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dc.contributor.authorGilligan, Peadar
dc.contributor.authorWinder, Stephen
dc.contributor.authorRamphul, Navin
dc.contributor.authorO'kelly, Patrick
dc.date.accessioned2011-03-31T13:12:04Z
dc.date.available2011-03-31T13:12:04Z
dc.date.issued2010-12
dc.identifier.citationThe referral and complete evaluation time study. 2010, 17 (6):349-53 Eur J Emerg Meden
dc.identifier.issn1473-5695
dc.identifier.pmid20389251
dc.identifier.doi10.1097/MEJ.0b013e328337b9f1
dc.identifier.urihttp://hdl.handle.net/10147/126573
dc.description.abstractIt has been suggested that inefficiency in the delivery of care in emergency departments (EDs) may contribute to their overcrowding. Specifically the duplication of work by the on take teams of the assessment already performed by the ED doctor has been identified as a possible contributor to prolonged waits for a hospital bed for those requiring admission. Anything that prolongs an individual patient's processing time will contribute to overcrowding.
dc.description.abstractThis observational study was performed using a database of all patient attendances to examine the timeliness of the delivery of care to patients requiring admission through the ED and specifically to examine the impact of the referral process on the total time spent in the ED.
dc.description.abstractBetween August 2006 and February 2007, 6973 (25.4%) patients were referred to the on take teams and admitted. The mean total time in the ED for the 4092 (58.7%) medical patients was 21 h 16 min (standard deviation 12 h 24 min) as compared with 14 h 28 min (standard deviation 10 h 46 min) for the 2852 (40.9%) surgical admissions (P<0.001). The referral process accounted for an average of 16.6% of the patient journey through the ED while access block accounted for an average of 59.6%.
dc.description.abstractThe overwhelming reason for prolonged waits and overcrowding in Irish EDs is not the duplication of work inherent in the referral process but it is because of a lack of acute hospital capacity.
dc.language.isoenen
dc.titleThe referral and complete evaluation time study.en
dc.typeArticleen
dc.contributor.departmentDepartments of aEmergency bInformation Technology cNephrology, Beaumont Hospital, Dublin, Ireland. peadargilligan@beaumont.ieen
dc.identifier.journalEuropean journal of emergency medicine : official journal of the European Society for Emergency Medicineen
dc.description.provinceLeinster
html.description.abstractIt has been suggested that inefficiency in the delivery of care in emergency departments (EDs) may contribute to their overcrowding. Specifically the duplication of work by the on take teams of the assessment already performed by the ED doctor has been identified as a possible contributor to prolonged waits for a hospital bed for those requiring admission. Anything that prolongs an individual patient's processing time will contribute to overcrowding.
html.description.abstractThis observational study was performed using a database of all patient attendances to examine the timeliness of the delivery of care to patients requiring admission through the ED and specifically to examine the impact of the referral process on the total time spent in the ED.
html.description.abstractBetween August 2006 and February 2007, 6973 (25.4%) patients were referred to the on take teams and admitted. The mean total time in the ED for the 4092 (58.7%) medical patients was 21 h 16 min (standard deviation 12 h 24 min) as compared with 14 h 28 min (standard deviation 10 h 46 min) for the 2852 (40.9%) surgical admissions (P<0.001). The referral process accounted for an average of 16.6% of the patient journey through the ED while access block accounted for an average of 59.6%.
html.description.abstractThe overwhelming reason for prolonged waits and overcrowding in Irish EDs is not the duplication of work inherent in the referral process but it is because of a lack of acute hospital capacity.


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