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  • The impact of a flow strategy for patients who presented to an Australian emergency department with a mental health illness

    Author(s)
    Bost, Nerolie
    Crilly, Julia
    Wallen, Karen
    Griffith University Author(s)
    Crilly, Julia
    Year published
    2015
    Metadata
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    Abstract
    Objectives To describe and compare characteristics, care delivered, and outcomes of patients who presented to an emergency department (ED) with a mental health illness before and after the implementation of a patient flow strategy. Methods This was a retrospective, descriptive study. Health care data of patients who presented to a public teaching hospital ED in Queensland, Australia diagnosed with a mental health illness before (5th September 2011-4th March 2012) and after (5th March 2012-4th September 2012) the implementation of a patient flow strategy were analysed. Results A total of 3037 (before: n?=?1511; after: ...
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    Objectives To describe and compare characteristics, care delivered, and outcomes of patients who presented to an emergency department (ED) with a mental health illness before and after the implementation of a patient flow strategy. Methods This was a retrospective, descriptive study. Health care data of patients who presented to a public teaching hospital ED in Queensland, Australia diagnosed with a mental health illness before (5th September 2011-4th March 2012) and after (5th March 2012-4th September 2012) the implementation of a patient flow strategy were analysed. Results A total of 3037 (before: n?=?1511; after: n?=?1526) mental health presentations (4.5% of all ED presentations) were made to the ED. Following the implementation of a patient flow strategy, improvements in ED length of stay, tests performed and nursing observations were seen. These varied by mental health diagnosis. Conclusion Our results indicate that a targeted approach to improving service delivery for a specific cohort of ED patients can make a difference without additional staffing. Further focused refinement of the strategy (such as time waiting for treatment) may be required.
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    Journal Title
    International Emergency Nursing
    Volume
    23
    Issue
    4
    DOI
    https://doi.org/10.1016/j.ienj.2015.01.005
    Subject
    Nursing
    Mental health nursing
    Publication URI
    http://hdl.handle.net/10072/135932
    Collection
    • Journal articles

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