2.50
Hdl Handle:
http://hdl.handle.net/10755/162964
Type:
Presentation
Title:
Development of an Emergency Department (ED) Patient Follow-up Care Process
Abstract:
Development of an Emergency Department (ED) Patient Follow-up Care Process
Conference Sponsor:Emergency Nurses Association
Conference Year:2001
Author:McGill, Leasa, RN, CEN
P.I. Institution Name:Mercy Hospital of Pittsburgh
Contact Address:1400 Locust Street, Pittsburgh, PA, 15219, USA
Contact Telephone:(412) 232-7231
Co-Authors:Bruce A. MacLeod, MD, FACEP; Gail Pupo, RN, MSN, CEN; and Susan Rolniak, CRNP, MSN, CCRC
Clinical Topic: The purpose of this process is to facilitate mechanisms that assure optimal, safe and reliable follow-up care after patient discharge from the ED. Implementation: This process has been progressively developed over the last ten years. First, an experienced emergency nurse (1 FTE) was dedicated to develop and implement a follow-up care program for discharged ED patients. In addition to the responsibilities of Patient Follow-Up Care, this nurse assists with data collection, trending and reporting of patient concerns brought to the ED by patients, families, and other departments. Following a literature search, a model was identified which was then further modified and enhanced to meet the needs of our Level 1 Trauma Center (43,000 annual census). Our needs included follow-up of laboratory results pending upon patient discharge, unexpected final radiology readings, patients discharged with high risk complaints, reinforcement of discharge instructions, and assistance scheduling follow-up appointments or scheduling tests. An ED patient follow-up care documentation tool was developed, further modified, and became a permanent part of the medical record. Collaboration with Laboratory Medicine, Radiology, and Risk Management departments resulted in identification of patients who required follow-up, and improved communication (including mechanisms) between departments. A patient medical record 'Fax Back" program was recently developed and implemented to meet the needs of the primary care physician for more timely information about patient's ED visit and instructions. Outcomes: By defining a comprehensive process for ED patient follow-up care, which includes all of the Department of Emergency Medicine (DEM) staff, a patient is certain to have follow-up care 365 days a year. The effects of this program have decreased medical risks for patients, and legal risks for the hospital by defining a process that ensures that all reports of tests/x-rays which are not completed until after the patient is discharged are reviewed to assess any change in treatment. It has provided a safety net for physician and nursing staff regarding high risk or complicated patients, or for patients who may require assistance following discharge. The program has provided an opportunity for patients to receive assistance following discharge instructions and to make appointments for tests and doctor visits. Patients are appreciative of a follow-up call from the DEM staff. Recommendations: We hope to expand the population of patients we routinely call back and continue to evaluate this program to obtain feedback from patients and physicians via formal written survey to determine the benefits. Upon completion of this poster review, the participant will be able to: 1) Discuss the process of an ED patient follow-up care program; and 2) Describe the effects of an organized patient follow-up program in care of ED patients. [Clinical Poster Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDevelopment of an Emergency Department (ED) Patient Follow-up Care Processen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162964-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development of an Emergency Department (ED) Patient Follow-up Care Process</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">McGill, Leasa, RN, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Mercy Hospital of Pittsburgh</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1400 Locust Street, Pittsburgh, PA, 15219, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(412) 232-7231</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">lmcgill@mercy.pmhs.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Bruce A. MacLeod, MD, FACEP; Gail Pupo, RN, MSN, CEN; and Susan Rolniak, CRNP, MSN, CCRC</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: The purpose of this process is to facilitate mechanisms that assure optimal, safe and reliable follow-up care after patient discharge from the ED. Implementation: This process has been progressively developed over the last ten years. First, an experienced emergency nurse (1 FTE) was dedicated to develop and implement a follow-up care program for discharged ED patients. In addition to the responsibilities of Patient Follow-Up Care, this nurse assists with data collection, trending and reporting of patient concerns brought to the ED by patients, families, and other departments. Following a literature search, a model was identified which was then further modified and enhanced to meet the needs of our Level 1 Trauma Center (43,000 annual census). Our needs included follow-up of laboratory results pending upon patient discharge, unexpected final radiology readings, patients discharged with high risk complaints, reinforcement of discharge instructions, and assistance scheduling follow-up appointments or scheduling tests. An ED patient follow-up care documentation tool was developed, further modified, and became a permanent part of the medical record. Collaboration with Laboratory Medicine, Radiology, and Risk Management departments resulted in identification of patients who required follow-up, and improved communication (including mechanisms) between departments. A patient medical record 'Fax Back&quot; program was recently developed and implemented to meet the needs of the primary care physician for more timely information about patient's ED visit and instructions. Outcomes: By defining a comprehensive process for ED patient follow-up care, which includes all of the Department of Emergency Medicine (DEM) staff, a patient is certain to have follow-up care 365 days a year. The effects of this program have decreased medical risks for patients, and legal risks for the hospital by defining a process that ensures that all reports of tests/x-rays which are not completed until after the patient is discharged are reviewed to assess any change in treatment. It has provided a safety net for physician and nursing staff regarding high risk or complicated patients, or for patients who may require assistance following discharge. The program has provided an opportunity for patients to receive assistance following discharge instructions and to make appointments for tests and doctor visits. Patients are appreciative of a follow-up call from the DEM staff. Recommendations: We hope to expand the population of patients we routinely call back and continue to evaluate this program to obtain feedback from patients and physicians via formal written survey to determine the benefits. Upon completion of this poster review, the participant will be able to: 1) Discuss the process of an ED patient follow-up care program; and 2) Describe the effects of an organized patient follow-up program in care of ED patients. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:37:12Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:37:12Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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