An evaluation of the reasons why patients attend a hospital Emergency Department

Land, Lucy; Meredith, Neil R.

doi:10.1016/j.ienj.2011.12.001

Cited by 15 publications

(14 citation statements)

References 8 publications

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“…The most common reason for attendance to the ED found was injury, although ‘abdominal pain’ was the most common specific presentation; this correlates with findings in similar studies were trauma and accidents contributed 35.5% of attendances and 61% respectively [18,19]. We found that 36% of patients were admitted to hospital on attending the ED, higher than the 26% seen within the UK between 2012 and 2013 [20].…”

Section: Findings Compared With Previous Studiessupporting

confidence: 86%

“…Studies seem to suggest that patient concern and anxiety is a considerable influencing factor and that perhaps attending the ED alleviates this worry more than a GP [21]. Some patients also believe that attending the ED department is more appropriate or ‘better’ than the GP or that the GP would send them to ED anyway or just do not want to wait [18,21]. Others report not wanting ‘to bother their GP’ and not knowing if their GP was available [18,19].…”

Section: Strengths and Limitations Of The Studymentioning

confidence: 99%

“…Some patients also believe that attending the ED department is more appropriate or ‘better’ than the GP or that the GP would send them to ED anyway or just do not want to wait [18,21]. Others report not wanting ‘to bother their GP’ and not knowing if their GP was available [18,19]. One study showed that 20% of patients would have changed their decision about attending the ED if they had known more about other services available [19].…”

Section: Strengths and Limitations Of The Studymentioning

confidence: 99%

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Does attending general practice prior to the emergency department change patient outcomes? A descriptive, observational study of one central London general practice

Morton

Hames

Kelso

et al. 2017

London Journal of Primary Care

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BackgroundThe challenge of keeping Emergency Department (ED) attendances down continues and timely access to general practice (GP) is often portrayed as a potential solution.SettingOne London general practice (registered population = 4900)QuestionDoes seeing a GP before attending the ED affect the outcome of a patient’s ED care?MethodsRoutine clinical data were extracted using SystmOne primary care computer system for all registered patients with an ED attendance between 1 October 2014 and 31 September 2015. The scanned discharge summaries from the ED and GP notes were reviewed and outcome measures extracted.Results227 patients (121 female; 104 male) attended the ED. The most common presentation was abdominal pain (n = 11). 25% of patients had seen (n = 50), or contacted by phone (n = 6), a GP about the same presenting complaint before attending the ED. Of those, 73% (n = 41/56) were referred to the ED and 49% (n = 20/41) were admitted versus 33% (n = 60/184) who self-presented (statistically significant, p = 0.05). An additional 32% of those who saw the GP first (n = 13/41) received specialist ED treatment.Discussion/ConclusionOnly 25% of patients see their GP prior to attending the ED. The majority of patients who were referred by their GP required admission or specialised ED treatment. It remains unclear why the majority of patients did not choose to contact their GP prior to attending the ED, despite urgent appointments being offered; research into patients’ health beliefs in this group is required for greater understanding.

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Section: Findings Compared With Previous Studiessupporting

confidence: 86%

Section: Strengths and Limitations Of The Studymentioning

confidence: 99%

Section: Strengths and Limitations Of The Studymentioning

confidence: 99%

See 1 more Smart Citation

Does attending general practice prior to the emergency department change patient outcomes? A descriptive, observational study of one central London general practice

Morton

Hames

Kelso

et al. 2017

London Journal of Primary Care

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“…Previous studies have asserted that convenience and the perceived need for urgent care are primary reasons for ED attendance. Urgent, appropriate care was the priority reason for ED attendance in our study.…”

Section: Discussionmentioning

confidence: 99%

Exploring factors that influence adult presentation to an emergency department in regional Queensland: A linked, cross‐sectional, patient perspective study

O'Loughlin

Harriss

Thompson

et al. 2018

Emerg Medicine Australasia

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“…Pain is a subjective experience that every individual experiences throughout their life (1)(2)(3). The International Association of Pain Research defines pain as an unpleasant emotional sensation and behaviour related to an individual's past experiences that are associated with real or probable tissue damage resulting from any part of the body (4).…”

Section: Introductionmentioning

confidence: 99%

Pain Management Barriers in Emergency Deparment

Özel¹,

Bağlama²

2018

Kocaeli Med J

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Bu araştırma, acil servis hemşirelerinin ağrı yönetiminde sağlık bakım sistemlerine, sağlık ekibine ve hastaya bağlı engellerin belirlenmesi amacıyla planlanmış tanımlayıcı tipte bir araştırmadır. YÖNTEM ve GEREÇLER: Araştırmanın örneklemini Mayıs 2015-Mayıs 2016 tarihleri arasında iki devlet hastanesinin acil servislerinde çalışan hemşireler (n=81) oluşturmuştur. Araştırmada Tanımlayıcı Özellikler Veri Formu ve acil serviste ağrı yönetimini engelleyen durumları içeren 13 ifadeden oluşan Ağrı Yönetimini Engelleyen Durumları Değerlendirme Formu kullanılmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistiksel metodlar ve Kruskal Wallis testi kullanılmıştır. BULGULAR: Araştırmaya katılan hemşirelerin %39.5'inin 26-35 yaş arası; %30.9'unun önlisans veya lisans mezunu ve %63.0'ünün 1 yıl ve altında acil serviste çalışma yılına sahip olduğu saptanmıştır. Ağrı yönetiminde engellere bakıldığında en yüksek düzeyde sağlık bakım sistemlerine bağlı engeller olduğu; bunu sağlık ekibine bağlı engeller ile daha düşük düzeyde hastaya bağlı engellerin izlediği saptanmıştır. TARTIŞMA ve SONUÇ: Sonuç olarak, acil servislerde ağrı yönetimine ilişkin kurumlarda düzenlemeler ve sürekli eğitimler önerilebilir.

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An evaluation of the reasons why patients attend a hospital Emergency Department

Cited by 15 publications

References 8 publications

Does attending general practice prior to the emergency department change patient outcomes? A descriptive, observational study of one central London general practice

Does attending general practice prior to the emergency department change patient outcomes? A descriptive, observational study of one central London general practice

Exploring factors that influence adult presentation to an emergency department in regional Queensland: A linked, cross‐sectional, patient perspective study

Pain Management Barriers in Emergency Deparment

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