scholarly journals Emergency Departments and Occupational Therapy: Integration, Unscheduled Care and Over-crowding

2017 ◽  
Vol 17 (5) ◽  
pp. 387 ◽  
Author(s):  
Kirstin James
Keyword(s):  
Occupational Therapy ◽  
Emergency Departments ◽  
Unscheduled Care ◽  
Therapy Integration

Unscheduled Care Access in the United States-A Tale of Two Emergency Departments

2020 ◽  
Author(s):  
Arjun K. Venkatesh ◽  
Margaret B. Greenwood-Ericksen ◽  
Hao Mei ◽  
Craig Rothenberg ◽  
Zhenqiu Lin ◽  
...  
Keyword(s):  
United States ◽  
Emergency Departments ◽  
The United States ◽  
Care Access ◽  
Unscheduled Care

scholarly journals Multimorbidity Clustering of the Emergency Department Patient Flow: Impact Analysis of New Unscheduled Care Clinics

2020 ◽  
Author(s):  
Adrien Wartelle ◽  
Farah Mourad-Chehade ◽  
Farouk Yalaoui ◽  
Hélène Questiaux ◽  
Thomas Monneret ◽  
...  
Keyword(s):  
Emergency Department ◽  
Emergency Departments ◽  
Patient Flow ◽  
Temporal Trends ◽  
Healthcare Delivery ◽  
Period Effect ◽  
Care Services ◽  
Unscheduled Care ◽  
Before And After ◽  
The Impact

Abstract Background: In France, the number of admissions to emergency departments doubled between 1996 and 2016, leading to overcrowding. To cope with the resultant overcrowding, redirecting patients to new healthcare services is a viable solution, to spread demand more evenly across available healthcare delivery points, and render care more efficient. The goal of this study was to analyse the impact of opening new unscheduled care services on variations in patient attendance at a large emergency department. Methods: We performed a before-and-after study investigating the use of unscheduled care services in the Aube Department (Eastern France), focusing on emergency department attendance of Troyes Hospital. We applied a hierarchical clustering based on co-occurrence of diagnoses, to divide the population into different multimorbidity profiles and study their temporal trends. A multivariate logistic regression model was constructed to adjust the period effect for appropriate confounders. Results: In total, 120,718 visits to the emergency department were recorded over a 24-month period (2018-2019), and 14 clusters were identified accounting for 94.76% of all visits. The before-and-after analysis showed a decrease of 57.95 visits per week in 7 specific clusters, while the consumption of unscheduled health care services increased by 328.12 visits per week.Conclusions: Using an innovative and reliable methodology to evaluate changes in patient flow through the emergency department, our results could help to inform public health policy regarding the implementation of unscheduled care services, to ease pressure on emergency departments.

Occupational therapy and emergency departments: A critical review of the literature

2016 ◽  
Vol 79 (8) ◽  
pp. 459-466 ◽  
Author(s):  
Kirstin James ◽  
Derek Jones ◽  
Larissa Kempenaar ◽  
Jenny Preston ◽  
Susan Kerr
Keyword(s):  
Occupational Therapy ◽  
Critical Review ◽  
Emergency Departments ◽  
Review Of The Literature

Physiological Scoring: An Aid to Emergency Medical Services Transport Decisions?

2010 ◽  
Vol 25 (4) ◽  
pp. 320-323 ◽  
Author(s):  
Kirsty Challen ◽  
Darren Walter
Keyword(s):  
Emergency Department ◽  
Hospital Admission ◽  
Emergency Medical Services ◽  
Emergency Departments ◽  
Characteristic Curve ◽  
Medical Services ◽  
Care Providers ◽  
Emergency Medical ◽  
Unscheduled Care ◽  
Difficulty Breathing

AbstractIntroduction:Attendance at UK emergency departments is rising steadily despite the proliferation of alternative unscheduled care providers. Evidence is mixed on the willingness of emergency medical services (EMS) providers to decline to transport patients and the safety of incorporating such an option into EMS provision. Physiologically based Early Warning Scores are in use in many hospitals and emergency departments, but not yet have been proven to be of benefit in the prehospital arena.Hypothesis:The use of a physiological-social scoring system could safely identify patients calling EMS who might be diverted from the emergency department to an alternative, unscheduled, care provider.Methods:This was a retrospective, cohort study of patients with a presenting complaint of “shortness of breath” or “difficulty breathing” transported to the emergency department by EMS. Retrospective calculation of a physiologicalsocial score (PMEWS) based on first recorded data from EMS records was performed. Outcome measures of hospital admission and need for physiologically stabilizing treatment in the emergency department also were performed.Results:A total of 215 records were analyzed. One hundred thirty-nine (65%) patients were admitted from the emergency department or received physiologically stabilizing treatment in the emergency department. Area Under the Receiver Operating Characteristic Curve (AUROC) for hospital admission was 0.697 and for admission or physiologically stabilizing treatment was 0.710. No patient scoring <2 was admitted or received stabilizing treatment.Conclusions:Despite significant over-triage, this system could have diverted 79 patients safely from the emergency department to alternative, unscheduled, care providers.

Occupational therapy in emergency departments: Australian practice

2009 ◽  
Vol 15 (2) ◽  
pp. 257-265 ◽  
Author(s):  
Anne Cusick ◽  
Lucinda Johnson ◽  
Michelle Bissett
Keyword(s):  
Occupational Therapy ◽  
Emergency Departments

Emergency Departments Are Underutilized Sites for Suicide Prevention

Crisis ◽  
2010 ◽  
Vol 31 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Gregory Luke Larkin ◽  
Annette L. Beautrais
Keyword(s):  
Suicide Prevention ◽  
Emergency Departments

Suicidal Behavior and Non-Suicidal Self-Injury in Emergency Departments Underestimated by Administrative Claims Data

Crisis ◽  
2018 ◽  
Vol 39 (5) ◽  
pp. 318-325 ◽  
Author(s):  
Barbara Stanley ◽  
Glenn W. Currier ◽  
Megan Chesin ◽  
Sadia Chaudhury ◽  
Shari Jager-Hyman ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Suicide Attempts ◽  
The United States ◽  
Administrative Claims ◽  
Suicide Attempters ◽  
Self Injury ◽  
Axis I ◽  
Ed Visits ◽  
External Causes ◽  
Severe Psychopathology

Abstract. Background: External causes of injury codes (E-codes) are used in administrative and claims databases for billing and often employed to estimate the number of self-injury visits to emergency departments (EDs). Aims: This study assessed the accuracy of E-codes using standardized, independently administered research assessments at the time of ED visits. Method: We recruited 254 patients at three psychiatric emergency departments in the United States between 2007 and 2011, who completed research assessments after presenting for suicide-related concerns and were classified as suicide attempters (50.4%, n = 128), nonsuicidal self-injurers (11.8%, n = 30), psychiatric controls (29.9%, n = 76), or interrupted suicide attempters (7.8%, n = 20). These classifications were compared with their E-code classifications. Results: Of the participants, 21.7% (55/254) received an E-code. In all, 36.7% of research-classified suicide attempters and 26.7% of research-classified nonsuicidal self-injurers received self-inflicted injury E-codes. Those who did not receive an E-code but should have based on the research assessments had more severe psychopathology, more Axis I diagnoses, more suicide attempts, and greater suicidal ideation. Limitations: The sample came from three large academic medical centers and these findings may not be generalizable to all EDs. Conclusion: The frequency of ED visits for self-inflicted injury is much greater than current figures indicate and should be increased threefold.

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