Improving Outpatient Follow-Up Through Innovative Appointment Scheduling at Emergency Department Discharge

Tessitore, Ashley; Brennan-Cook, Jill

doi:10.1097/tme.0000000000000340

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…The purpose of this project was to reduce the number of incorrectly scheduled patients at a large orthopaedic specialty care practice with use of standardized documentation. Having a standardized follow-up process with consistent communication can positively impact rates of outpatient follow-up, continuity of care, and ultimately patient and provider satisfaction (Carmel et al 2017; Fan et al, 2005; Tessitore & Brennan-Cook, 2021).…”

Section: Discussionmentioning

confidence: 99%

“…Disjointed communication and gaps in appropriate systematic and standardized follow-up care are components of discharge planning that can negatively impact the overall quality of care (Arora & Farnan, 2008; Carmel et al, 2017; Dunnion & Kelly, 2005; Rider et al, 2018). Carmel et al (2017) and Tessitore and Brennan-Cook (2021) discussed the potential for reducing healthcare costs through implementation of a systematic follow-up appointment process. As reported by Tessitore and Brennan-Cook (2021), implementation of a standardized discharge follow-up system positively affects rates of outpatient follow-up and may impact the continuity of care.…”

Section: Introductionmentioning

confidence: 99%

“…Carmel et al (2017) and Tessitore and Brennan-Cook (2021) discussed the potential for reducing healthcare costs through implementation of a systematic follow-up appointment process. As reported by Tessitore and Brennan-Cook (2021), implementation of a standardized discharge follow-up system positively affects rates of outpatient follow-up and may impact the continuity of care.…”

Section: Introductionmentioning

confidence: 99%

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Subspecialty Clinic Scheduling for Emergency Room Follow-ups

Eldridge,

Kujath

2023

Orthopaedic Nursing

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Inaccurate patient scheduling disrupts the continuity of care between patient and provider, diminishing satisfaction. One clinic had 19% of patients scheduled incorrectly after follow-up from emergency room visits. The purpose of this project was to reduce the number of incorrectly scheduled patients following up from emergency room visits that required orthopaedic consultations from advanced practice providers (APPs) and monitor the impact the change process had on APP job satisfaction. The design was nonexperimental, did not have a control group for comparison, and used standardized electronic health record documentation. A pretest and posttest design was used for the job satisfaction survey. Postimplementation data showed patients were correctly scheduled 97% of the time. Provider satisfaction improved from 2.375 to 3.125 on a 0- to 5-point scale as it pertains to clinic scheduling. Organizations can benefit from the use of standardized communication documentation to ensure proper follow-up for patients, improve continuity of care, and positively impact provider satisfaction.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Subspecialty Clinic Scheduling for Emergency Room Follow-ups

Eldridge,

Kujath

2023

Orthopaedic Nursing

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Unplanned revisits of older patients to the emergency department

Müller,

Keller,

Slankamenac

2024

Front. Disaster Emerg. Med.

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IntroductionOlder patients currently represent up to 12%−24% of all emergency department (ED) visits. While increasing in number, they are also at high risk of revisits once discharged. The rate of ED revisits within 72 h is a key indicator of the quality of care in emergency medicine and varies between 1% and 15%. The reasons for ED revisits are natural course of illness, misdiagnosis, lack of homecare, and self-discharge against medical advice. However, the risk factors for ED revisits have not been fully investigated. Therefore, this study aimed to analyze the incidence of ED revisits and identify the risk factors for ED revisits within 72 h after ED discharge.MethodsIn this retrospective study, older patients (≥70 years) were consecutively enrolled if they presented with an Emergency Severity Index of 2 or 3 in a tertiary care ED in 2019, with discharge after the ED visit. The primary endpoint was the frequency of unplanned ED revisits within 72 h after ED discharge. The secondary endpoints were the reasons and potential risk factors for ED revisits. Univariate and multivariate logistic regression models were used.ResultsA total of 592 older patients were enrolled, of whom 30 (5.1%) revisited the ED within 72 h. Gastrointestinal diagnosis [odds ratio (OR), 2.9; 95% confidence interval [CI], 1.04–8.2; p = 0.043) and nausea in particular (OR, 3.5; 95% CI, 1.3–9.4; p = 0.016) were significant risk factors for ED revisits. Furthermore, discharge against medical advice (OR, 5.6; 95% CI, 1.7–18.1; p = 0.004) and ED presentation during the night (OR, 2.7; 95% CI, 1.2–6.1; p = 0.014) were significant risk factors for ED revisits within 72 h after discharge, respectively.ConclusionAlthough the frequency of ED revisits among older patients at 72 h after discharge tends to be low and most revisits were illness-related, all older patients need to be assessed for risk factors for ED revisits. Discharge should be carefully evaluated to improve patient safety and provide the best healthcare to this frail population.

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Improving Outpatient Follow-Up Through Innovative Appointment Scheduling at Emergency Department Discharge

Cited by 2 publications

References 9 publications

Subspecialty Clinic Scheduling for Emergency Room Follow-ups

Subspecialty Clinic Scheduling for Emergency Room Follow-ups

Unplanned revisits of older patients to the emergency department

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