Articles: emergency-services.
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Clinical Trial
Compliance with emergency department referral: the effect of computerized discharge instructions.
To examine the effect of computerized discharge instructions on emergency department patient referral recommendations. ⋯ Computerized discharge instructions were associated with improved compliance with ED referral recommendations, based on historic and contemporary controls.
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To evaluate an emergency department's "treat and transfer" policy during a two-month period of reduced inpatient capacity by determining the number and characteristics of transferred patients not admitted as planned to the receiving hospital. ⋯ Patients transferred from the public hospital ED resulted in admission to the receiving hospital in 92% of transfers. A history of IV drug use was the only characteristic found to be associated with discharge without admission to the accepting hospital.
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Editorial Comparative Study
Clinton's health reform and emergency department volumes: a return visit.
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Pediatric emergency care · Apr 1993
Comparative StudyReferral, admission, and discharge patterns in a pediatric emergency department in Israel.
The pediatric emergency department (PED) is an important component of the medical services provided by a hospital. The purpose of the study was to describe the patterns of referrals, admissions, and discharges in a PED to determine to what extent the PED is used solely as an emergency unit, as opposed to being used as a part of a set of primary care facilities. Data were recorded from 1200 patient charts, out of 19,000 visits to a PED in Israel in 1988. ⋯ The rate of admissions was low (11%). This study shows that a large part of the PED work is actually primary care. Some of the demographic, cultural, and ethnic reasons for these patterns are reviewed.
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Clin Perform Qual Health Care · Apr 1993
Hospital-based continuous quality improvement: a realistic appraisal.
To evaluate the impact of a continuous quality improvement (CQI) multidisciplinary team process on emergency department admission times. ⋯ Although CQI is a promising approach to certain quality problems, a number of issues remain to be explored before full-scale implementation in academic centers can be endorsed.