Armstrong A M, Pennycook A G, Swann I J
Department of Accident and Emergency, Glasgow Royal Infirmary.
Scott Med J. 1991 Aug;36(4):111-4. doi: 10.1177/003693309103600405.
The notes of patients who re-attended the Accident and Emergency Department with a problem for which they had already been seen and treated were reviewed over a five-week period. Such patients comprised 2.5% of total attendances. The commonest reason for re-attendance was persistent pain following an injury and of such patients, about a half required a significant change in management. It was estimated that two-thirds of re-attendances were unavoidable. Twenty patients were admitted following re-attendance, and of these, two had serious medical conditions which were missed on initial presentation. The role of senior Accident and Emergency doctors is discussed in the light of these findings.
在为期五周的时间里，对那些因之前看过并治疗过的问题而再次前往急诊部就诊的患者病历进行了审查。这类患者占总就诊人数的2.5%。再次就诊最常见的原因是受伤后持续疼痛，在这类患者中，约有一半需要对治疗方案进行重大调整。据估计，三分之二的再次就诊是不可避免的。再次就诊后有20名患者被收治入院，其中两名患者存在严重疾病，在初次就诊时被漏诊。根据这些发现，对急诊高级医生的作用进行了讨论。
