The Effect of a Separate Flow of Patients With Small Traumatic Injuries on Consult Time and Patient Satisfaction: A Retrospective Cohort Study During COVID-19 in the Emergency Department.

IF 0.8 Q4 EMERGENCY MEDICINE Journal of acute medicine Pub Date : 2024-09-01 DOI:10.6705/j.jacme.202409_14(3).0003
Poorvi Narwade, Loes Walraven, Djoke Douma-Den Hamer
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Abstract

Background: With emergency department (ED) crowding and high workloads burdening healthcare, efficient patient flow management becomes increasingly crucial. A significant portion of this crowding is attributed to patients with minor traumatic injuries. The objective of this study is to investigate to what extent a separate patient flow for patients with small traumatic injuries influences consult times and patient satisfaction.

Methods: During COVID-19, patients with small traumatic injuries in the ED were redirected to an outpatient clinic (the Fracture Clinic). The Fracture Clinic was maintained for seven weeks during which the consult time and patient satisfaction were recorded for every individual. Retrospectively, the same procedure was followed for the seven weeks prior to the outbreak of COVID, with the regular procedure in place.

Results: In total, 922 patients were included in the research: 415 patients in the intervention group (Fracture Clinic) and 507 patients in the control group (ED group). The consult time in the Fracture Clinic (median = 30 min) is significantly lower compared to the ED group (median = 86 min) (U = 25,147.500, z = 19.9, p < 0.001). The overall consult in terms of patient satisfaction scored higher for the Fracture Clinic Group than the ED group (T[df] = -4.449 [479], p < 0.001).

Conclusions: The Fracture Clinic resulted in shorter consult times and an increased patient satisfaction compared to the usual patient flow for patients with small traumatic injuries in the ED. These patients could be redirected to an outpatient clinical setting to improve efficiency in patient flow, while avoiding a negative impact from the triage system in which they usually are the lowest priority.

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小创伤患者分流对就诊时间和患者满意度的影响:急诊科 COVID-19 期间的回顾性队列研究。
背景:随着急诊科(ED)的拥挤和高工作量给医疗保健带来的负担,高效的病人流管理变得越来越重要。这种拥挤现象的很大一部分是由轻微外伤患者造成的。本研究的目的是调查为轻微外伤患者提供单独的患者流在多大程度上影响了就诊时间和患者满意度:在 COVID-19 期间,急诊室的轻微外伤患者被转至门诊诊所(骨折诊所)。骨折门诊维持了七周,在此期间记录了每个人的就诊时间和患者满意度。回顾COVID疫情爆发前的七周,也是按照同样的程序进行诊治,并实施了常规程序:共有 922 名患者参与了研究:结果:共有 922 名患者参与了研究:干预组(骨折诊所)415 人,对照组(急诊室组)507 人。与急诊室组(中位数 = 86 分钟)相比,骨折诊所的就诊时间(中位数 = 30 分钟)明显缩短(U = 25,147.500, z = 19.9, p < 0.001)。就患者满意度而言,骨折诊所组的总体咨询得分高于急诊室组(T[df] = -4.449 [479],p < 0.001):与急诊室小创伤患者的常规就诊流程相比,骨折门诊缩短了就诊时间,提高了患者满意度。这些患者可以转到门诊临床环境,以提高患者流量的效率,同时避免分流系统的负面影响,因为在分流系统中,这些患者通常是优先级最低的。
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来源期刊
Journal of acute medicine
Journal of acute medicine EMERGENCY MEDICINE-
CiteScore
0.80
自引率
0.00%
发文量
20
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