Management of non-urgent paediatric emergency department attendances by GPs: a retrospective observational study.

Background: Non-urgent emergency department (ED) attendances are common among children. Primary care management may not only be more clinically appropriate, but may also improve patient experience and be more cost-effective.

Aim: To determine the impact on admissions, waiting times, antibiotic prescribing, and treatment costs of integrating a GP into a paediatric ED.

Accuracy of a Modified qSOFA Score for Predicting Critical Care Admission in Febrile Children.

Background And Objectives: The identification of life-threatening infection in febrile children presenting to the emergency department (ED) remains difficult. The quick Sequential Organ Failure Assessment (qSOFA) was only derived for adult populations, implying an urgent need for pediatric scores. We developed and validated a novel, adapted qSOFA score (Liverpool quick Sequential Organ Failure Assessment [LqSOFA]) and compared its performance with qSOFA, Pediatric Early Warning Score (PEWS), and National Institute for Health and Care Excellence (NICE) high-risk criteria in predicting critical care (CC) admission in febrile children presenting to the ED.

The cost of diagnostic uncertainty: a prospective economic analysis of febrile children attending an NHS emergency department.

Background: Paediatric fever is a common cause of emergency department (ED) attendance. A lack of prompt and definitive diagnostics makes it difficult to distinguish viral from potentially life-threatening bacterial causes, necessitating a cautious approach. This may result in extended periods of observation, additional radiography, and the precautionary use of antibiotics (ABs) prior to evidence of bacterial foci.

To GP or not to GP: a natural experiment in children triaged to see a GP in a tertiary paediatric emergency department (ED).

Objective: To evaluate the impact of integrating a general practitioner (GP) into a tertiary paediatric emergency department (ED) on admissions, waiting times and antibiotic prescriptions.

Design: Retrospective cohort study.

Setting: Alder Hey Children's NHS Foundation Trust, a tertiary paediatric hospital in Liverpool, UK.