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Using transprofessional care in the emergency department to reduce patient admissions: A retrospective audit of medical histories.

Abstract：

:The demand for emergency department (ED) services has increased significantly, due to our increasingly ageing population and limited access to primary care. This article reports outcomes from a transprofessional model of care in an ED in Victoria, Australia. Nurses, physiotherapists, social workers, and occupational therapists undertook additional education to increase the range of services they could provide and thereby expedite patient flow through the ED. One hundred patients who received this service were matched against 50 patients who did not. The most common reasons for patient admission were limb injury/limb pain (n = 47, 23.5%) and falls (n = 46, 23.0%). Transprofessional interventions included applying supportive bandages, slings, zimmer splints and controlled ankle motion (CAM) boots, and referral to new services such as case management and mental health teams. The rate of hospital admissions was significantly lower in the transprofessional group (n = 27, 18.0%) than in the reference group (n = 19, 38%, p = 0.005). This group also had a slightly lower re-presentation rate (n = 4, 2.7%) than patients in the reference group (n = 2, 4.0%). There are many benefits that support this model of care that in turn reduces ED overcrowding and work stress. A transprofessional model may offer a creative solution to meeting the varied needs of patients presenting for emergency care.

journal_name

J Interprof Care

journal_title

Journal of interprofessional care

authors

Morphet J,Griffiths DL,Crawford K,Williams A,Jones T,Berry B,Innes K

doi

10.3109/13561820.2015.1115394

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

226-31

issue

2

eissn

1356-1820

issn

1469-9567

journal_volume

30

pub_type

杂志文章

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