Advanced Practice Nurse Specializing in Emergency and Post-emergency Care: Towards Improved Unscheduled Care?
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 328
- 试验地点
- 1
- 主要终点
- Percentage patients who return for a second consultation
研究概览
简要总结
Emergency departments are facing increasing overload, exacerbated by difficulties in accessing primary care. This saturation impacts the fluidity of care pathways and the quality of care.
A major challenge is the high rate of short-term repeat visits, which increases the workload. These early returns may be due to an unexpected change in the patient's condition, but also to the difficulty of obtaining a quick appointment with a general practitioner, due to a shortage of practitioners or a lack of available slots within a few days.
详细描述
In this context, the implementation of a Post-Emergency Consultation by an Advanced Practice Nurse could be a solution to improve patient follow-up and limit these avoidable return visits.
Main objective: Identify the profiles of patients who return for a second consultation within 15 days of their first visit to the emergency department.
Secondary objectives:
- Describe the characteristics of these patients (age, gender, medical history, pathologies, reasons for the initial consultation, reasons for the repeat consultation).
- Analyze medical records to assess whether a post-emergency consultation by an APN could have prevented this repeat consultation.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients who visited the emergency department at 15-day intervals during the study period
排除标准
- •Patients hospitalized at the time of the first consultation
结局指标
主要结局
Percentage patients who return for a second consultation
时间窗: 15 days
Percentage of patients who return for a second consultation within 15 days of their first visit to the emergency department and prifile of patients
次要结局
未报告次要终点