High Acuity of Postoperative Consults to Emergency General Surgery at an Urban Safety Net Hospital

Fiorentino, Michele; Mulles, Shanen; Cue, Lauren; Merchant, Aziz M.; Tufariello, Ann; Cummings, Dustin; Onwubalili, Kenechi; Glass, Nina E.

doi:10.1016/j.jss.2020.07.038

Cited by 2 publications

(2 citation statements)

References 19 publications

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“…Our hospital's emergency room received 1200 patient admissions each day on average during the study period. Overcrowding, longer waiting times, unnecessary testing and treatment, and increased emergency healthcare expenses are the outcomes of needless emergency admissions for non-emergency patients (11).…”

Section: Resultsmentioning

confidence: 99%

The role of general surgery consultations on patient diagnosis and treatment in the Tertiary Medical Center

ALTINER,

KURTOĞLU,

DURMUŞ

et al. 2024

Archives of Current Medical Research

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Background: General surgery is an important branch of medicine. It encompasses organs and systems associated with almost every part of the body. For this reason, general surgery has an important place in emergency service applications and consultation is often requested. The aim of the study is to evaluate the consultations requested from general surgery according to their characteristics. Methods: 814 patients who were consulted from the general surgery clinic of our hospital between January and June 2021 were evaluated retrospectively. The departments requesting consultation, the reasons for the consultation, the examinations requested before and after the consultation, and the decisions made after the consultation were evaluated. Results: The department that required the most consultation from the general surgery branch was the emergency department with 91.5% the most common reason for consultation is nonspecific abdominal pain with 18.1% has been seen. General surgery consultation in patients presenting with abdominal specific complaints, previously ultrasonography and computed tomography were requested in 88.6% of patients. Conclusion: The fact that physicians request unnecessary consultations and resort to advanced imaging examinations with the reservation of malpractice leads to an increase in both cost and intensity for the health system. Requesting a consultation in conditions where it is more necessary will relieve the intensity of the health system.

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Section: Resultsmentioning

confidence: 99%

The role of general surgery consultations on patient diagnosis and treatment in the Tertiary Medical Center

ALTINER,

KURTOĞLU,

DURMUŞ

et al. 2024

Archives of Current Medical Research

View full text Add to dashboard Cite

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“…While patient safety in surgery has received a significant amount of attention in the past decade since the global implementation of the WHO “Surgical Safety Checklist” [ 6 ], emergency general surgery (EGS) still represents a neglected entity in the field of patient safety [ 44 – 46 ]. This notion is highly concerning because the rate of postoperative complications is drastically higher in EGS than in elective surgery, and associated with an eightfold increased mortality (Fig.…”

Section: Surgeon-related Risk Factorsmentioning

confidence: 99%

The role of teamwork and non-technical skills for improving emergency surgical outcomes: an international perspective

et al. 2022

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The assurance of patient safety in emergency general surgery remains challenging due to the patients’ high-risk underlying conditions and the wide variability in emergency surgical care provided around the globe. The authors of this article convened as an expert panel on patient safety in surgery at the 8th International Conference of the World Society of Emergency Surgery (WSES) in Edinburgh, Scotland, on September 7–10, 2021. This review article represents the proceedings from the expert panel discussions at the WSES congress and was designed to provide an international perspective on optimizing teamwork and non-technical skills in emergency general surgery.

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High Acuity of Postoperative Consults to Emergency General Surgery at an Urban Safety Net Hospital

Cited by 2 publications

References 19 publications

The role of general surgery consultations on patient diagnosis and treatment in the Tertiary Medical Center

The role of general surgery consultations on patient diagnosis and treatment in the Tertiary Medical Center

The role of teamwork and non-technical skills for improving emergency surgical outcomes: an international perspective

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