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    DNW--"did not wait" or "demographic needing work": a study of the profile of patients who did not wait to be seen in an Irish emergency department.

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    Authors
    Gilligan, P
    Joseph, D
    Winder, S
    Keeffe, F O'
    Oladipo, O
    Ayodele, T
    Asuquo, Q
    O'Kelly, P
    Hegarty, D
    Affiliation
    Emergency department Beaumont Hospital, Beaumont Road, Dublin, D9, Ireland. peadargilligan@beaumont.ie
    Issue Date
    2009-11
    MeSH
    Adolescent
    Adult
    Aged
    Child
    Child, Preschool
    Emergency Service, Hospital
    Hospitals, Teaching
    Hospitals, Urban
    Humans
    Infant
    Ireland
    Middle Aged
    Patient Acceptance of Health Care
    Patient Dropouts
    Prospective Studies
    Time Factors
    Triage
    Waiting Lists
    Young Adult
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    Citation
    DNW--"did not wait" or "demographic needing work": a study of the profile of patients who did not wait to be seen in an Irish emergency department. 2009, 26 (11):780-2 Emerg Med J
    Journal
    Emergency medicine journal : EMJ
    URI
    http://hdl.handle.net/10147/127240
    DOI
    10.1136/emj.2008.063388
    PubMed ID
    19850798
    Abstract
    Patients who fail to wait for medical assessment in the emergency department (ED) have been referred to in the international literature as "did not wait" (DNW) or "left without being seen" (LWBS) patients or, indeed, simply as "walkouts". This is taken as a performance indicator internationally. In common with many countries, Ireland has very considerable problems in the delivery of ED care due largely to inadequate resources and the inappropriate use of EDs as holding bays for admitted patients. This is the first study of this size to profile the DNW phenomenon in Ireland.
    The charts of DNW patients were identified and the DNW status was entered into the ED computer record. Data concerning age, sex, time of arrival, date of arrival, triage category and presenting complaint were recorded.
    In the study period there were 11 662 patient attendances, of whom 871 patients (7.47%) did not wait for assessment. Triage category was highly statistically significant, with those in the lowest triage category having the highest numbers not waiting to be seen (p<0.001). Those attending at night (p<0.001) and at the weekend (p = 0.03) were most likely to leave without being assessed.
    Failure to provide the service in a timely manner gives rise to patients leaving without receiving the medical assessment they came to obtain. This is a serious clinical problem and puts both those requiring care and those providing it at risk of adverse outcomes.
    Item Type
    Article
    Language
    en
    ISSN
    1472-0213
    ae974a485f413a2113503eed53cd6c53
    10.1136/emj.2008.063388
    Scopus Count
    Collections
    Beaumont Hospital

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