PAT (2009)—Revisions to the Paddington Alcohol Test for Early Identification of Alcohol Misuse and Brief Advice to Reduce Emergency Department Re-attendance
نویسندگان
چکیده
The Paddington Alcohol Test (PAT) has evolved over 15 years as a clinical tool to facilitate emergency physicians and nurses giving brief advice and the offer of an appointment for brief intervention by an alcohol nurse specialist. Previous work has shown that unscheduled emergency department re-attendance is reduced by 'making the connection' between alcohol misuse and resultant problems necessitating emergency care. The revised 'PAT (2009)' now includes education on clinical signs of alcohol misuse and advice on when to request a blood alcohol concentration.
منابع مشابه
Alcohol misuse Y91 coding in ICD-11: rational terminology and logical coding specifically to encourage early identification and advice.
Alcohol misuse is a common presentation to the Emergency Department (ED). The International Classification of Diseases ICD-10 for alcohol misuse, both under F10 and Y90/Y91, is not straightforward. The practicalities of coding ED attendances reveal an increasing detachment from ICD-10 (currently under review). Early identification [sometimes using blood alcohol concentrations (BACs)] and brief ...
متن کاملImproving detection of alcohol misuse in patients presenting to an accident and emergency department.
OBJECTIVES To assess and improve deployment of a brief test for alcohol misuse: the Paddington Alcohol Test (PAT). Design-Prospective study of the effects of audit feedback. SETTING An urban accident and emergency department. SUBJECTS Senior house officers (SHO) (n = 13). OUTCOME MEASUREMENTS PAT use and categorisation of patients for each SHO; observational analysis of presenting complai...
متن کاملDetection of alcohol misusing patients in accident and emergency departments: the Paddington alcohol test (PAT)
OBJECTIVE To develop an effective but practical screening questionnaire for use by accident and emergency (A&E) staff to detect alcohol misuse early on in its natural history, without unreasonably prolonging patient waiting times; and to integrate an alcohol health worker (AHW) into A&E to provide counselling for referred patients. METHODS Two pilot studies for adult patients were undertaken ...
متن کاملHazardous drinkers in the accident and emergency department--who attends an appointment with the alcohol health worker?
AIMS To identify factors that predict attendance at a brief assessment and referral session among patients identified as hazardous drinkers while being treated in an accident and emergency department. METHODS Patients presenting to an accident and emergency department (AED) were screened using the Paddington Alcohol Test (PAT). All patients identified as hazardous drinkers were given written ...
متن کاملAlcohol: signs of improvement. The 2nd national Emergency Department survey of alcohol identification and intervention activity.
OBJECTIVES To conduct a survey of current alcohol identification and brief advice activity in English Emergency Departments, and to compare the results with the previous survey conducted in 2007. METHODOLOGY Cross-sectional survey of all 187 Emergency Departments in England. RESULTS Significant increases (p<0.001) in the proportion of departments routinely asking about alcohol, using a scre...
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