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Validation of the paediatric appropriateness evaluation protocol in British practice

journal contribution
posted on 2023-06-07, 14:50 authored by Ursula Werneke, Helen Smith, Iain J Smith, Jeanette Taylor, Roderick McFaul
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 ? 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.

History

Publication status

  • Published

Journal

Archives of Disease in Childhood

ISSN

0003-9888

Publisher

BMJ Publishing Group

Issue

4

Volume

77

Page range

294-298

Department affiliated with

  • Primary Care and Public Health Publications

Full text available

  • No

Peer reviewed?

  • Yes

Legacy Posted Date

2008-10-07

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    University of Sussex (Publications)

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