{"title":"墨尔本东南部虚拟急诊部对减少养老院转院的影响。","authors":"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","doi":"10.1111/1742-6723.14481","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>To evaluate the impact of the Southeast Melbourne Virtual Emergency Department (SEMVED) on transfers from residential aged care facilities (RACFs) to traditional EDs.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A cohort study of residents requesting transfer to the ED via ambulance within participating health networks' catchments from April to June 2022.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>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.</p>\n </section>\n </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.14481","citationCount":"0","resultStr":"{\"title\":\"Impact of the Southeast Melbourne Virtual Emergency Department on reducing transfers from residential aged care facilities\",\"authors\":\"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\",\"doi\":\"10.1111/1742-6723.14481\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>To evaluate the impact of the Southeast Melbourne Virtual Emergency Department (SEMVED) on transfers from residential aged care facilities (RACFs) to traditional EDs.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A cohort study of residents requesting transfer to the ED via ambulance within participating health networks' catchments from April to June 2022.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>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.</p>\\n </section>\\n </div>\",\"PeriodicalId\":11604,\"journal\":{\"name\":\"Emergency Medicine Australasia\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-08-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.14481\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Emergency Medicine Australasia\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/1742-6723.14481\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"EMERGENCY MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Emergency Medicine Australasia","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/1742-6723.14481","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
Impact of the Southeast Melbourne Virtual Emergency Department on reducing transfers from residential aged care facilities
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.
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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