J Skinner1, L Carter, C Haxton. 1. Emergency Department, Royal Infirmary Edinburgh, Edinburgh, UK. janet.skinner@luht.scot.nhs.uk
Abstract
AIMS: To assess whether case management of frequent attenders to the emergency department (ED) reduces subsequent attendances made by these patients. METHODS: Patients who attended the ED 10 times or more over a 6-month period were identified. Their cases were assessed and care plans put in place, if appropriate. Patient attendances over the subsequent 6 months were compared. RESULTS: 57 patients attended the ED 10 times or more over the 6-month period (1.4% of the departmental workload). The median number of ED attendances in this patient group was 12.0 (interquartile range (IQR) 10-14). In the subsequent 6 months following case management of these patients, median attendances in the same 57 patients dropped to 6.0 (IQR 2-13, p<0.001). The total number of attendances in this patient group dropped from 720 to 499, a reduction of 31%. CONCLUSIONS: The findings of this study suggest that individual case management and implementation of care plans may help to reduce subsequent attendances in patients who frequently attend ED.
AIMS: To assess whether case management of frequent attenders to the emergency department (ED) reduces subsequent attendances made by these patients. METHODS:Patients who attended the ED 10 times or more over a 6-month period were identified. Their cases were assessed and care plans put in place, if appropriate. Patient attendances over the subsequent 6 months were compared. RESULTS: 57 patients attended the ED 10 times or more over the 6-month period (1.4% of the departmental workload). The median number of ED attendances in this patient group was 12.0 (interquartile range (IQR) 10-14). In the subsequent 6 months following case management of these patients, median attendances in the same 57 patients dropped to 6.0 (IQR 2-13, p<0.001). The total number of attendances in this patient group dropped from 720 to 499, a reduction of 31%. CONCLUSIONS: The findings of this study suggest that individual case management and implementation of care plans may help to reduce subsequent attendances in patients who frequently attend ED.
Authors: Catherine Hudon; Maud-Christine Chouinard; Kris Aubrey-Bassler; Nazeem Muhajarine; Fred Burge; Paula Louise Bush; Alya Danish; Vivian R Ramsden; France Légaré; Line Guénette; Paul Morin; Mireille Lambert; Fiona Fick; Olivia Cleary; Véronique Sabourin; Mike Warren; Pierre Pluye Journal: Ann Fam Med Date: 2020-05 Impact factor: 5.166
Authors: Catherine Hudon; Maud-Christine Chouinard; Pierre Pluye; Reem El Sherif; Paula Louise Bush; Benoît Rihoux; Marie-Eve Poitras; Mireille Lambert; Hervé Tchala Vignon Zomahoun; France Légaré Journal: Ann Fam Med Date: 2019-09 Impact factor: 5.166