Predictors of Emergency Department service outcome for people brought in by police: A retrospective cohort study

Wardrop, Rachel; Ranse, Jamie; Chaboyer, Wendy; Crilly, Julia

doi:10.1016/j.ienj.2022.101188

Cited by 3 publications

(2 citation statements)

References 28 publications

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“…Participants noted that a longer length of stay was an outcome often incurred by people BIBP. Earlier research identified a longer ED length of stay for people BIBP if admitted to the hospital (Wardrop et al., 2022a). Further, people BIBP who are not admitted to the hospital are reported to have a longer length of stay in the ED (174 min) compared to people not BIBP (154 min) (Crilly et al., 2019).…”

Section: Discussionmentioning

confidence: 99%

“…Recent evidence has identified that the conflicting priorities between police and ED clinicians may lead to compromised clinical care (Khatri et al, 2023), which can then impact on patient outcomes. Additionally, patients who have an involuntary assessment order (compared to those without an involuntary assessment order) are more likely to encounter outcomes such as a prolonged ED stay (Trivedi et al, 2019;Wardrop et al, 2022a). There are thus unique considerations for people BIBP that may impact care in the ED.…”

Section: Backg Rou N Dmentioning

confidence: 99%

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Clinicians' experiences of caring for people brought in by police to the emergency department: A qualitative interpretive study

Wardrop,

Ranse,

Crilly

et al. 2023

Journal of Advanced Nursing

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AimTo explore nurses' and doctors' experiences of providing care to people brought in by police (BIBP) to the emergency department (ED).DesignA qualitative interpretive study using in‐depth individual interviews.MethodsSemi‐structured interviews were conducted with nurses and doctors who worked in various EDs in one Australian state and were involved in the care of people BIBP. Interviews were undertaken between May and October 2022 and focused on the structures (i.e., what), processes (i.e., how) and outcomes of care for people BIBP. Data were analysed using deductive and then inductive content analysis.ResultsNine nurses and eight doctors were interviewed. Structures described by participants included human structures (staff) and organizational structures (areas for assessment, involuntary assessment orders, investigations, chemical/physical restraints). For processes, participants described practices including risk/mental health assessments, legal considerations, and increased/decreased levels of care compared to other presentations. Communication processes were largely between police and health care staff. Service outcomes pertained to discharge location (custody, community, hospital admission) and length of stay.ConclusionThe current care delivery for people BIBP to the ED is unique and complex, often occurring in high traffic, resource‐intensive areas. There is a need to strengthen structures and processes, to improve service outcomes.Implications for the ProfessionUnderstanding the care requirements for people brought into ED by police enables the delivery of targeted care alongside appropriate resource allocation.ImpactThis study provides a comprehensive understanding of the health care requirements for people BIBP to EDs. Interventions delivered in the ED to support health care delivery for people BIBP and foster clinician and police relationships are required to optimize patient and health service outcomes.Reporting MethodThis study adheres to the COREQ checklist (Table S1) of the EQUATOR guidelines.Patient or Public ContributionThis study focused on ED staff experiences.

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Section: Discussionmentioning

confidence: 99%