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

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    Authors
    Ramasubbu, B
    Lee, B
    Collins, N
    Issue Date
    2015-01
    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
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    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
    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
    ISSN
    0332-3102
    Collections
    Connolly Hospital

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