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• W2058021890 abstract "Study objective: To examine the effect of computerized discharge instructions on emergency department patient referral recommendations. Design: Prospective, descriptive analysis and clinical trial. Setting: Emergency medicine residency-affiliated urban hospital with 568 beds and 29,000 annual visits. Type of participants: One thousand ED patients discharged to an outpatient referral network during a six-week period. Intervention: 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 χ2 with Yates' correction, Fisher's exact, and odds ratio comparisons (P < .05, 95% confidence interval). Measurements and main results: 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). Conclusion: Computerized discharge instructions were associated with improved compliance with ED referral recommendations, based on historic and contemporary controls. 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 χ2 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." @default.
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• W2058021890 date "1993-05-01" @default.
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• W2058021890 title "Compliance with emergency department referral: The effect of computerized discharge instructions" @default.
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• W2058021890 doi "https://doi.org/10.1016/s0196-0644(05)80798-x" @default.
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