首页> 外文期刊>Journal of Epidemiology & Community Health >A confidential enquiry into emergency hospital admissions on the Isle of Wight, UK
【24h】

A confidential enquiry into emergency hospital admissions on the Isle of Wight, UK

机译:英国怀特岛对急诊医院入院的秘密询问

获取原文
获取原文并翻译 | 示例
       

摘要

Objectives—To quantify the proportion of potentially avoidable emergency short term admissions to hospital and to identify ways in which they could have been avoided. Design—Confidential enquiry by peer review group. Setting—St Mary's Hospital, Newport, Isle of Wight. Subjects—All emergency, short term admissions (discharged home within five days) to medicine, general surgery, orthopaedics, gynaecology, ENT, and ophthalmology specialties for 28 (24 hour) days over a six month period in 1994. Main outcome measures—Appropriateness of admissions decided by the peer group, the peer group's opinion of ideal management, and the patients' views on the appropriateness of their admission. Results—Altogether 139 cases satisfied the inclusion criteria. Complete data were collected on 123 cases and the peer group considered 81 in the time available. Twenty one of the 81 cases were judged "potentially avoidable". These represent 9.5% (95% CI 6.3%, 13.5%) of short term admissions to the specialties studied. The peer group considered that seven of 10 patients referred by a general practitioner (GP) could have been managed by the GP alone and that the remaining three had been referred appropriately but need not have been admitted had a consultant opinion been available in the accident and emergency (A&E) department. Two of the 10 would have required home support to avoid hospital admission. Five of 11 patients who referred themselves to A&E could have been discharged home without admission and without recourse to a specialist opinion. The remaining six could have been discharged had a consultant opinion been available in A&E. Conclusions—Urgent consultant opinion, either in A&E or in an outpatient clinic, would have prevented most of these inappropriate admissions, and home support would have expedited the ability to discharge some patients. Further research into the costs and benefits of methods for providing these services is needed urgently.
机译:目标-量化可能避免的紧急短期入院的比例,并确定可以避免的方式。设计-同行评审小组的机密询问。地点-怀特岛纽波特的圣玛丽医院。受试者-1994年开始的六个月内,在28天(24小时)内接受了所有紧急,短期入院(在5天之内出院),医学,普外科,骨科,妇科,耳鼻喉科和眼科专业的患者。主要结果指标-是否适当由同龄人小组决定的入院情况,同龄人小组对理想管理的看法以及患者对他们入院的适当性的看法。结果-共有139例符合纳入标准。收集了123例病例的完整数据,同龄人小组认为在可用时间内有81例。在81宗案件中,有21宗被判定为“可能避免”。这些占所研究专业短期入学人数的9.5%(95%CI 6.3%,13.5%)。同行小组认为,由全科医生转诊的10名患者中有7人本可以由GP单独治疗,其余3例已被适当转诊,但如果事故中有顾问意见则无需收治,紧急(A&E)部门。 10人中有2人需要家庭支持以避免住院。自称A&E的11名患者中有5名原本可以出院而无需入院,也无需寻求专家意见。如果急症室有顾问意见,其余六人本可以解除。结论-在急症室或门诊中,紧急的顾问意见将防止大多数此类不当住院,而家庭支持将加快出院某些患者的能力。迫切需要进一步研究提供这些服务的方法的成本和收益。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号