Emergency department visits by patients with an internal medicine specialist: understanding the role of specialists in reducing ED crowding

Internal and Emergency Medicine
Emily AaronsonJarone Lee

Abstract

As emergency department (ED) crowding continues to worsen, many visits are at academic referral hospitals. As a result, engaging specialty services will be essential to decompressing the ED. To do this, it will be important to understand which specialties to focus interventions on for the greatest impact. To characterize the ED utilization of non-surgical adult patients with an ambulatory specialist who were seen and discharged from the ED. Retrospective cohort study of all consecutive patients currently under the care from a specialist presenting to an urban, university affiliated hospital between 01 January 2015 and 31 December 2016. The identification of ED visits attributable to specialists was based on the primary diagnosis of ED visits and the frequency of visit with specialists within a given timeframe. Only patients who were discharged directly from the ED were included in the analysis. There were 29,853 ED visits by patients currently under the care of a specialist during the study period. 17.76% of these visits were related to the medical specialty of the specialist. Of these visits, 41.73% occurred during office hours, and 24.81% occurred during weekends. The specialties with the largest proportion of ED visits relat...Continue Reading

References

Aug 5, 1997·Evaluation & the Health Professions·J B FowlesC E McCoy
Jul 20, 2006·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Patrick T TyreeWilliam E Lafferty
Apr 25, 2008·Annals of Emergency Medicine·Nathan R Hoot, Dominik Aronsky
Nov 15, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Steven L BernsteinUNKNOWN Society for Academic Emergency Medicine, Emergency Department Crowding Task Force
Sep 8, 2010·Health Affairs·Stephen R PittsArthur L Kellermann
Oct 3, 2012·Annals of Emergency Medicine·Steve W Goodacre
Dec 21, 2013·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Eileen J CarterElaine L Larson

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