The Library
Process of care and activity in a clinically inclusive ambulatory emergency care unit : progressive effect over time on clinical outcomes and acute medical admissions
Tools
Tools
Tools
Reschen, Michael E, Bowen, Jordan, Singh, Sudhir, Rajwani, Mridula, Giles, Matthew, Price, James, Lasserson, Daniel and O'Callaghan, Christopher A (2020) Process of care and activity in a clinically inclusive ambulatory emergency care unit : progressive effect over time on clinical outcomes and acute medical admissions. Future Healthcare Journal, 7 (3). pp. 234-240. doi:10.7861/fhj.2019-0062
|
PDF
WRAP-process-care-activity-clinically-inclusive-ambulatory-emergency-care-unit-Lasserson-2020.pdf - Accepted Version - Requires a PDF viewer. Download (2719Kb) | Preview |
Official URL: http://dx.doi.org/10.7861/fhj.2019-0062
Abstract
Clinically relevant outcomes for same-day emergency care provided by ambulatory emergency care units (AECs) are largely unknown. We report the activity and outcomes for a large UK adult AEC operating an ambulatory-care-by-default model without specific exclusion criteria.
The AEC consultant triaged all acute medical referrals to either the AEC or the standard non-ambulatory ‘take’ pathway during AEC opening hours.
The proportion of acute medical referrals seen in the AEC increased to 42% (mean 700 referrals seen per month) in the last 6 months of the study and numbers seen in the non-ambulatory pathway fell. The most common diagnoses were for chest pain, pneumonia, cellulitis, heart failure and urinary system disorders. Seventy-four point eight per cent of patients completed their care in a single visit. In the last calendar year, the conversion rate from AEC to inpatient admission was 12%, and the 30-day readmission rate was 6.9% and 18% for the AEC and non-ambulatory pathways, respectively. Across the whole study period, the 30-day mortality was 1.6% and 6.9% for the AEC and non-ambulatory pathway, respectively.
This ambulatory approach is safe and effective.
| Item Type: | Journal Article | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine | ||||||||
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) Faculty of Medicine > Warwick Medical School |
||||||||
| Library of Congress Subject Headings (LCSH): | Ambulatory medical care , Ambulatory medical care -- Utilization, Hospitals -- Outpatient services | ||||||||
| Journal or Publication Title: | Future Healthcare Journal | ||||||||
| Publisher: | Royal College of Physicians | ||||||||
| ISSN: | 2514-6645 | ||||||||
| Official Date: | 2020 | ||||||||
| Dates: |
|
||||||||
| Volume: | 7 | ||||||||
| Number: | 3 | ||||||||
| Page Range: | pp. 234-240 | ||||||||
| DOI: | 10.7861/fhj.2019-0062 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Publisher Statement: | © Clinical Medicine, 2020. The definitive, peer-reviewed and edited version of this article is published in Future Healthcare Journal, 7 (3). pp. 234-240. | ||||||||
| Access rights to Published version: | Open Access |
Request changes or add full text files to a record
Repository staff actions (login required)
 |
View Item |
Downloads
Downloads per month over past year
