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Patients who leave emergency departments without being seen : literature review and English data analysis
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Clarey, A. and Cooke, Matthew (Professor of clinical systems design) (2012) Patients who leave emergency departments without being seen : literature review and English data analysis. Emergency Medicine Journal, 29 (8). pp. 617-621. doi:10.1136/emermed-2011-200537 ISSN 1472-0205.
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Official URL: http://dx.doi.org/10.1136/emermed-2011-200537
Abstract
OBJECTIVES:
The purpose of this review was to determine the rate of those that leave the emergency department (ED) without being seen and their reasons, to clarify if such behaviour poses a health risk, to analyse the impact initiatives have made on the leave without being seen (LWBS) rate, and to discuss the implications of using it as a national performance indicator within the NHS.
METHODS:
A combination of data sources was reviewed: a 'realistic' literature review, analysis of hospital episode statistics data from England and a local NHS trust audit.
MAJOR FINDINGS:
LWBS rates vary across the world, from 15% to 0.36%. Also initiatives to reduce LWBS rates demonstrated mixed outcomes, with reductions in the rate by as much as 96%, while others were ineffective. The most common reason quoted for LWBS was long waiting times and there were few data to suggest LWBS posed a risk to patient health.
CONCLUSIONS:
LWBS is an issue experienced in many countries that has responded in a varying manner to many initiatives in attempts to reduce it; however, it is clearly associated with the waiting times experienced in ED and therefore working within a packet of performance measures it would assess the effect of waiting times from another perspective.
Item Type: | Journal Article | ||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||
Journal or Publication Title: | Emergency Medicine Journal | ||||
Publisher: | BMJ Group | ||||
ISSN: | 1472-0205 | ||||
Official Date: | August 2012 | ||||
Dates: |
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Volume: | 29 | ||||
Number: | 8 | ||||
Page Range: | pp. 617-621 | ||||
DOI: | 10.1136/emermed-2011-200537 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
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