Archives of disease in childhood
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Observational Study
The role of nurses' clinical impression in the first assessment of children at the emergency department.
To assess the diagnostic value and determinants of nurses' clinical impression for the recognition of children with a serious illness on presentation to the emergency department (ED). ⋯ The overall clinical impression of experienced nurses at the ED is on its own, not an accurate predictor of serious illness in children, but provides additional information above some well-established and objective predictors of illness severity.