Patient education in the emergency department: take advantage of the teachable moment

Pétré, Benoît; Margat, Aurore; Servotte, Jean-Christophe; Guillaume, Michèle; Gagnayre, Rémi; Ghuysen, Alexandre

doi:10.1007/s10459-019-09893-6

Cited by 20 publications

(21 citation statements)

References 31 publications

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“…The number of boarding patients gradually increased from Monday to Friday, and then decreased on Friday afternoon. The median (IQR) value was 56 (44-68) for the total number of patients, 35 (26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44) for the number of evaluating patients, and 14 (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26) for the number of boarding patients. Therefore, the third quartile, the critical point of overcrowding, was 68, 44, and 26, for total, evaluating, and boarding indicators, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…However, this reverse correlation between ED overcrowding and RV can be found in the results of McCusker et al's study [37]. The patient's discharge process in the ED is an important step in explaining the patient's condition and examination results, giving the patient confidence in the doctor's discharge decision, and educating post-discharge precautions [38][39][40]. However, ED overcrowding shortens the time for the doctor to communicate with the patient; doctors may find it difficult to invest sufficient time to explain discharge instructions to the patient in situations where more patients need to be cared for [38,41].…”

Section: Discussionmentioning

confidence: 98%

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Influence of Overcrowding in the Emergency Department on Return Visit within 72 H

Kim

Park

et al. 2020

JCM

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This study was conducted to determine whether overcrowding in the emergency department (ED) affects the occurrence of a return visit (RV) within 72 h. The crowding indicator of index visit was the average number of total patients, patients under observation, and boarding patients during the first 1 and 4 h from ED arrival time and the last 1 h before ED departure. Logistic regression analysis was conducted to determine whether each indicator affects the occurrence of RV and post-RV admission. Of the 87,360 discharged patients, 3743 (4.3%) returned to the ED within 72 h. Of the crowding indicators pertaining to total patients, the last 1 h significantly affected decrease in RV (p = 0.0046). Boarding patients were found to increase RV occurrence during the first 1 h (p = 0.0146) and 4 h (p = 0.0326). Crowding indicators that increased the likelihood of admission post-RV were total number of patients during the first 1 h (p = 0.0166) and 4 h (p = 0.0335) and evaluating patients during the first 1 h (p = 0.0059). Overcrowding in the ED increased the incidence of RV and likelihood of post-RV admission. However, overcrowding at the time of ED departure was related to reduced RV.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 98%

Influence of Overcrowding in the Emergency Department on Return Visit within 72 H

Kim

Park

et al. 2020

JCM

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“…Additionally, due to overwhelming workload and time constraint within EDs, it is likely that asthma education and AAP were provided less frequently in EDs than in the wards. 44 …”

Section: Discussionmentioning

confidence: 99%

“…Additionally, due to overwhelming workload and time constraint within EDs, it is likely that asthma education and AAP were provided less frequently in EDs than in the wards. 44 This study is subject to several limitations. First, although the sample size was reasonably large, the number of participants per LHD varied greatly depending on the number of hospitals and staff available at each LHD.…”

Section: (23)mentioning

confidence: 96%

Assessment of Variation in Care Following Hospital Discharge for Children with Acute Asthma

Chan¹,

Gray²,

Burns³

et al. 2021

JAA

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Purpose: To evaluate potential variation in care management pathways following hospital discharge for children with asthma in New South Wales, Australia. Methods: A cross-sectional web-based survey was conducted in emergency departments (EDs) and paediatric units of public hospitals with more than five paediatric beds within New South Wales, Australia, between July 2018 and March 2019. Nursing and medical staff in EDs and paediatric units who had cared for children aged under 18 years with asthma in the preceding 12 months were invited to participate in this study. Outcome measures included use of clinical practice guidelines and asthma action plan (AAP); advice on posthospitalization follow-up; provision of asthma education for parents/carers; availability of community-based asthma services; communication with schools/childcare services. Results: A total of 502 participants (236 nursing and 266 medical staff, response rate=22%) from 37 hospitals were included. Overall, the use of AAP was not universal (median=90%; IQR=81-96%) with significant difference across local health districts (LHDs) (88.6%, 95% CI=85.4-91.3) and between EDs and paediatric wards (p=9.4×10 −9 ); and a range of asthma clinical practice guidelines were used. Post-hospitalization follow-up within 2-3 days was recommended by 70% of the respondents, but only 8% reported that hospitals had a system in place to ensure follow-up compliance. Formal asthma education sessions (27% respondents) were seldom provided to parents/carers during hospital stays, especially in EDs (14% respondents). Less than 50% of the respondents were aware of any asthma community services for children and only 4% reported that schools/childcare services were notified about the child's hospital admission for an asthma flare up. Conclusion:There are marked variations in the post-hospitalization asthma care and community management for children in NSW. An integrated standardized model of care may improve health outcomes in children with asthma.

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“…Effective triage should include patient education at discharge. 8 Despite the constraints (unpredictable workload, in particular), triage and testing settings should be viewed as a good place to improve future patient adherence to recommendations, thereby preventing complications 9 and, in this context, disease transmission. Patient education should also help health professionals (general practitioners in most cases) who receive calls from patients and arrange for remote triage.…”

Section: Introductionmentioning

confidence: 99%

CEdRIC: Strategy for Patient Education During COVID-19 Triage

Pétré

Servotte

Piazza

et al. 2020

WestJEM

Self Cite

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Patient education in the emergency department: take advantage of the teachable moment

Cited by 20 publications

References 31 publications

Influence of Overcrowding in the Emergency Department on Return Visit within 72 H

Influence of Overcrowding in the Emergency Department on Return Visit within 72 H

Assessment of Variation in Care Following Hospital Discharge for Children with Acute Asthma

CEdRIC: Strategy for Patient Education During COVID-19 Triage

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