Audit of unexpected return visits to an accident and emergency department.

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Audit of unexpected return visits to an accident and emergency department.

Unscheduled re-attendances of patients to the A&E Department were examined over 50 days. A re-attendance rate of 1.9 per 100 new patients was found. Of 102 return visits, only 35 resulted in no change in the diagnosis or treatment. Common faults in the initial consultation were failure to explain the condition and prognosis adequately and failure to provide adequate analgesia. Review of patient...

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Return visits to the emergency department.

A persistent problem for emergency physicians is the patient who returns unscheduled to the emergency department with a problem that either has not improved or has worsened. The purpose of this study was to evaluate the frequency of revisits and the nature of the problems. All patients returning within 72 hours of their initial visit were entered into the study. The charts were evaluated for cl...

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Audit in the accident and emergency department.

Audit is all about improving patient care. Most clinicians are now familiar with the fundamentals of the audit loop, and the question "what do you understand by clinical audit?" can be relied on to appear in specialist registrar and consultant interviews. At its most simple the auditing process involves a critical appraisal of present performance, followed by a process of standard setting. Pres...

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Unscheduled return visits by patients to the accident and emergency department.

To determine why patients reattend an A&E department we surveyed 235 patients who returned unscheduled in a one-month period. Sixty-two per cent returned because of persistent symptoms. Sixty-three per cent presented within a week of their initial visit. Only 32% had attempted to see their GP. Thirty-five per cent of all patients claimed that A&E staff had advised them to return if they had pro...

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Audit of ankle injuries in an accident and emergency department.

OBJECTIVE To determine whether the treatment of ankle injuries in an accident and emergency department could be improved by an audit of existing treatment and the creation and use of a protocol. DESIGN The study consisted of three parts: a review of the current treatment and published reports on treatment, the formation of a protocol, and a study of treatment after introducing the protocol. ...

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ژورنال

عنوان ژورنال: Emergency Medicine Journal

سال: 1992

ISSN: 1472-0205,1472-0213

DOI: 10.1136/emj.9.4.352