Evaluation of an advanced practice provider emergency department critical care step-down unit.

ABSTRACT:

Objective

In response to concerns about patient care and safety, our urban, tertiary care, Level 1 trauma center adult emergency department (ED) created an advanced practice provider-staffed critical care step-down unit (CCSU). We conducted a comprehensive evaluation of the CCSU's impact on patient care, safety, and ED operations.

Methods

We compared ED length of stay, return visits to the ED within 72 hours, billing code assignments (current procedural terminology evaluation and management [CPT E&M] codes), and quality of electronic health record documentation per QNOTE for the 2 years after the CCSU was initiated (CCSU period) versus before its initiation (pre-CCSU period).

Results

There were 31,418 critical care ED patient visits in the pre-CCSU period and 33,396 i

SUBMITTER: Murphy L 

PROVIDER: S-EPMC7493497 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature