Tags

Type your tag names separated by a space and hit enter

Individual care plans can reduce hospital admission rate for patients who frequently attend the emergency department.
Emerg Med J. 2011 Aug; 28(8):654-7.EM

Abstract

AIM

To investigate the impact, in terms of hospital admission and investigations, of individual care plans for patients who frequently attend the emergency department (ED).

METHOD

32 patients who regularly attended the ED at St Thomas' Hospital were included in the study. After review of ED and hospital case records, an individual care plan was prepared for future attendances. The numbers of ED attendances, hospital admissions and investigations were collated from the electronic patient record system and compared for the 12 months prior to and 12 months after introduction of the care plan. Primary outcome measure was reduction in the number of hospital admissions (as a percentage of ED attendance). Secondary outcome measures were a reduction in the number of investigations and ED attendances.

RESULTS

In the 12 months prior to introduction of the individual care plans, the 32 patients accounted for 858 ED attendances and 209 admissions to hospital. In 12 months after introduction of the care plans, the number of ED attendances fell to 517, with only 77 hospital admissions. Median number of hospital admissions (as a percentage of ED attendances) fell from 18.8% to 7.1% (p=0.014) after introduction of the care plan. There were also reductions in median number of ED attendances (19 vs. 5, p=0.001), median number of radiology tests (4 vs 1, p=0.001) and median number of blood tests (55 vs. 12, p<0.001).

CONCLUSIONS

Individual care plans for a carefully selected group of patients who frequently attend the emergency department can result in a decrease in the number of hospital admissions and number of investigations.

Authors+Show Affiliations

Emergency Department, Royal Alexandra Hospital, Paisley PA2 9PN, UK. a.newton@nhs.netNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20515901

Citation

Newton, Alastair, et al. "Individual Care Plans Can Reduce Hospital Admission Rate for Patients Who Frequently Attend the Emergency Department." Emergency Medicine Journal : EMJ, vol. 28, no. 8, 2011, pp. 654-7.
Newton A, Sarker SJ, Parfitt A, et al. Individual care plans can reduce hospital admission rate for patients who frequently attend the emergency department. Emerg Med J. 2011;28(8):654-7.
Newton, A., Sarker, S. J., Parfitt, A., Henderson, K., Jaye, P., & Drake, N. (2011). Individual care plans can reduce hospital admission rate for patients who frequently attend the emergency department. Emergency Medicine Journal : EMJ, 28(8), 654-7. https://doi.org/10.1136/emj.2009.085704
Newton A, et al. Individual Care Plans Can Reduce Hospital Admission Rate for Patients Who Frequently Attend the Emergency Department. Emerg Med J. 2011;28(8):654-7. PubMed PMID: 20515901.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Individual care plans can reduce hospital admission rate for patients who frequently attend the emergency department. AU - Newton,Alastair, AU - Sarker,Shah Jalal, AU - Parfitt,Andy, AU - Henderson,Katherine, AU - Jaye,Peter, AU - Drake,Nicola, Y1 - 2010/06/01/ PY - 2010/6/3/entrez PY - 2010/6/3/pubmed PY - 2011/10/28/medline SP - 654 EP - 7 JF - Emergency medicine journal : EMJ JO - Emerg Med J VL - 28 IS - 8 N2 - AIM: To investigate the impact, in terms of hospital admission and investigations, of individual care plans for patients who frequently attend the emergency department (ED). METHOD: 32 patients who regularly attended the ED at St Thomas' Hospital were included in the study. After review of ED and hospital case records, an individual care plan was prepared for future attendances. The numbers of ED attendances, hospital admissions and investigations were collated from the electronic patient record system and compared for the 12 months prior to and 12 months after introduction of the care plan. Primary outcome measure was reduction in the number of hospital admissions (as a percentage of ED attendance). Secondary outcome measures were a reduction in the number of investigations and ED attendances. RESULTS: In the 12 months prior to introduction of the individual care plans, the 32 patients accounted for 858 ED attendances and 209 admissions to hospital. In 12 months after introduction of the care plans, the number of ED attendances fell to 517, with only 77 hospital admissions. Median number of hospital admissions (as a percentage of ED attendances) fell from 18.8% to 7.1% (p=0.014) after introduction of the care plan. There were also reductions in median number of ED attendances (19 vs. 5, p=0.001), median number of radiology tests (4 vs 1, p=0.001) and median number of blood tests (55 vs. 12, p<0.001). CONCLUSIONS: Individual care plans for a carefully selected group of patients who frequently attend the emergency department can result in a decrease in the number of hospital admissions and number of investigations. SN - 1472-0213 UR - https://www.unboundmedicine.com/medline/citation/20515901/Individual_care_plans_can_reduce_hospital_admission_rate_for_patients_who_frequently_attend_the_emergency_department_ L2 - https://emj.bmj.com/lookup/pmidlookup?view=long&amp;pmid=20515901 DB - PRIME DP - Unbound Medicine ER -