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December 1975

A Review of Pediatric Inpatient Care

Author Affiliations

From the departments of pediatrics, Yale University School of Medicine, New Haven, Conn (Dr Duff) and Downstate Medical Center, Brooklyn, NY (Dr Cook), US Kenner Army Hospital, Fort Lee, Va (Dr Margolis), departments of pediatrics, St Raphael's Hospital, New Haven (Dr Lattanzi) and Bridgeport Hospital, Bridgeport, Conn (Dr Landwirth).

Am J Dis Child. 1975;129(12):1422-1424. doi:10.1001/archpedi.1975.02120490036011

• Between 101 and 188 medical records of children hospitalized in each of three community hospitals and one major teaching hospital were examined to determine need for admission and quality of care administered. Two of the hospitals had been similarly studied two years before.

Twenty-five percent of all admissions and 17% of all patient days were considered unnecessary. The smallest number of inappropriate admissions was found in the major teaching institution, but one of the community hospitals without any teaching affiliation was notably better than the other two. The teaching hospital and the same community hospital also achieved the lowest questionable management rates.

Significant (P <.05) but minimal reduction had occurred in number of unnecessary admissions when first and second utilization studies in these two hospitals were compared.

(Am J Dis Child 129:1422-1424, 1975)