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

Hdl Handle:
http://hdl.handle.net/10147/207069
Title:
Did Not Wait Patient Management Strategy (DNW PMS) Study.
Affiliation:
Emergency Department, Beaumont Hospital, Beaumont Road, Dublin, Ireland.
Citation:
Emerg Med J. 2011 Jun 14.
Journal:
Emergency medicine journal : EMJ
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207069
DOI:
10.1136/emj.2010.109074
PubMed ID:
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.
Language:
ENG
ISSN:
1472-0213 (Electronic); 1472-0205 (Linking)

Full metadata record

DC FieldValue Language
dc.date.accessioned2012-02-01T09:58:30Z-
dc.date.available2012-02-01T09:58:30Z-
dc.date.issued2012-02-01T09:58:30Z-
dc.identifier.citationEmerg Med J. 2011 Jun 14.en_GB
dc.identifier.issn1472-0213 (Electronic)en_GB
dc.identifier.issn1472-0205 (Linking)en_GB
dc.identifier.pmid21673015en_GB
dc.identifier.doi10.1136/emj.2010.109074en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207069-
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.en_GB
dc.language.isoENGen_GB
dc.titleDid Not Wait Patient Management Strategy (DNW PMS) Study.en_GB
dc.contributor.departmentEmergency Department, Beaumont Hospital, Beaumont Road, Dublin, Ireland.en_GB
dc.identifier.journalEmergency medicine journal : EMJen_GB
dc.description.provinceLeinster-
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