold therapy while ...
(Date:5/4/2016)... ... May 04, 2016 , ... Nike Rugby Camp's success is ... San Diego. Willis, founder of Elite Rugby Camps and current Nike Camp director, has ... year since 2009. , “I’m excited for our eighth summer here in San ...
Breaking Medicine News(10 mins):
(Date:5/3/2016)... May 3, 2016 BioNovus Innovations LLC ... for Advancing Medical Innovation (IAMI) today announced a ... diagnostics and medical devices. An agreement ... rights to license, develop and commercialize medical innovations ... "This partnership represents a significant advance in ...
(Date:5/3/2016)... , May 3, 2016  Axiogenesis has acquired a major investment from Sino-German High-Tech Fund to further expand ... Photo - http://photos.prnewswire.com/prnh/20160503/362921 ... ... ... ...
(Date:5/3/2016)... , May 3, 2016 ACME ... Jack Whelan and Delaware County Councilman ... HCI) Nasal Spray in all ACME pharmacies ... Centers for Disease Control and Prevention (CDC), naloxone has saved 26,463 ... police officers in Delaware County were authorized ...
Breaking Medicine Technology: