RT Journal Article
SR Electronic
T1 Case management of patients who frequently present to a Scottish emergency department
JF Emergency Medicine Journal
JO Emerg Med J
FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
SP 103
OP 105
DO 10.1136/emj.2008.063081
VO 26
IS 2
A1 Skinner, J
A1 Carter, L
A1 Haxton, C
YR 2009
UL http://emj.bmj.com/content/26/2/103.abstract
AB Aims: To assess whether case management of frequent attenders to the emergency department (ED) reduces subsequent attendances made by these patients.Methods: Patients who attended the ED 10 times or more over a 6-month period were identified. Their cases were assessed and care plans put in place, if appropriate. Patient attendances over the subsequent 6 months were compared.Results: 57 patients attended the ED 10 times or more over the 6-month period (1.4% of the departmental workload). The median number of ED attendances in this patient group was 12.0 (interquartile range (IQR) 10–14). In the subsequent 6 months following case management of these patients, median attendances in the same 57 patients dropped to 6.0 (IQR 2–13, p<0.001). The total number of attendances in this patient group dropped from 720 to 499, a reduction of 31%.Conclusions: The findings of this study suggest that individual case management and implementation of care plans may help to reduce subsequent attendances in patients who frequently attend ED.