Journal article
Compliance with emergency department referral: The effect of computerized discharge instructions
Annals of emergency medicine, v 22(5), pp 819-823
01 May 1993
PMID: 8470839
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To examine the effect of computerized discharge instructions on emergency department patient referral recommendations.
Prospective, descriptive analysis and clinical trial.
Emergency medicine residency-affiliated urban hospital with 568 beds and 29,000 annual visits.
One thousand ED patients discharged to an outpatient referral network during a six-week period.
Mandatory referral was provided in written or computerized (Logicare Corp, Eau Claire, Wisconsin) format for each 500-patient group. Demographic data and compliance, measured as appointment completion within 30 days, were analyzed using χ
2 with Yates' correction, Fisher's exact, and odds ratio comparisons (
P < .05, 95% confidence interval).
The institution of computerized discharge instructions resulted in increased overall patient compliance from 26.2% to 36.2% (
P < .0008) with odds ratio of 1.59 (1.2 to 2.1). Subset analysis showed increased compliance in patients who were more than 40 years old (32.5% to 61.1%), were female (28.7% to 39.7%) with a private physician (36.4% to 53.9%), established hospital relationship (26.1% to 38.9%), had nonurgent complaints (26.5% to 36.2%), were specifically diagnosed with strain or contusion (17.0% to 36.8%), or were referred to obstetrics/gynecology clinic (13.2% to 48.6%) (
P < .001).
Computerized discharge instructions were associated with improved compliance with ED referral recommendations, based on historic and contemporary controls.
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Details
- Title
- Compliance with emergency department referral: The effect of computerized discharge instructions
- Creators
- Rade B Vukmir - University of Pittsburgh Medical CenterRobert Kremen - Western Pennsylvania HospitalGeorge L llis - Western Pennsylvania HospitalDavid A Hart - Western Pennsylvania HospitalMichael C lewa - Western Pennsylvania HospitalJames Menegazzi - EMERGENCY
- Publication Details
- Annals of emergency medicine, v 22(5), pp 819-823
- Publisher
- Mosby, Inc
- Number of pages
- 5
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Emergency Medicine
- Web of Science ID
- WOS:A1993KZ09100009
- Scopus ID
- 2-s2.0-0027210688
- Other Identifier
- 991021903257204721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Emergency Medicine