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Effects of a general practitioner cooperative co-located with an emergency department on patient throughput

World Journal of Emergency Medicine 2016年第4期7卷 270-273页

作者： Michiel J.van Veelen Crispijn L.van den Brand resi reijnen M.Christien van der Linden Department of Emergency Medicine University of BotswanaSchool of Medicine Department of Emergency Medicine Medical Center Haaglanden

BACKGROUND:In 2013 a General Practitioner Cooperative(GPC) was introduced at the Emergency Department(ED) of our *** of the aims of this co-located GPC was to improve throughput of the remaining patients at the *** determine the change in patient flow,we assessed the number of self-referrals,redirection of self-referrals to the GPC and back to the ED,as well as ward and ICU admission rates and length of stay of the remaining ED ***:We conducted a four months' pre-post comparison before and after the implementation of a co-located GPC with an urban ED in the ***:More than half of our ED patients were *** triage,54.5%of these selfreferrals were redirected to the *** assessment at the GPC,8.5%of them were referred back to the *** number of patients treated at the ED declined with 20.3%after the introduction of the *** the remaining ED population,there was a significant increase of highly urgent patients(P<0.001),regular admissions(P<0.001),and ICU admissions(P<0.001).Despite the decline of the number of patients at the ED,the total length of stay of patients treated at the ED increased from 14 682 hours in the two months' control period to 14 962 hours in the two months' intervention period,a total increase of 270 hours in two months(P<0.001).CONCLUSION:Introduction of a GPC led to efficient redirection of self-referrals but failed to improve throughput of the remaining patients at the ED.

关键词： Emergency Service,hospital General practitioners Crowding Length of stay

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