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• W2103180765 abstract "To assess the impact of a purpose-built, short stay paediatric ambulatory care unit (PACU) on the patient journey and perceptions of parents, staff and referrers.Multi-method evaluation, including a parent survey (n = 104), patient journey mapping (n = 10), staff interviews (n = 10), a referrer survey (n = 16), routine activity analysis, and a comparison with the A&E service (A&E parent survey: n = 41).Almost all parents attending PACU (94%) were satisfied with the service and significantly more likely to feel very satisfied than parents attending A&E (PACU: 51%, A&E: 31%; p = 0.03). Further, over three quarters (77%) of PACU parents preferred the new model to traditional A&E services. They reported receiving sufficient information (93%), reduced anxiety (55% anxious before service, 13% anxious after; p<0.001), quick waiting times (median: 35 min), and enhanced confidence (87%) and understanding (89%) in dealing with their ill child. The number of stages in the patient journey was reduced from six (traditional A&E pathway) to four (PACU pathway). Staff and referrers reported this was a superior model to A&E, but that improvements were required around appropriate referrals and the need for more multi-disciplinary protocols and liaison.Our study suggests that the PACU model is perceived to be an effective alternative to standard A&E services for the assessment and early management of acutely ill children and their families attending a hospital. It is highly valued by users, staff and referrers and enhances the patient journey. Lessons learnt include the need to enhance multi-disciplinary processes and clarify the role of this form of acute care provision in the wider healthcare system." @default.
• W2103180765 created "2016-06-24" @default.
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• W2103180765 date "2008-08-01" @default.
• W2103180765 modified "2023-10-05" @default.
• W2103180765 title "Multi-method evaluation of a paediatric ambulatory care unit (PACU): impact on families and staff" @default.
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• W2103180765 doi "https://doi.org/10.1136/adc.2006.115386" @default.
• W2103180765 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/18337278" @default.
• W2103180765 hasPublicationYear "2008" @default.
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