Ochsner Medical Center-Westbank, Internal Medicine, Family Medicine, Pediatrics, Gretna, Louisiana (Dr Tessitore); and Duke University, School of Nursing, Durham, North Carolina (Dr Brennan-Cook).
Adv Emerg Nurs J. 2021;43(1):71-78. doi: 10.1097/TME.0000000000000340.
This quality improvement (QI) project evaluates a comprehensive, patient-centered plan to reduce the emergency department (ED) revisit rate by improving outpatient follow-up after initial ED visits. Patients with low-acuity complaints discharged from the ED are often instructed to schedule a follow-up appointment with their primary care team or a specialty service after leaving the ED. In this QI project, patients either had a follow-up visit scheduled at the time of ED discharge or received a phone call within 2 days of discharge to schedule outpatient follow-up visit. The number of ED visits per patient was significantly reduced following implementation of scheduling at the time of ED discharge.
本质量改进(QI)项目评估了一项全面的、以患者为中心的计划,通过改善初始急诊就诊后的门诊随访,来降低急诊就诊的复诊率。从急诊出院的低危患者通常被要求在离开急诊后预约与初级保健团队或专科服务的随访。在这个 QI 项目中,患者要么在急诊出院时就预约了随访,要么在出院后 2 天内接到电话安排门诊随访。在实施急诊出院时预约后,每位患者的急诊就诊次数显著减少。