Abstract
Efficiency and cost containment have become primary goals of our health care system. However, strategies to accomplish these goals may result in nonselective reduction in both appropriate and inappropriate care. The Delay Tool has been used for concurrent and retrospective chart review to detect, quantify, and assign causes for medically unnecessary hospital days for adult patients. In this study, we validate use of this tool in a pediatric population because, as with adult patients, knowledge of specific causes of delays should help in planning and monitoring selective reduction of unnecessary delays in pediatric hospital use. Hospital expenditures account for 45% of all child health care costs in the United
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