Re-attenders to the emergency department of a major urban hospital serving a population of 290,000.

Hdl Handle:
http://hdl.handle.net/10147/559112
Title:
Re-attenders to the emergency department of a major urban hospital serving a population of 290,000.
Authors:
Ramasubbu, B; Lee, B; Collins, N
Citation:
Re-attenders to the emergency department of a major urban hospital serving a population of 290,000. 2015, 108 (1):15-6, 18-9 Ir Med J
Publisher:
Irish Medical Journal
Journal:
Irish medical journal
Issue Date:
Jan-2015
URI:
http://hdl.handle.net/10147/559112
PubMed ID:
25702348
Abstract:
The national Emergency Medicine Programme (EMP) in Ireland, defines a re-attender as any patient re-presenting to the Emergency Department (ED) within 28 days with the same chief complaint. A retrospective, electronic patient record audit was carried out on all re-attenders to Connolly ED during November 2012. There were 2919 attendances made up from 2530 patients; 230 patients re-attended a total of 389 times. The re-attendance rate was 13% (389/2919). 63 (27%) were frequent presenters. There was a significantly higher admission rate at second attendance than first (89 (39%) vs 39 (17%), p < 0.001). 25% (57/230) of patients 'left before completion of treatment' (LBCT) at first attendance (significantly higher than the number at second attendance (p < 0.01)). 14/57 (25%) of those who LBCT at first attendance required admission at second attendance. 28/89 (31%) of second attendance admissions were failed discharges from first attendance. Reasons for re-attendance are multi-factorial and include both patient and departmental factors.
Item Type:
Article
Language:
en
Keywords:
EMERGENCY CARE; HOSPITALS; ATTENDANCE MANAGEMENT
MeSH:
Adolescent; Adult; Ambulatory Care; Electronic Health Records; Emergency Service, Hospital; Female; Hospitals, Urban; Humans; Ireland; Male; Medical Audit; Middle Aged; Patient Admission; Patient Discharge; Retrospective Studies; Young Adult
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorRamasubbu, Ben
dc.contributor.authorLee, Ben
dc.contributor.authorCollins, Nen
dc.date.accessioned2015-07-07T10:38:20Zen
dc.date.available2015-07-07T10:38:20Zen
dc.date.issued2015-01en
dc.identifier.citationRe-attenders to the emergency department of a major urban hospital serving a population of 290,000. 2015, 108 (1):15-6, 18-9 Ir Med Jen
dc.identifier.issn0332-3102en
dc.identifier.pmid25702348en
dc.identifier.urihttp://hdl.handle.net/10147/559112en
dc.description.abstractThe national Emergency Medicine Programme (EMP) in Ireland, defines a re-attender as any patient re-presenting to the Emergency Department (ED) within 28 days with the same chief complaint. A retrospective, electronic patient record audit was carried out on all re-attenders to Connolly ED during November 2012. There were 2919 attendances made up from 2530 patients; 230 patients re-attended a total of 389 times. The re-attendance rate was 13% (389/2919). 63 (27%) were frequent presenters. There was a significantly higher admission rate at second attendance than first (89 (39%) vs 39 (17%), p < 0.001). 25% (57/230) of patients 'left before completion of treatment' (LBCT) at first attendance (significantly higher than the number at second attendance (p < 0.01)). 14/57 (25%) of those who LBCT at first attendance required admission at second attendance. 28/89 (31%) of second attendance admissions were failed discharges from first attendance. Reasons for re-attendance are multi-factorial and include both patient and departmental factors.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.rightsArchived with thanks to Irish medical journalen
dc.subjectEMERGENCY CAREen
dc.subjectHOSPITALSen
dc.subjectATTENDANCE MANAGEMENTen
dc.subject.meshAdolescenten
dc.subject.meshAdulten
dc.subject.meshAmbulatory Careen
dc.subject.meshElectronic Health Recordsen
dc.subject.meshEmergency Service, Hospitalen
dc.subject.meshFemaleen
dc.subject.meshHospitals, Urbanen
dc.subject.meshHumansen
dc.subject.meshIrelanden
dc.subject.meshMaleen
dc.subject.meshMedical Auditen
dc.subject.meshMiddle Ageden
dc.subject.meshPatient Admissionen
dc.subject.meshPatient Dischargeen
dc.subject.meshRetrospective Studiesen
dc.subject.meshYoung Adulten
dc.titleRe-attenders to the emergency department of a major urban hospital serving a population of 290,000.en
dc.typeArticleen
dc.identifier.journalIrish medical journalen
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen

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