Management practice-related and modifiable factors associated with paediatric emergency return visits.

ABSTRACT:

Objectives

We explored practice-related factors associated with preventable unscheduled return visits to an emergency department (RTED).

Methods

We conducted a retrospective cohort study, using standardized review of health records. We included all visits with at least one RTED within 7 days of the index visit. Cases were reviewed by investigators and clinicians to identify: 1) the proportion of unscheduled RTED, 2) the proportion deemed clinically unnecessary and 3) the contribution of clinical practice pattern and system factors.

Results

There were 2809 (7.3%) index visits associated with at least one RTED. Of these, 1983 (70.6%) were unscheduled, 784 (39.5%) were considered clinically unnecessary and 739 out of 784 medically unnecessary RTEDs (94.3%) were attribute

SUBMITTER: Doan Q 

PROVIDER: S-EPMC6376311 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature