Impact of the Southeast Melbourne Virtual Emergency Department on reducing transfers from residential aged care facilities

IF 1.7 4区医学 Q2 EMERGENCY MEDICINE Emergency Medicine Australasia Pub Date : 2024-08-05 DOI:10.1111/1742-6723.14481

Muhuntha Sri-Ganeshan BSc, MBBS, DTMH, FACEM, Biswadev Mitra MBBS, MHSM, FACEM, PhD, Georgia Soldatos MBBS, FRACP, Rachel Rosler MBChB, FACEM, Neil Goldie MBBS, FACEM, Robert Meek MBBS, FACEM, Madeleine Howard MBBS, FACEM, Michelle Bertolucci MBBS, FACEM, Diana Egerton-Warburton MBBS, MPH, M Clin Epi, FACEM, Rachel Manderson MBBS, Vince Luzuriaga MBBS, Fergus McGee MBBS, FACRRM, DRCOG, DCH, DPDerm, Gerard M O'Reilly MBBS, MPH, MBiostat, AStat, FACEM, PhD, Peter A Cameron MBBS, MD, FACEM

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Abstract

Objective

To evaluate the impact of the Southeast Melbourne Virtual Emergency Department (SEMVED) on transfers from residential aged care facilities (RACFs) to traditional EDs.

Methods

A cohort study of residents requesting transfer to the ED via ambulance within participating health networks' catchments from April to June 2022.

Results

Two hundred thirty-eight VED consultations occurred with 79% (188/238) avoiding transfer. This represented an avoidance of 12% (188/1511) of all requests for transfer during operating hours.

Conclusions

SEMVED prevented unnecessary transfers and enabled in-facility care. Integration into community outreach programmes could enhance care delivery. Patient safety outcomes were not formally assessed by our methodology.

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墨尔本东南部虚拟急诊部对减少养老院转院的影响。

目的：评估墨尔本东南部虚拟急诊室（SEMVED）对传统急诊室转院的影响：评估墨尔本东南部虚拟急诊室（SEMVED）对从养老院（RACF）转入传统急诊室的影响：方法：对2022年4月至6月期间在参与医疗网络覆盖范围内要求通过救护车转往急诊室的居民进行队列研究：结果：共发生 238 次急诊室就诊，79%（188/238）的患者避免了转院。这意味着在工作时间内避免了12%（188/1511）的转院请求：SEMVED 避免了不必要的转院，实现了住院护理。将其纳入社区外展计划可加强护理服务。我们的方法并未对患者安全结果进行正式评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Emergency Medicine Australasia 医学-急救医学

CiteScore

3.70

自引率

13.00%

发文量

217

审稿时长

6-12 weeks

期刊介绍： Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine. Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.

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