An Enhanced Follow-up Program Assures Safe Transition from the Emergency Department to Home and Aftercare

2.50
Hdl Handle:
http://hdl.handle.net/10755/163001
Type:
Presentation
Title:
An Enhanced Follow-up Program Assures Safe Transition from the Emergency Department to Home and Aftercare
Abstract:
An Enhanced Follow-up Program Assures Safe Transition from the Emergency Department to Home and Aftercare
Conference Sponsor:Emergency Nurses Association
Conference Year:2005
Author:Specht, Judith, RN, BSN
P.I. Institution Name:Stony Brook University Hospital
Title:Clinician Emergency Department Follow Up Program
Contact Address:Nicolls Road and East Loop Road Intersection, Stony Brook, Long Island, NY, 11794 -7400, USA
Contact Telephone:(631) 444-2397
Clinical Topic: Following patients' release from the hospital, the emergency department (ED) was receiving myriad of requests from both patients and physicians in the community about issues, such as test results, school restriction notes, and physician referrals, as well as information related to wound care, medication effects, and immunizations. Many patients were discharged with test results outstanding and insufficient understanding about aftercare. In addition, many community physicians were lacking information about their patients' care in the emergency department. To address these issues, ED leadership implemented an enhanced follow-up program that focused on comprehensive reviews of medical charts and reports, improved communication with primary-care providers and patients, and improved patient education. Implementation: ED leadership sought support from hospital administration, which found merit in program expansion. After a series of meetings, a comprehensive program was developed, which included new staff positions and additional resources in the emergency department. The enhanced follow-up program was implemented in late 2003. As part of the program, staff nurses reviewed all medical charts and laboratory and radiology reports. Findings documented in the medical record were compared to final printed results to identify inconsistencies. Acute and incidental findings were relayed to patients. Findings that indicated urgent intervention and required recall to the emergency department or followup with the patients' primary-care providers were communicated to patients and physicians. To increase communication with patients' physicians outside the emergency department and improve patient care, ED charts and results were faxed to patients' primary-care providers who received prior notification. Patient teaching and telephone triage following patients? release from the hospital were integral parts of the follow-up program. Patients were provided with information over the phone, such as test results that were unavailable at time of discharge, aftercare instruction, and information regarding follow-up care with primary-care providers. Outcomes: In a review of charts and reports between October and December 2004, program staff identified findings from 183 CAT scan/MRI tests and 60 plain films that were not addressed in the emergency department but required follow up and/or discussion with outpatient providers. Appropriate actions were taken to inform physicians and patients. The follow-up program has led to enhanced communication between community physicians and their patients, as well as improved patient satisfaction. The enhanced follow-up process has received an overwhelmingly positive response from both patients and physicians. Recommendations: A follow-up program that facilitates communication with patients and physicians in the community can offer early intervention that improves patient safety, promotes physician and patient satisfaction, and decreases the possibility of liability associated with omissions.
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.titleAn Enhanced Follow-up Program Assures Safe Transition from the Emergency Department to Home and Aftercareen_GB
dc.identifier.urihttp://hdl.handle.net/10755/163001-
dc.description.abstract<table><tr><td colspan="2" class="item-title">An Enhanced Follow-up Program Assures Safe Transition from the Emergency Department to Home and Aftercare</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">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Specht, Judith, RN, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Stony Brook University Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinician Emergency Department Follow Up Program</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Nicolls Road and East Loop Road Intersection, Stony Brook, Long Island, NY, 11794 -7400, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(631) 444-2397</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jspecht@notes.cc.sunysb.edu</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: Following patients' release from the hospital, the emergency department (ED) was receiving myriad of requests from both patients and physicians in the community about issues, such as test results, school restriction notes, and physician referrals, as well as information related to wound care, medication effects, and immunizations. Many patients were discharged with test results outstanding and insufficient understanding about aftercare. In addition, many community physicians were lacking information about their patients' care in the emergency department. To address these issues, ED leadership implemented an enhanced follow-up program that focused on comprehensive reviews of medical charts and reports, improved communication with primary-care providers and patients, and improved patient education. Implementation: ED leadership sought support from hospital administration, which found merit in program expansion. After a series of meetings, a comprehensive program was developed, which included new staff positions and additional resources in the emergency department. The enhanced follow-up program was implemented in late 2003. As part of the program, staff nurses reviewed all medical charts and laboratory and radiology reports. Findings documented in the medical record were compared to final printed results to identify inconsistencies. Acute and incidental findings were relayed to patients. Findings that indicated urgent intervention and required recall to the emergency department or followup with the patients' primary-care providers were communicated to patients and physicians. To increase communication with patients' physicians outside the emergency department and improve patient care, ED charts and results were faxed to patients' primary-care providers who received prior notification. Patient teaching and telephone triage following patients? release from the hospital were integral parts of the follow-up program. Patients were provided with information over the phone, such as test results that were unavailable at time of discharge, aftercare instruction, and information regarding follow-up care with primary-care providers. Outcomes: In a review of charts and reports between October and December 2004, program staff identified findings from 183 CAT scan/MRI tests and 60 plain films that were not addressed in the emergency department but required follow up and/or discussion with outpatient providers. Appropriate actions were taken to inform physicians and patients. The follow-up program has led to enhanced communication between community physicians and their patients, as well as improved patient satisfaction. The enhanced follow-up process has received an overwhelmingly positive response from both patients and physicians. Recommendations: A follow-up program that facilitates communication with patients and physicians in the community can offer early intervention that improves patient safety, promotes physician and patient satisfaction, and decreases the possibility of liability associated with omissions.</td></tr></table>en_GB
dc.date.available2011-10-27T10:37:50Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:37:50Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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