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  • Patients Who Presented to an Australian Emergency Department and Did Not Wait or Left Against Medical Advice: A Prospective Cohort Follow-Up Study

    Author(s)
    Crilly, J
    Bost, N
    Gleeson, H
    Timms, J
    Griffith University Author(s)
    Crilly, Julia
    Bost, Nerolie F.
    Year published
    2012
    Metadata
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    Abstract
    This study aimed to describe characteristics, outcomes, and post-emergency department (ED) departure medical requirements of patients who did not wait (DNW) or left against medical advice (LAMA) after presenting to an Australian hospital ED over a 6-month period. This was a prospective cohort follow-up study. Children and adults were compared in terms of ED characteristics and outcomes. Of the 32,333 patient presentations, 3,293 (10.2%) were recorded as DNW and 470 (1.5%) as LAMA. Of the DNW/LAMA presentations, 1,303 (34.6%) received a telephone call. One in four of the DNW/LAMA patients were children (<16 years). Most (87%) ...
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    This study aimed to describe characteristics, outcomes, and post-emergency department (ED) departure medical requirements of patients who did not wait (DNW) or left against medical advice (LAMA) after presenting to an Australian hospital ED over a 6-month period. This was a prospective cohort follow-up study. Children and adults were compared in terms of ED characteristics and outcomes. Of the 32,333 patient presentations, 3,293 (10.2%) were recorded as DNW and 470 (1.5%) as LAMA. Of the DNW/LAMA presentations, 1,303 (34.6%) received a telephone call. One in four of the DNW/LAMA patients were children (<16 years). Most (87%) waited longer than the recommended time before leaving the ED, the majority (56%) sought care elsewhere, and some (n = 174, 13%) re-presented to the ED within 7 days; 20 of those required hospital admission. Strategies addressing front-end ED systems are required to mitigate the proportion of patients who DNW/LAMA.
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    Journal Title
    Advanced Emergency Nursing Journal
    Volume
    34
    Issue
    4
    Publisher URI
    http://journals.lww.com/aenjournal/Abstract/2012/11000/Patients_Who_Presented_to_an_Australian_Emergency.11.aspx
    Subject
    Health and Community Services
    Public Health and Health Services not elsewhere classified
    Nursing
    Publication URI
    http://hdl.handle.net/10072/51963
    Collection
    • Journal articles

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