Validation of the paediatric appropriateness evaluation protocol in British practice

Werneke, Ursula, Smith, Helen, Smith, Iain J, Taylor, Jeanette and McFaul, Roderick (1997) Validation of the paediatric appropriateness evaluation protocol in British practice. Archives of Disease in Childhood, 77 (4). pp. 294-298. ISSN 0003-9888

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The reliability and validity of the North American paediatric appropriateness evaluation protocol (PAEP) for use in paediatric practice in Britain was tested. The protocol was applied to 418 case records of consecutive emergency admissions to three Yorkshire district general hospitals. The PAEP ratings were then compared with a clinical consensus opinion obtained from two expert panels. Altogether 32% of the admissions were rated inappropriate by the PAEP and 36% by the panels. Validity of the PAEP, as measured by agreement beyond chance with the expert panel rating, was only moderate with a κ of 0.29 (95% confidence interval 0.11 to 0.47). The PAEP has limited validity for evaluating British paediatric practice. Utilisation review instruments developed in differing clinical cultures should be used with caution until shown to be valid for the practice setting under review.

Item Type: Article
Keywords: paediatric appropriateness evaluation protocol; hospitalisation; paediatric admissions
Schools and Departments: Brighton and Sussex Medical School > Primary Care and Public Health
Depositing User: Jane Harle
Date Deposited: 07 Oct 2008
Last Modified: 25 Apr 2018 12:02
Google Scholar:20 Citations
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