Did Not Wait Patient Management Strategy (DNW PMS) Study.

Hdl Handle:
http://hdl.handle.net/10147/136340
Title:
Did Not Wait Patient Management Strategy (DNW PMS) Study.
Authors:
O'Keeffe, Fran; Cronin, Sinead; Gilligan, Peadar; O'Kelly, Patrick; Gleeson, Aidan; Houlihan, Patricia; Kelada, Sherif
Affiliation:
Emergency Department, Beaumont Hospital, Beaumont Road, Dublin, Ireland.
Citation:
Did Not Wait Patient Management Strategy (DNW PMS) Study. 2011:notEmerg Med J
Journal:
Emergency medicine journal : EMJ
Issue Date:
14-Jun-2011
URI:
http://hdl.handle.net/10147/136340
DOI:
10.1136/emj.2010.109074
PubMed ID:
21673015
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed/21673015
Abstract:
Objectives This study was undertaken to assess the usefulness of senior emergency medicine specialists' review of all 'did not wait' (DNW) patients' triage notes and the recall of at-risk patients. Methods A prospective study of all DNW patients was performed from 1 January to 31 December 2008. Following a daily review of charts of those who failed to wait to be seen, those patients considered to be at risk of adverse outcome were contacted by the liaison team and advised to return. Data were gathered on all DNW patients on the Oracle database and interrogated using the Diver solution. Results 2872 (6.3%) of 45 959 patients did not wait to be seen. 107 (3.7%) were recalled on the basis of senior emergency medicine doctor review of the patients' triage notes. Variables found to be associated with increased likelihood of being recalled included triage category (p<0.001), male sex (p<0.004) and certain clinical presentations. The presenting complaints associated with being recalled were chest pain (p<0.001) and alcohol/drug overdose (p=0.001). 9.4% of DNW patients required admission following recall. Conclusion The systematic senior doctor review of triage notes led to 3.7% of patients who failed to wait being recalled. 9.4% of those recalled required acute admission. The daily review of DNW patients' triage notes and the recalling of at-risk patients is a valuable addition to our risk management strategy.
Item Type:
Article
Language:
en
ISSN:
1472-0213

Full metadata record

DC FieldValue Language
dc.contributor.authorO'Keeffe, Franen
dc.contributor.authorCronin, Sineaden
dc.contributor.authorGilligan, Peadaren
dc.contributor.authorO'Kelly, Patricken
dc.contributor.authorGleeson, Aidanen
dc.contributor.authorHoulihan, Patriciaen
dc.contributor.authorKelada, Sherifen
dc.date.accessioned2011-07-19T13:48:44Z-
dc.date.available2011-07-19T13:48:44Z-
dc.date.issued2011-06-14-
dc.identifier.citationDid Not Wait Patient Management Strategy (DNW PMS) Study. 2011:notEmerg Med Jen
dc.identifier.issn1472-0213-
dc.identifier.pmid21673015-
dc.identifier.doi10.1136/emj.2010.109074-
dc.identifier.urihttp://hdl.handle.net/10147/136340-
dc.description.abstractObjectives This study was undertaken to assess the usefulness of senior emergency medicine specialists' review of all 'did not wait' (DNW) patients' triage notes and the recall of at-risk patients. Methods A prospective study of all DNW patients was performed from 1 January to 31 December 2008. Following a daily review of charts of those who failed to wait to be seen, those patients considered to be at risk of adverse outcome were contacted by the liaison team and advised to return. Data were gathered on all DNW patients on the Oracle database and interrogated using the Diver solution. Results 2872 (6.3%) of 45 959 patients did not wait to be seen. 107 (3.7%) were recalled on the basis of senior emergency medicine doctor review of the patients' triage notes. Variables found to be associated with increased likelihood of being recalled included triage category (p<0.001), male sex (p<0.004) and certain clinical presentations. The presenting complaints associated with being recalled were chest pain (p<0.001) and alcohol/drug overdose (p=0.001). 9.4% of DNW patients required admission following recall. Conclusion The systematic senior doctor review of triage notes led to 3.7% of patients who failed to wait being recalled. 9.4% of those recalled required acute admission. The daily review of DNW patients' triage notes and the recalling of at-risk patients is a valuable addition to our risk management strategy.-
dc.languageENG-
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/21673015en
dc.titleDid Not Wait Patient Management Strategy (DNW PMS) Study.en
dc.typeArticleen
dc.contributor.departmentEmergency Department, Beaumont Hospital, Beaumont Road, Dublin, Ireland.en
dc.identifier.journalEmergency medicine journal : EMJen
dc.description.provinceLeinster-
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