Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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Randomized Controlled Trial
Improving Follow-Up Attendance for Discharged Emergency Care Patients Using Automated Phone System to Self-Schedule: A Randomized Controlled Trial.
Automated phone appointment reminders have improved adherence with follow-up appointments in a variety of hospital settings, but have mixed results in patients discharged from the emergency department (ED). Increasing adherence to follow-up care has been a priority in the ED to improve patient outcomes and reduce unnecessary future visits. ⋯ An automated self-scheduling phone system significantly improved follow-up adherence after ED discharge, but did not decrease ED revisits.
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Randomized Controlled Trial
Predictors of Older Adult Adherence with Emergency Department Discharge Instructions.
Older adults discharged from the emergency department (ED) are at high risk for adverse outcomes. Adherence to ED discharge instructions is necessary to reduce those risks. The objective of this study is to determine the individual-level factors associated with adherence with ED discharge instructions among older adult ED outpatients. ⋯ Older adults discharged home from the ED have mixed rates of adherence to discharge instructions. Although it is thought that some subgroups may be higher risk than others, given the opportunity to improve ED-to-home transitions, EDs and health systems should consider providing additional care transition support to all older adults discharged home from the ED.
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Randomized Controlled Trial
Rapid Administration of Methoxyflurane to Patients in the Emergency Department (RAMPED) Study: A Randomised controlled trial of Methoxyflurane vs Standard care.
The objective was to evaluate the effectiveness of methoxyflurane versus standard care for the initial management of severe pain among adult emergency department (ED) patients. ⋯ Initial management with inhaled methoxyflurane in the ED did not achieve the prespecified substantial reduction in pain, but was associated with clinically significant lower pain scores compared to standard therapy.