Return visits to the paediatric emergency department

Return visits to the paediatric emergency department

Objective To determine the rate of unplanned return visits (uRVs) within 48 h to a paediatric ED over a 12‐month period and describe the factors associated with these uRV. Methods Retrospective review of electronic data regarding the initial and follow‐up visit at a tertiary paediatric hospital ED i...

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Veröffentlicht in:Emergency medicine Australasia 2022-08, Vol.34 (4), p.584-589
Hauptverfasser: Hollaway, William, Borland, Meredith L
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Sprache:eng
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diagnostic error
hospital
medical staff
paediatric emergency medicine
patient readmission
seasonal variation
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creator Hollaway, William
Borland, Meredith L
description Objective To determine the rate of unplanned return visits (uRVs) within 48 h to a paediatric ED over a 12‐month period and describe the factors associated with these uRV. Methods Retrospective review of electronic data regarding the initial and follow‐up visit at a tertiary paediatric hospital ED in Western Australia. The primary outcome was the number of patients who presented for uRV within 48 h of their initial ED visit. Results Between August 2018 and July 2019, 2322 patients returned to the ED for a uRV comprising 3.4% of 68 352 ED presentations with more than 53% returning with infectious causes. Triage category 3 patients were most likely to represent (OR 1.11, P = 0.029) with 3‐month to 1‐year old (OR 1.37, P 
doi_str_mv 10.1111/1742-6723.13961
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Methods Retrospective review of electronic data regarding the initial and follow‐up visit at a tertiary paediatric hospital ED in Western Australia. The primary outcome was the number of patients who presented for uRV within 48 h of their initial ED visit. Results Between August 2018 and July 2019, 2322 patients returned to the ED for a uRV comprising 3.4% of 68 352 ED presentations with more than 53% returning with infectious causes. Triage category 3 patients were most likely to represent (OR 1.11, P = 0.029) with 3‐month to 1‐year old (OR 1.37, P &lt; 0.00001) and 1–5‐year old (OR 1.32, P &lt; 0.00001) the commonest age groups. There was seasonal variation in uRVs demonstrating a greater number in the winter months. The percentage of uRVs to overall ED presentations was greater in the summer months (3.8–4.1%). There was a significant increase in uRVs occurring up to 2 weeks after the changeovers in middle‐grade ED doctors only. Conclusions The present study has demonstrated associations between uRV and initial‐visit triage category 3, age between 3 months and 5 years, and presentations because of infectious illness. Middle‐grade doctor changeover was also associated with an increase in uRVs. This Australian study of unplanned return visits (uRVs) in a paediatric ED has demonstrated associations between uRV and initial‐visit triage category 3, age between 3 months and 5 years, and presentations because of infectious illness. Middle‐grade doctor changeover was also associated with an increase in uRVs.</description><identifier>ISSN: 1742-6731</identifier><identifier>EISSN: 1742-6723</identifier><identifier>DOI: 10.1111/1742-6723.13961</identifier><identifier>PMID: 35322579</identifier><language>eng</language><publisher>Melbourne: Wiley Publishing Asia Pty Ltd</publisher><subject>diagnostic error ; hospital ; medical staff ; paediatric emergency medicine ; patient readmission ; seasonal variation</subject><ispartof>Emergency medicine Australasia, 2022-08, Vol.34 (4), p.584-589</ispartof><rights>2022 Australasian College for Emergency Medicine</rights><rights>2022 Australasian College for Emergency Medicine.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2731-a26d636bd71d674b7b26183b72a96ca7addacc238d34b61d679e6f1f8468baa83</citedby><cites>FETCH-LOGICAL-c2731-a26d636bd71d674b7b26183b72a96ca7addacc238d34b61d679e6f1f8468baa83</cites><orcidid>0000-0002-2691-3858</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1742-6723.13961$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1742-6723.13961$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35322579$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hollaway, William</creatorcontrib><creatorcontrib>Borland, Meredith L</creatorcontrib><title>Return visits to the paediatric emergency department</title><title>Emergency medicine Australasia</title><addtitle>Emerg Med Australas</addtitle><description>Objective To determine the rate of unplanned return visits (uRVs) within 48 h to a paediatric ED over a 12‐month period and describe the factors associated with these uRV. Methods Retrospective review of electronic data regarding the initial and follow‐up visit at a tertiary paediatric hospital ED in Western Australia. The primary outcome was the number of patients who presented for uRV within 48 h of their initial ED visit. Results Between August 2018 and July 2019, 2322 patients returned to the ED for a uRV comprising 3.4% of 68 352 ED presentations with more than 53% returning with infectious causes. Triage category 3 patients were most likely to represent (OR 1.11, P = 0.029) with 3‐month to 1‐year old (OR 1.37, P &lt; 0.00001) and 1–5‐year old (OR 1.32, P &lt; 0.00001) the commonest age groups. There was seasonal variation in uRVs demonstrating a greater number in the winter months. The percentage of uRVs to overall ED presentations was greater in the summer months (3.8–4.1%). There was a significant increase in uRVs occurring up to 2 weeks after the changeovers in middle‐grade ED doctors only. Conclusions The present study has demonstrated associations between uRV and initial‐visit triage category 3, age between 3 months and 5 years, and presentations because of infectious illness. Middle‐grade doctor changeover was also associated with an increase in uRVs. This Australian study of unplanned return visits (uRVs) in a paediatric ED has demonstrated associations between uRV and initial‐visit triage category 3, age between 3 months and 5 years, and presentations because of infectious illness. Middle‐grade doctor changeover was also associated with an increase in uRVs.</description><subject>diagnostic error</subject><subject>hospital</subject><subject>medical staff</subject><subject>paediatric emergency medicine</subject><subject>patient readmission</subject><subject>seasonal variation</subject><issn>1742-6731</issn><issn>1742-6723</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNqFkD1PwzAQhi0EoqUws6GMLGljO7WdEVUtILVCQjBbjn0Bo3xhO6D-exJSunLLnU7PvSc9CF3jZI77WmCekphxQueYZgyfoOlxc3qcKZ6gC-8_koSIFGfnaEKXlJAlz6YofYbQuTr6st4GH4UmCu8QtQqMVcFZHUEF7g1qvY8MtMqFCupwic4KVXq4OvQZet2sX1YP8fbp_nF1t4016Z_GijDDKMsNx4bxNOc5YVjQnBOVMa24MkZpTagwNM3ZwGTAClyIlIlcKUFn6HbMbV3z2YEPsrJeQ1mqGprOS8JSIrIEiwFdjKh2jfcOCtk6Wym3lziRgyo5yJCDGPmrqr-4OYR3eQXmyP-56YHlCHzbEvb_5cn1bjcG_wDBcHJv</recordid><startdate>202208</startdate><enddate>202208</enddate><creator>Hollaway, William</creator><creator>Borland, Meredith L</creator><general>Wiley Publishing Asia Pty Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2691-3858</orcidid></search><sort><creationdate>202208</creationdate><title>Return visits to the paediatric emergency department</title><author>Hollaway, William ; Borland, Meredith L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2731-a26d636bd71d674b7b26183b72a96ca7addacc238d34b61d679e6f1f8468baa83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>diagnostic error</topic><topic>hospital</topic><topic>medical staff</topic><topic>paediatric emergency medicine</topic><topic>patient readmission</topic><topic>seasonal variation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hollaway, William</creatorcontrib><creatorcontrib>Borland, Meredith L</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Emergency medicine Australasia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hollaway, William</au><au>Borland, Meredith L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Return visits to the paediatric emergency department</atitle><jtitle>Emergency medicine Australasia</jtitle><addtitle>Emerg Med Australas</addtitle><date>2022-08</date><risdate>2022</risdate><volume>34</volume><issue>4</issue><spage>584</spage><epage>589</epage><pages>584-589</pages><issn>1742-6731</issn><eissn>1742-6723</eissn><abstract>Objective To determine the rate of unplanned return visits (uRVs) within 48 h to a paediatric ED over a 12‐month period and describe the factors associated with these uRV. Methods Retrospective review of electronic data regarding the initial and follow‐up visit at a tertiary paediatric hospital ED in Western Australia. The primary outcome was the number of patients who presented for uRV within 48 h of their initial ED visit. Results Between August 2018 and July 2019, 2322 patients returned to the ED for a uRV comprising 3.4% of 68 352 ED presentations with more than 53% returning with infectious causes. Triage category 3 patients were most likely to represent (OR 1.11, P = 0.029) with 3‐month to 1‐year old (OR 1.37, P &lt; 0.00001) and 1–5‐year old (OR 1.32, P &lt; 0.00001) the commonest age groups. There was seasonal variation in uRVs demonstrating a greater number in the winter months. The percentage of uRVs to overall ED presentations was greater in the summer months (3.8–4.1%). There was a significant increase in uRVs occurring up to 2 weeks after the changeovers in middle‐grade ED doctors only. Conclusions The present study has demonstrated associations between uRV and initial‐visit triage category 3, age between 3 months and 5 years, and presentations because of infectious illness. Middle‐grade doctor changeover was also associated with an increase in uRVs. This Australian study of unplanned return visits (uRVs) in a paediatric ED has demonstrated associations between uRV and initial‐visit triage category 3, age between 3 months and 5 years, and presentations because of infectious illness. Middle‐grade doctor changeover was also associated with an increase in uRVs.</abstract><cop>Melbourne</cop><pub>Wiley Publishing Asia Pty Ltd</pub><pmid>35322579</pmid><doi>10.1111/1742-6723.13961</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-2691-3858</orcidid></addata></record>
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subjects diagnostic error
hospital
medical staff
paediatric emergency medicine
patient readmission
seasonal variation
title Return visits to the paediatric emergency department
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