Discharge planning in A & E: Part 2 |
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| Affiliation: | 1. Hypertension and Atherosclerosis Research Group, Medical and Surgical Sciences Department, Sant''Orsola-Malpighi University Hospital, Via Albertoni 15, 40138 Bologna, Italy;2. Hypertension Unit, Division of Cardiology, Department of Clinical and Molecular Medicine, University of Rome Sapienza, Sant''Andrea Hospital, Rome, Italy;3. IRCCS Neuromed, Pozzilli, IS, Italy;1. Department of Neuroscience, Mayo Clinic, Jacksonville, FL, USA;2. Fujian Provincial Key Laboratory of Neurodegenerative Disease and Aging Research, Institute of Neuroscience, College of Medicine, Xiamen University, Xiamen, China;3. Neurobiology of Disease Graduate Program, Mayo Clinic College of Medicine, Jacksonville, FL, USA;1. Course of Oral Health and Welfare, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan;2. Division of Pediatric Dentistry, Graduate School of Medical and Dental Sciences, Niigata University, 2-5274 Gakkoucho-Dori, Chuo-ku, Niigata 951-8514, Japan;3. Division of Welfare, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan;4. Division of Oral Science for Health Promotion, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan;5. Asahito Orthodontic Pediatric Dental Clinic, Niigata, Japan;1. Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee;3. Department of Psychology and Human Development, Vanderbilt University, Nashville, Tennessee;1. Servicio de Anestesiología, Complejo Hospitalario Universitario Granada, Granada, España;2. Servicio de Anestesiología, Hospital Universitario Cruces, , Bilbao, Vizcaya, España;3. Servicio de Anestesiología, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas, España;4. Servicio de Anestesiología, Hospital Clinic, Universitat de Barcelona, Barcelona, España;5. Servicio de Anestesiología, Hospital Universitario Ramón y Cajal, Madrid, España;6. Servicio de Anestesiología, Hospital Universitario Miguel Servet, Zaragoza, España;7. Servicio de Anestesiología, Complejo Hospitalario Universitario Juan Canalejo, A Coruña, España;8. Servicio de Neurocirugía, Complejo Hospitalario Universitario Granada, Granada, España;1. Department of Pediatrics, National Hospital Organization Okayama Medical Center, Okayama, Okayama, Japan;2. Department of Pediatrics, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Okayama, Japan;3. Center for Innovative Clinical Medicine, Okayama University Hospital, Okayama, Japan;4. Department of Pediatrics, National Hospital Organization Shikoku Medical Center for Children and Adults, Zentsuji, Kagawa, Japan;5. Department of Pediatrics, National Hospital Organization Tokyo Medical Center, Meguro-ku, Tokyo, Japan;6. Department of Pediatrics, Saitama National Hospital, Wako, Saitama, Japan;7. Department of Pediatrics, National Hospital Organization Shimoshizu Hospital, Yotsukaido, Chiba, Japan;8. Department of Pediatrics, National Hospital Organization Nagara Medical Center, Gifu, Gifu, Japan;9. Department of Pediatrics, National Hospital Organization Kokura Medical Center, Kitakyushu, Fukuoka, Japan;10. Department of Pediatrics, National Hospital Organization Miechuo Medical Center, Tsu, Mie, Japan;11. Department of Pediatrics, Mie National Hospital, Tsu, Mie, Japan;12. Department of Pediatrics, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Japan;13. Department of Pediatrics, National Hospital Organization Saga National Hospital, Saga, Saga, Japan;14. Department of Pediatrics, National Hospital Organization Beppu Medical Center, Beppu, Oita, Japan;15. Department of Pediatrics, National Hospital Organization Sagamihara National Hospital, Sagamihara, Kanagawa, Japan;p. Clinical Research Center, National Hospital Organization Nagoya Medical Center, Nagoya Clinical Research Center, Nagoya, Aichi, Japan |
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| Abstract: | Discharge of patients from A & E was considered by both the 1992 and 1996 Audit Commission reports. The 1992 Commission recommended that unnecessary return attendance for follow-up care should be reduced to a minimum, those requiring to make a return visit falling within the range of 10–15% of first attendances. Other hospital specialties, GP services and self care were identified as appropriate follow-up treatment. This places more emphasis on appropriate discharge advice for those who do not need to reattend, and this is an aspect of health promotion which largely goes unrecognized. The second part of this study explores how effectively A & E departments perform the role of giving appropriate discharge advice. Part I of the study, published in October 1997, covered the comprehensive discharge planning required for patients who belong to vulnerable groups and who commonly reattend. |
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