A Survey of Return Visits to the Pediatric Emergency Department: The Caretakers' Perspective

Erin M. Augustine*, Tatiana D. Bekker, Ansha Goel, Kristen A. Breslin, James M. Chamberlain

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


Objective Approximately 5% of children return to the emergency department within 72 hours of a first evaluation. Previous literature has focused on healthcare utilization and the use of return visits as a quality metric. The goal of this study was to quantify reasons for return visits from the caretaker perspective. Methods Caretaker surveys were developed based on previously identified themes from focus groups. When considering reasons for return, multiple answers were allowed. Surveys were administered to a convenience sample of eligible caretakers who returned to the emergency department within 72 hours between June and August 2013. Caretakers were excluded if the return was scheduled or for an unrelated complaint. Results Of the 306 eligible caretakers, 83 (27%) participated. A majority returned because of continued (92%) or worsening symptoms (70%). More than half returned because they did not know how to help their child at home (60%), they did not understand their child's illness (59%), and/or they did not expect the persistence of symptoms (58%). Overall, caretakers felt more testing (55%), treatments (45%), medications (41%), and information (28%) should have been provided at the initial visit. Caretakers of children admitted at the second visit were significantly more dissatisfied with care at the first visit (P = 0.05). Conclusions The most commonly reported reasons for pediatric return visits were continued symptoms and lack of illness understanding. We plan to use these data to develop targeted interventions to decrease the perceived need for return visits.

Original languageEnglish (US)
Pages (from-to)27-32
Number of pages6
JournalPediatric emergency care
Issue number1
StatePublished - Jan 1 2018


  • emergency department
  • return visits

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine


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