Identification of low-acuity attendances in routine clinical information documented in German Emergency Departments

BMC Emergency Medicine

Research

David Legg¹  Antje Fischer-Rosinský¹  Kristin Schmieder¹  Anna Slagman¹  Martin Möckel¹ 

[1] Emergency and Acute Medicine (CVK, CCM), Health Services Research in Emergency and Acute Medicine, Charité Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany;

关键词: Utilization;    Avoidable;    Low-urgent;    Non-urgent;    Emergency department;    Primary care treatable;    General practitioner treatable;    Routine data;   

DOI  :  10.1186/s12873-023-00838-2

 received in 2022-11-10, accepted in 2023-05-31,  发布年份 2023

来源: Springer

【 摘 要 】

IntroductionIt has not yet been possible to ascertain the exact proportion, characterization or impact of low-acuity emergency department (ED) attendances on the German Health Care System since valid and robust definitions to be applied in German ED routine data are missing.MethodsInternationally used methods and parameters to identify low-acuity ED attendances were identified, analyzed and then applied to routine ED data from two EDs of the tertiary care hospitals Charité—Universitätsmedizin Berlin, Campus Mitte (CCM) and Campus Virchow (CVK).ResultsBased on the three routinely available parameters `disposition´, `transport to the ED´ and `triage´ 33.2% (n = 30 676) out of 92 477 presentations to the two EDs of Charité—Universitätsmedizin Berlin (CVK, CCM) in 2016 could be classified as low-acuity presentations.ConclusionThis study provides a reliable and replicable means of retrospective identification and quantification of low-acuity attendances in German ED routine data. This enables both intra-national and international comparisons of figures across future studies and health care monitoring.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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