Articles: emergency-services.
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Randomized Controlled Trial Clinical Trial
A randomized, controlled trial of a simple emergency department intervention to improve the rate of primary care follow-up for patients with acute asthma exacerbations.
We determined whether a simple emergency department intervention improves the likelihood of primary care provider (PCP) follow-up after ED discharge for an acute asthma exacerbation. ⋯ Providing medication, transportation vouchers, and a telephone reminder to make an appointment increased the likelihood that discharged patients with asthma obtained PCP follow-up.
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Randomized Controlled Trial Clinical Trial
Reducing emergency visits in older adults with chronic illness. A randomized, controlled trial of group visits.
Emergency department utilization by chronically ill older adults may be an important sentinel event signifying a breakdown in care coordination. A primary care group visit (i.e., several patients meeting together with the provider at the same time) may reduce fragmentation of care and subsequent emergency department utilization. ⋯ Monthly group visits reduce emergency department utilization for chronically ill older adults.
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Randomized Controlled Trial Clinical Trial
Better health while you wait: a controlled trial of a computer-based intervention for screening and health promotion in the emergency department.
We evaluate a computer-based intervention for screening and health promotion in the emergency department and determine its effect on patient recall of health advice. ⋯ Using a self-administered computer-based health risk assessment, the majority of patients in our urban ED disclosed important health risks and requested information. They were more likely than a control group to remember receiving advice on what they could do to improve their health. Computer methodology may enable physicians to use patient waiting time for health promotion and to target at-risk patients for specific interventions.
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Ann. Allergy Asthma Immunol. · Feb 2001
Randomized Controlled Trial Clinical TrialA comprehensive inner-city asthma program reduces hospital and emergency room utilization.
To evaluate the efficacy of a comprehensive asthma program on emergency department (ED) visits and hospital admission rates in an inner-city pediatric population. ⋯ A comprehensive asthma care program is efficacious in reducing hospital utilization.
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Randomized Controlled Trial Clinical Trial
A simple strategy for improving patient contact after ED discharge.
The purpose of this study was to assess strategies to improve telephone contact with adult patients discharged from the emergency department (ED). The basic procedure was a prospective, randomized, interventional trial of a convenience sample of patients 18 years or older being discharged from the ED. Patients were excluded if they had altered mental status or were unable to communicate with the College Research Associates (RAs). ⋯ There were no significant demographic differences between the 2 groups. Forty-seven (54%) control subjects were contacted versus 58 (77%) in the intervention group (P <.003; Chi-square test). A simple patient interview conducted immediately before discharge confirming the patient's telephone number and setting a time for a follow-up call significantly improved patient follow-up contact rates.