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논문 기본 정보

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학술저널
저자정보
Hyeanji Kim (Regional Emergency Medical Center Seoul National University Hospital Seoul Korea) Seung Jun Han (Department of Internal Medicine Seoul National University Hospital Seoul/Hospital Medicine Center S) Jae Hyun Lee (Department of Internal Medicine Seoul National University Hospital Seoul/Hospital Medicine Center S) Jin Lim (Department of Internal Medicine Seoul National University Hospital Seoul/Hospital Medicine Center S) Sung do Moon (Department of Internal Medicine Seoul National University Hospital Seoul/Hospital Medicine Center S) Hongran Moon (Department of Internal Medicine Seoul National University Hospital Seoul/Hospital Medicine Center S) Seo Young Lee (Department of Internal Medicine Seoul National University Hospital Seoul/Hospital Medicine Center S) Sock-Won Yoon (Department of Internal Medicine Seoul National University Hospital Seoul/Hospital Medicine Center S) 정희원 (Division of Geriatrics Department of Internal Medicine Asan Medical Center University of Ulsan Coll)
저널정보
대한노인병학회 Annals of geriatric medicine and research Annals of geriatric medicine and research Vol.25 No.4
발행연도
2021.12
수록면
245 - 251 (7page)
DOI
10.4235/agmr.21.0075

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Background: Unnecessary emergency department (ED) visits are a crucial consideration in discharge planning for acutely admitted patients. This study aimed to identify the reasons for unnecessary visits to the ED within 30 days of discharge from a medical hospitalist unit. Methods: We performed a retrospective review of patients discharged in 2018 from a medical unit of tertiary teaching hospital in Korea. The authors discussed in-depth and determined whether or not an ED visit was unnecessary, and further classified the causes of unnecessary visits into three categories. Results: The mean age of the patients was 62.9 years (range, 15?99 years), and among the 1,343 patients discharged from the unit, 720 (53.6%) were men. Overall, 215 patients (16.0%) visited the ED within 30 days after discharge; among them, 16.3% were readmitted. Of the 215 cases of ED visits within 30 days after discharge, 57 (26.5%) were considered unnecessary. Of these, 30 (52.6%) were categorized as having failed care transition, 15 (26.3%) had unestablished care plans for predictable issues, and 12 (21.1%) had insufficient patient education. Conclusion: A substantial number of short-term ED visits by discharged multimorbid or older medical patients were considered unnecessary. Discharging patients with a thorough discharge plan is essential to avoid unnecessary ED visits.
#Patient discharge #Patient readmission #Geriatrics #Multimorbidity #Hospital medicine

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참고문헌 (35)

참고문헌 신청
Di Somma S / 2015 / Overcrowding in emergency department : an international issue / Intern Emerg Med 10:171~175 google schola Trzeciak S / 2003 / Emergency department overcrowding in the United States : an emerging threat to patient safety and public health / Emerg Med J 20:402~405 google schola Kim YJ / 2021 / How to keep patients and staff safe from accidental SARS-CoV-2exposure in the emergency room : lessons from South Korea's explosive COVID-19 outbreak / Infect Control Hosp Epidemiol 42:18~24 google schola Cho SY / 2016 / MERSCoV outbreak following a single patient exposure in an emergency room in South Korea : an epidemiological outbreak study / Lancet 388:994~1001 google schola Seung Jun Han / 2020 / Comparisons of Clinical Outcomes between Weekday-Only and Full-Time, 24-Hour/7-Day Coverage HospitalistSystems / Journal of Korean Medical Science 35(18):1~7 dbpia

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