Tim Harris1, Keith McDonald2. 1. Emergency Department, The Royal London Hospital, London, UK. 2. GP Health E1 Homeless Medical Centre and Clinical Lead GP Streaming Service, Barts Health NHS Trust, London, UK.
Abstract
OBJECTIVE: To benchmark walk-in presentations to emergency departments (ED) with those presenting to other local acute healthcare facilities. SETTING: A large teaching hospital with an annual ED census of 140, 000 adult patients and surrounding associated acute healthcare providers. METHODS: A random sample of 384 patients who self-presented to the ED was obtained. Benchmarking data were drawn from two general practices; the Tower Hamlets Community Services walk-in centre (co-located on-site with the ED) and the GP-run out-of-hours service. RESULTS: The case-mix presenting to the ED was characterised by a higher proportion of injuries and chest pain, but fewer simple infections and non-traumatic musculoskeletal conditions as compared to other acute care facilities in our region. CONCLUSIONS: Patients with injuries and possible cardiac chest pain were more likely to attend the ED, and those with infection or musculoskeletal problems less likely, as compared with other acute healthcare facilities. The population presenting to the ED is distinct from that presenting to general practice, out-of-hours clinics, or walk-in centres. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
OBJECTIVE: To benchmark walk-in presentations to emergency departments (ED) with those presenting to other local acute healthcare facilities. SETTING: A large teaching hospital with an annual ED census of 140, 000 adult patients and surrounding associated acute healthcare providers. METHODS: A random sample of 384 patients who self-presented to the ED was obtained. Benchmarking data were drawn from two general practices; the Tower Hamlets Community Services walk-in centre (co-located on-site with the ED) and the GP-run out-of-hours service. RESULTS: The case-mix presenting to the ED was characterised by a higher proportion of injuries and chest pain, but fewer simple infections and non-traumatic musculoskeletal conditions as compared to other acute care facilities in our region. CONCLUSIONS:Patients with injuries and possible cardiac chest pain were more likely to attend the ED, and those with infection or musculoskeletal problems less likely, as compared with other acute healthcare facilities. The population presenting to the ED is distinct from that presenting to general practice, out-of-hours clinics, or walk-in centres. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
Entities:
Keywords:
clinical assessment, effectiveness; comparitive system research; effieciency; emergency care systems, admission avoidance; emergency care systems, primary care
Authors: Maame Yaa A B Yiadom; Christopher W Baugh; Tyler W Barrett; Xulei Liu; Alan B Storrow; Timothy J Vogus; Vikram Tiwari; Corey M Slovis; Stephan Russ; Dandan Liu Journal: Acad Emerg Med Date: 2018-01 Impact factor: 3.451
Authors: Hamish Foster; Keith R Moffat; Nicola Burns; Maria Gannon; Sara Macdonald; Catherine A O'Donnell Journal: BMJ Open Date: 2020-01-19 Impact factor: 2.692