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dc.contributor.authorWendt, Kim
dc.contributor.authorCrilly, Julia
dc.contributor.authorMay, Chris
dc.contributor.authorBates, Kym
dc.contributor.authorSaxena, Rakhee
dc.date.accessioned2017-07-13T02:30:47Z
dc.date.available2017-07-13T02:30:47Z
dc.date.issued2014
dc.date.modified2014-02-19T22:26:06Z
dc.identifier.issn1472-0205
dc.identifier.doi10.1136/emermed-2013-202887
dc.identifier.urihttp://hdl.handle.net/10072/56870
dc.description.abstractBACKGROUND: Complications in early pregnancy, such as threatened or actual miscarriage is a common occurrence resulting in many women presenting to the emergency department (ED). Early pregnancy service delivery models described in the literature vary in terms of approach, setting and outcomes. Our objective was to determine outcomes of women who presented to an Australian regional ED with diagnoses consistent with early pregnancy complications following the implementation of an early pregnancy assessment service (EPAS) and early pregnancy assessment protocol (EPAP) in July 2011. METHODS: A descriptive, comparative (6 months before and after) study was undertaken. Data were extracted from the hospital ED information system and medical healthcare records. Outcome measures included: time to see a clinician, ED length of stay, admission rate, re-presentation rate, hospital admission and types of pathology tests ordered. RESULTS: Over the 12 -month period, 584 ED presentations were made to the ED with complications of early pregnancy (268 PRE and 316 POST EPAS-EPAP). Outcomes that improved statistically and clinically following implementation included: time to see a clinician (decreased by 6 min from 35 to 29 min), admission rate (decreased 6% from 14.5% to 8.5%), increase in beta-human chorionic gonadotrophin ordering by 10% (up to 80% POST), increase in ultrasound (USS) performed by 10% (up to 73% POST) and increase in pain score documentation by 23% (up to 36% POST). CONCLUSIONS: The results indicate that patient and service delivery improvements can be achieved following the implementation of targeted service delivery models such as EPAS and EPAP in the ED.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherBMJ Group
dc.publisher.placeUnited Kingdom
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrome50
dc.relation.ispartofpagetoe54
dc.relation.ispartofissuee1
dc.relation.ispartofjournalEmergency Medicine Journal
dc.relation.ispartofvolume31
dc.rights.retentionY
dc.subject.fieldofresearchNursing not elsewhere classified
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode111099
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1110
dc.subject.fieldofresearchcode1117
dc.titleAn outcomes evaluation of an emergency department early pregnancy assessment service and early pregnancy assessment protocol
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.date.issued2013
gro.hasfulltextNo Full Text
gro.griffith.authorCrilly, Julia


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