scholarly journals An evaluation of the quality of Emergency Nurse Practitioner services for patients presenting with minor injuries to one rural urgent care centre in the UK: a descriptive study

2014 ◽  
Vol 24 (3-4) ◽  
pp. 523-535 ◽  
Author(s):  
Joe McDevitt ◽  
Vidar Melby
Keyword(s):  
Nurse Practitioner ◽  
Descriptive Study ◽  
Urgent Care ◽  
Care Centre ◽  
Minor Injuries ◽  
The Uk ◽  
Urgent Care Centre

scholarly journals P029: Requesting prescriptions in the emergency department: the patient, the request and the response

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S74-S75
Author(s):  
L. Shepherd ◽  
M. Mucciaccio ◽  
K. VanAarsen
Keyword(s):  
Emergency Department ◽  
Family Doctor ◽  
Wait Time ◽  
Primary Objective ◽  
Urgent Care ◽  
Care Centre ◽  
Medication Prescription ◽  
Physician Decision Making ◽  
Service Gap ◽  
Urgent Care Centre

Introduction: Patients presenting to the Emergency Department (ED) for the sole purpose of requesting prescriptions are problematic. Problematic for the patient, who may have a long wait to be seen and may leave dissatisfied. Problematic for the ED physician, who is in the business of episodic not comprehensive care and is diligently trying to avoid the misappropriation of medications. The primary objective of this study was to determine the characteristics of patients who present to the ED or Urgent Care Centre (UCC) requesting a prescription, the nature of these requests and the resulting action by the attending physician. The secondary objective was to determine the proportion of medication requests and responses that have potential street value. With this knowledge we may be better positioned to serve these patients and support physician decision-making. Methods: This was a single-centre, retrospective electronic chart review looking at all adult patients with a presenting complaint of medication request who attended a two-site tertiary ED or an Urgent Care Centre (UCC) in London, Ontario between April 1, 2014 and June 30, 2017. Data was tested for normality and analyzed using descriptive statistics. Results: A total of 1923 cases met the inclusion criteria. Cases were removed (n = 421) if it was unclear which prescription was requested or if a non-medication prescription or injection was requested. The patient median (IQR) age was 44 (32-54) with 58% being male and 55% having a family doctor. There were a total of 2261 prescriptions requested by 1502 patients. The top 3 most commonly requested classes of medications were opioids 433/1502 (28.8%), antidepressants/antipsychotics 371/1502 (24.7%) and benzodiazepines 252/1502 (16.8%). The median (IQR) wait time was 73 minutes (35-128). 298/1502 (19.8%) of patients received their requested prescription (opioids 12.7%; antidepressant/antipsychotic 55.3% and benzodiazepines 16.3%). 740/1502 (49.3%) of patients requested a medication that had street value. Of those, 118/740 (15.9%) received the requested medication. Conclusion: There is no “one size fits all” solution for the patient who presents to the ED requesting a prescription. The large number of requests for psychiatric medications suggests a service gap for mental health patients in the community. This data supports the need for comprehensive electronic medication records to guide physicians’ decisions.

scholarly journals Describing team development within a novel GP-led urgent care centre model: a qualitative study

BMJ Open ◽  
2016 ◽  
Vol 6 (6) ◽  
pp. e010224 ◽  
Author(s):  
Sarah Morton ◽  
Agnieszka Igantowicz ◽  
Shamini Gnani ◽  
Azeem Majeed ◽  
Geva Greenfield
Keyword(s):  
Qualitative Study ◽  
Team Development ◽  
Urgent Care ◽  
Care Centre ◽  
Urgent Care Centre

Urgent care centre in Sweden — the integration of teams and perceived effects

2019 ◽  
Vol 34 (4) ◽  
pp. 1205-1216 ◽  
Author(s):  
Ingela Wennman ◽  
Malin Wittholt ◽  
Eric Carlström ◽  
Tobias Carlsson ◽  
Amir Khorram‐Manesh
Keyword(s):  
Urgent Care ◽  
Care Centre ◽  
Perceived Effects ◽  
Urgent Care Centre

Patterns of healthcare use among adolescents attending an urban general practitioner-led urgent care centre

2013 ◽  
Vol 31 (8) ◽  
pp. 630-636 ◽  
Author(s):  
Shamini Gnani ◽  
Helen McDonald ◽  
Saiful Islam ◽  
Farzan Ramzan ◽  
Michele Davison ◽  
...  
Keyword(s):  
General Practitioner ◽  
Urgent Care ◽  
Care Centre ◽  
Healthcare Use ◽  
Urgent Care Centre

Reasons for attending an urban urgent care centre with minor illness: a questionnaire study

2014 ◽  
Vol 31 (e1) ◽  
pp. e71-e75 ◽  
Author(s):  
C Amiel ◽  
B Williams ◽  
F Ramzan ◽  
S Islam ◽  
T Ladbrooke ◽  
...  
Keyword(s):  
Urgent Care ◽  
Questionnaire Study ◽  
Care Centre ◽  
Minor Illness ◽  
Urgent Care Centre

scholarly journals Outcomes of Establishing an Urgent Care Centre in the Same Location as an Emergency Department

2020 ◽  
Vol 12 (19) ◽  
pp. 8190
Author(s):  
Annelie Raidla ◽  
Katrin Darro ◽  
Tobias Carlson ◽  
Amir Khorram-Manesh ◽  
Johan Berlin ◽  
...  
Keyword(s):  
Emergency Department ◽  
Waiting Times ◽  
Urgent Care ◽  
Care Centre ◽  
Close Collaboration ◽  
Surge Capacity ◽  
Close Proximity ◽  
Major Incidents ◽  
Use Of Medical Services ◽  
Urgent Care Centre

The emergency department (ED) is one of the busiest facilities in a hospital, and it is frequently described as a bottleneck that limits space and structures, jeopardising surge capacity during Major Incidents and Disasters (MIDs) and pandemics such as the COVID 19 outbreak. One remedy to facilitate surge capacity is to establish an Urgent Care Centre (UCC), i.e., a secondary ED, co-located and in close collaboration with an ED. This study investigates the outcome of treatment in an ED versus a UCC in terms of length of stay (LOS), time to physician (TTP) and use of medical services. If it was possible to make these parameters equal to or even less than the ED, UCCs could be used as supplementary units to the ED, improving sustainability. The results show reduced waiting times at the UCC, both in terms of TTP and LOS. In conclusion, creating a primary care-like facility in close proximity to the hospitals may not only relieve overcrowding of the hospital’s ED in peacetime, but it may also provide an opportunity for use during MIDs and pandemics to facilitate the victims of the incident and society as a whole.

scholarly journals Urgent care centre redirection: evaluation of a nurse-led intervention

2018 ◽  
Vol 25 (09) ◽  
pp. 25-30
Author(s):  
Nicola Groom ◽  
Tara Kidd ◽  
Nicola Carey
Keyword(s):  
Urgent Care ◽  
Care Centre ◽  
Urgent Care Centre

scholarly journals Evaluation of a general practitioner-led urgent care centre in an urban setting: description of service model and plan of analysis

2013 ◽  
Vol 4 (6) ◽  
pp. 204253331348626 ◽  
Author(s):  
Shamini Gnani ◽  
Farzan Ramzan ◽  
Tim Ladbrooke ◽  
Hugh Millington ◽  
Saiful Islam ◽  
...  
Keyword(s):  
General Practitioner ◽  
Urban Setting ◽  
Urgent Care ◽  
Care Centre ◽  
Service Model ◽  
Urgent Care Centre

scholarly journals Nurse practitioner led model of after-hours emergency care in an Australian rural urgent care Centre: health service stakeholder perceptions

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elena Wilson ◽  
Lisa C. Hanson ◽  
Kathleen E. Tori ◽  
Byron M. Perrin
Keyword(s):  
Health Care ◽  
Health Service ◽  
Rural Health ◽  
Nurse Practitioner ◽  
Care Delivery ◽  
Urgent Care ◽  
Quality Health Care ◽  
Quality Health ◽  
After Hours ◽  
Urgent Care Centre

Abstract Background The challenges of providing and accessing quality health care in rural regions have long been identified. Innovative solutions are not only required but are also vital if effective, timely and equitable access to sustainable health care in rural communities is to be realised. Despite trial implementation of some alternative models of health care delivery, not all have been evaluated and their impacts are not well understood. The aim of this study was to explore the views of staff and stakeholders of a rural health service in relation to the implementation of an after-hours nurse practitioner model of health care delivery in its Urgent Care Centre. Methods This qualitative study included semi-structured individual and group interviews with professional stakeholders of a rural health service in Victoria, Australia and included hospital managers and hospital staff who worked directly or indirectly with the after-hours NPs in addition to local GPs, GP practice nurses, and paramedics. Thematic analysis was used to generate key themes from the data. Results Four themes emerged from the data analysis: transition to change; acceptance of the after-hours nurse practitioner role; workforce sustainability; and rural context. Conclusions This study suggests that the nurse practitioner-led model is valued by rural health practitioners and could reduce the burden of excessive after-hour on-call duties for rural GPs while improving access to quality health care for community members. As pressure on rural urgent care centres further intensifies with the presence of the COVID-19 pandemic, serious consideration of the nurse practitioner-led model is recommended as a desirable and effective alternative.

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