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  Vol. 282 No. 18, November 10, 1999 TABLE OF CONTENTS
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Safe Emergency Care

Rebecca Voelker

JAMA. 1999;282:1713.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Overworked and understaffed emergency departments in the United Kingdom can confidently turn to experienced nurse practitioners to treat minor injuries that junior doctors (the equivalent of interns in the United States) usually see.

In a new study, researchers at Northern General Hospital in Sheffield, England, compared the medical care and clinical outcomes of 704 patients treated by nurse practitioners and 749 patients cared for by junior doctors. Nurse practitioners in the study had at least 4 years of experience in emergency settings and up to 3 years as nurse practitioners. Junior doctors had at least 18 months of work experience.

Experienced emergency physicians who evaluated care provided by both groups found no significant differences, but a few minor ones were noted. Nurse practitioners were more accurate in taking a medical history, while junior doctors were more exact in patient examinations. Both groups ordered radiography more often than experienced . . . [Full Text of this Article]



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