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- W2135117654 abstract "The purpose of this study was to determine the rates and causes of revisits to the emergency department (ED) of a 710-bed teaching referral hospital (Kuang Tien General Hospital), to identify areas that treed improvement, and to determine the initial ED presentations that affect such revisits. From 1 January to 31 December, 2006, 34714 patients were seen in the ED and discharged, and 909 patients returned within 24 hours. Monthly revisit rates were calculated. The potients that revisited the ED within 24 hours were retrospectively identified by tile authors, and all charted revisits were analyzed to determine the causes of the revisits. The monthly revisit rate ranged from 1.19% to 3.16% (average, 2.62%), Illness-related, patient-related, arid doctor-related factors accounted for 75.6%, 13.3%, and /1.1% of revisits, respectively. Among the doctor-related fdctors, 5.72% (52 eases) occurred (life to misdiagnosis, and abdominal pain was the most conunon presentation (61.5%, 32152). The most common initial ED presentations were abdominal pain (17.8%), foyer (17.5%), vertigo (2.9%), headache (2.3%), and upper respiratory infection (2.3%). Differentiation between the natural course of a disease, suboptimal therapy, over- anxious patietrtL and medical errors is difficult. Good communication skiffs and a good patient phvsiciaa relationship (ire much more onportant than the revisit rate in quality assurance in emergency care. While this study indicates that most revisits are illness related, further prospective studies are needed to evaluate the most common and serious causes of revisits to see if improvements can he made." @default.
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- W2135117654 date "2008-12-01" @default.
- W2135117654 modified "2023-09-24" @default.
- W2135117654 title "Unplanned Emergency Department Revisits within 24 Hours in a Referral Hospital" @default.
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- W2135117654 doi "https://doi.org/10.30018/jeccm.200812.0002" @default.
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