Guidelines were developed at the Whittington Hospital paediatric emergency department (ED) for a nurse-led discharge pathway, initially for children presenting to the department having accidentally ingested a substance that was potentially toxic. Following the new pathway led to cuts in average time in hospital, time to treatment, and costs. Patients' experience of the emergency service was reported to be improved.
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Of the total population admitted over a 12-month period to a tertiary referral epilepsy centre for assessment of their seizure disorder, a high percentage were diagnosed with non-epileptic attack disorder. A retrospective analysis of these patients revealed that although intensive therapy and support was offered during the period of admission, the long-term resources for further management post-discharge were inadequate and in some cases non-existent. The implications for patient satisfaction with the service being offered are discussed and a patient information booklet produced in response to the findings is available by writing to the first author (H.R.).
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