Uniting emergency and inpatient clinicians across the ED-inpatient interface: The last frontier?

Emergency Medicine Australasia : EMA
Andrew StaibIan Scott

Abstract

Unwell patients in the ED requiring inpatient admission must negotiate the interface between the ED and inpatient wards. Despite its importance and scale, this ED-inpatient interface (EDii) is poorly characterised. The aim of this paper is to clearly define the EDii and to describe its importance to (i) the patient: delays to admission and errors in communication across the EDii can increase adverse outcomes; (ii) the hospital: poor EDii function reduces hospital efficiency and effectiveness; and (iii) the healthcare system: half of all hospital inpatient admissions occur via the EDii and so EDii affects system-wide performance. The EDii can be defined as the dynamic, transitional phase of patient care in which responsibility for, and delivery of care, is shared between ED and inpatient hospital services. The EDii is characterised by a complex interplay of patient, hospital and system factors. A clear definition of the EDii and an understanding of its importance will assist future research and interventions to improve patient outcomes.

References

Sep 28, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Julie ApkerScott C Gibson
Mar 4, 2009·Annals of Emergency Medicine·Debra F HillierAnne M Stack
May 15, 2009·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Ray LucasHamed Kabiri
Jun 11, 2010·Emergency Medicine Australasia : EMA·Roberto ForeroDrew B Richardson
Oct 16, 2010·Social Science & Medicine·Peter NugusJeffrey Braithwaite
Jul 7, 2012·The Journal of Emergency Medicine·Benjamin A WhiteDavid F M Brown
Aug 7, 2012·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Smitha R ChadagaEugene S Chu
May 16, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Peter M MullinsJesse M Pines
Sep 3, 2013·Current Emergency and Hospital Medicine Reports·William FordCandace D McNaughton
Mar 20, 2014·Joint Commission Journal on Quality and Patient Safety·Gene R QuinnRead Pierce
Mar 29, 2014·The Western Journal of Emergency Medicine·Scott P KrallJ Bruce Addison
May 21, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Stephen R PittsZachary Meisel
Jul 22, 2014·Annals of Emergency Medicine·Keith E KocherAdam L Sharp
Oct 10, 2014·Australian Health Review : a Publication of the Australian Hospital Association·Clair M SullivanIan A Scott
Oct 14, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jane McCuskerEric Belzile
May 16, 2015·Joint Commission Journal on Quality and Patient Safety·Brian HilligossSusan D Moffatt-Bruce
May 20, 2015·Australian Health Review : a Publication of the Australian Hospital Association·Clair SullivanIan Scott
Aug 19, 2015·Australian Health Review : a Publication of the Australian Hospital Association·Clair SullivanIan Scott
Oct 5, 2015·Australian Health Review : a Publication of the Australian Hospital Association·Andrew StaibIan Scott
May 14, 2016·The Medical Journal of Australia·Clair SullivanIan A Scott

❮ Previous
Next ❯

Citations

May 17, 2019·Critical Pathways in Cardiology·Julie WilliamsBenjamin Smallheer
Apr 6, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Maame Y A B YiadomShari Welch
Oct 23, 2019·Australian Health Review : a Publication of the Australian Hospital Association·Andrew StaibRob Eley

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.