FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2943177322> ?p ?o ?g. }

• W2943177322 endingPage "S54" @default.
• W2943177322 startingPage "S53" @default.
• W2943177322 abstract "Background : Most admissions to hospitals occur through the emergency department (ED). The impact of emergency physicians’ decisions to admit a patient to hospital can have wide ranging effects on health care spending, hospital congestion and patient outcomes. A growing body of evidence shows that outpatient management of conditions such as diverticulitis, heart failure and pulmonary embolism is both safe, effective and can reduce costs. Aim Statement: To support emergency staff in making safe, informed decisions to appropriately reduce admission rates without increasing the rate of patients returning and being admitted. Measures &amp; Design : Significant variability in admission rates between emergency physicians exists and no correlation between actual and self-reported admission rates is observed. One means to change behavior is through audit and feedback, however a Cochrane review on this topic concluded that it was only effective if specific conditions were met; findings which were incorporated into this project. An audit tool was created comparing individual physicians’ admission and “bounce back” rates to their peers. The tools contained averages for the individual and site for admission and bounce back rates and were shared with physicians every 2 months. Physicians were divided into three equal groups, low, medium and high admitters and targets established. Department heads met with high admitters. Evaluation/Results: The project was started in September 2016. Admission rates in the three physician groups were compared in the ten months before September 2016 (prior) and after January 2017 (post). September to December 2016 was considered the “rollout” period and not included in the analysis. Significance was tested using a Permutation test and a p-value cut off level of 5%. Nine emergency departments took part. Seven sites experienced a significant decrease in the admission rate of top admitters, three showed a significant increase in the rate of low admitters and two showed a significant increase in the rate of medium admitters. Pooled results showed a decrease in the admission rates of the top admitters and no significant change to the medium or low admitters. Discussion/Impact: Comparing the pre- and post-periods yielded a decrease in admissions of 773 patients on an annualized basis. The impact of the change in the top five highest admitters at the biggest three hospitals estimated an annualized beds savings of 25.3 beds." @default.
• W2943177322 created "2019-05-09" @default.
• W2943177322 creator A5032998059 @default.
• W2943177322 date "2019-05-01" @default.
• W2943177322 modified "2023-10-16" @default.
• W2943177322 title "MP31: Safely reducing emergency physician admission rate through audit and feedback" @default.
• W2943177322 doi "https://doi.org/10.1017/cem.2019.166" @default.
• W2943177322 hasPublicationYear "2019" @default.
• W2943177322 type Work @default.
• W2943177322 sameAs 2943177322 @default.
• W2943177322 citedByCount "0" @default.
• W2943177322 crossrefType "journal-article" @default.
• W2943177322 hasAuthorship W2943177322A5032998059 @default.
• W2943177322 hasBestOaLocation W29431773221 @default.
• W2943177322 hasConcept C126322002 @default.
• W2943177322 hasConcept C141071460 @default.
• W2943177322 hasConcept C159110408 @default.
• W2943177322 hasConcept C160735492 @default.
• W2943177322 hasConcept C162324750 @default.
• W2943177322 hasConcept C187736073 @default.
• W2943177322 hasConcept C194828623 @default.
• W2943177322 hasConcept C199521495 @default.
• W2943177322 hasConcept C2776265017 @default.
• W2943177322 hasConcept C2780724011 @default.
• W2943177322 hasConcept C3019871722 @default.
• W2943177322 hasConcept C50522688 @default.
• W2943177322 hasConcept C545542383 @default.
• W2943177322 hasConcept C71924100 @default.
• W2943177322 hasConceptScore W2943177322C126322002 @default.
• W2943177322 hasConceptScore W2943177322C141071460 @default.
• W2943177322 hasConceptScore W2943177322C159110408 @default.
• W2943177322 hasConceptScore W2943177322C160735492 @default.
• W2943177322 hasConceptScore W2943177322C162324750 @default.
• W2943177322 hasConceptScore W2943177322C187736073 @default.
• W2943177322 hasConceptScore W2943177322C194828623 @default.
• W2943177322 hasConceptScore W2943177322C199521495 @default.
• W2943177322 hasConceptScore W2943177322C2776265017 @default.
• W2943177322 hasConceptScore W2943177322C2780724011 @default.
• W2943177322 hasConceptScore W2943177322C3019871722 @default.
• W2943177322 hasConceptScore W2943177322C50522688 @default.
• W2943177322 hasConceptScore W2943177322C545542383 @default.
• W2943177322 hasConceptScore W2943177322C71924100 @default.
• W2943177322 hasIssue "S1" @default.
• W2943177322 hasLocation W29431773221 @default.
• W2943177322 hasOpenAccess W2943177322 @default.
• W2943177322 hasPrimaryLocation W29431773221 @default.
• W2943177322 hasRelatedWork W1979472144 @default.
• W2943177322 hasRelatedWork W2015509809 @default.
• W2943177322 hasRelatedWork W2026037698 @default.
• W2943177322 hasRelatedWork W2026095104 @default.
• W2943177322 hasRelatedWork W2061619006 @default.
• W2943177322 hasRelatedWork W2403018329 @default.
• W2943177322 hasRelatedWork W2755561556 @default.
• W2943177322 hasRelatedWork W2979375907 @default.
• W2943177322 hasRelatedWork W4232888950 @default.
• W2943177322 hasRelatedWork W4365141546 @default.
• W2943177322 hasVolume "21" @default.
• W2943177322 isParatext "false" @default.
• W2943177322 isRetracted "false" @default.
• W2943177322 magId "2943177322" @default.
• W2943177322 workType "article" @default.