ResearchAlmost ‘like family’: Emergency nurses and ‘frequent flyers’*,**
References (20)
- et al.
On the creation of ‘problem’ patients
Soc Sci Med
(1990) - et al.
Heavy users of an emergency department: psycho-social and medical characteristics, other health care contacts and the effect of a hospital social worker intervention
Soc Sci Med
(1985) - et al.
An ecological study of the relationship between risk factors for social disintegration and use of a somatic emergency department
Soc Sci Med
(1987) - et al.
Heavy users of an emergency department: a two-year follow-up study
Soc Sci Med
(1987) Neighborhood variations in the use of hospital emergency rooms for primary care
Soc Sci Med
(1984)- et al.
The chronic emergency department patient
Ann Emerg Med
(1981) Heavy users of emergency services: social construction of a policy problem
Soc Sci Med
(1995)- et al.
Emergency nurses' moral evaluation of patients
J Emerg Nurs
(1994) Defining and treating ‘problem patients’ in a hospital emergency room
Med Care
(1976)- et al.
Frequency of emergency department attendances as a predictor of mortality: nine-year follow-up of a population-based cohort
J Public Health Med
(1990)
Cited by (61)
Stigmatisation of those with mental health conditions in the acute general hospital setting. A qualitative framework synthesis
2020, Social Science and MedicineDifficult Patients in the Emergency Department: Personality Disorders and Beyond
2017, Psychiatric Clinics of North AmericaCitation Excerpt :This group was recognized early, though has had different labels through the years10; but no concerted, useful measures have been found for effective management. In addition to the medical complaints that never seem to end, and never seem to get better, it has been suggested that frequent, high utilizers of the ED establish a different relationship dynamic with members of the health care team and almost treat the ED environment, with all its harshness, as a support system and a home: thus, frequent flyers may cause frustration in providers at all levels, seem to have trouble relinquishing control, causing frustration with seemingly unsolvable problems.11 But frustration is not the only feeling that emerges in the clinician patient relationship in this setting: it is now more understood that there is much ambivalence mired in complexity in these cases, and grounding frequent flyers is better than dismissing or abandoning them.12
Cost-effective: Emergency department care coordination with a regional hospital information system
2014, Journal of Emergency MedicineCitation Excerpt :Frequent ED users tend to be a complex low-income population in poor physical health, with many suffering from mental illness or substance-use disorders (1,3,13–17). Resources consumed by this group are vast, and concomitant with an increased frequency of ED visits is ED crowding, wait times, strain on staff, and adverse outcomes (15,18–28). Therefore, helping these patients get the care they need in the appropriate setting is crucial.
Care plan program reduces the number of visits for challenging psychiatric patients in the ED
2012, American Journal of Emergency MedicineCitation Excerpt :Emergency departments (ED) in the United States have experienced a 32% increase in number of visits between 1996 and 2006 [1]. A small group of patients use a large, disproportionate amount of ED resources [2,3] for medical, social, and psychiatric reasons [4-7]. Emergency department visits for primary mental health concerns increased by 40% between 1992 and 2000 [8], and psychiatric conditions have been shown to influence frequency of ED use [9-11], and evaluation of repeat visits to the ED is an important quality improvement tool [12-14].
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Supported by grant No. R03 HS08412 from the Agency for Health Care Policy and Research (AHCPR). Additional funding was provided by the Regents of the University of California; Nurses' Educational Funds, Inc.; Sigma Theta Tau, Alpha Eta Chapter; Graduate Research Award, University of California, San Francisco; and the Alameda County Nurses' Association.
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