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- W4360977429 abstract "Study Objective The purpose of this quality improvement study was to reduce nonemergent visits to the emergency department attendance within a multistate Veterans Health Affairs network. Methods Telephone triage protocols were developed and implemented for registered nurse staff to triage selected calls to a same-day telephonic or video virtual visit with a provider (physician or nurse practitioner). Calls, registered nurse triage dispositions, and provider visit dispositions were tracked for 3 months. Results There were 1606 calls referred by registered nurses for provider visits. Of these, 192 were initially triaged as emergency department dispositions. Of these, 57.3% of calls that would have been referred to the emergency department were resolved via the virtual visit. Thirty-eight percent fewer calls were referred to the emergency department following licensed independent provider visit compared to the registered nurse triage. Conclusion Telephone triage services augmented by virtual provider visits may reduce emergency department disposition rates, resulting in fewer nonemergent patient presentations to the emergency department and reducing unnecessary emergency department overcrowding. Reducing nonemergent attendance to emergency departments can improve outcomes for patients with emergent dispositions." @default.
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- W4360977429 date "2023-07-01" @default.
- W4360977429 modified "2023-09-29" @default.
- W4360977429 title "Reducing Nonemergent Visits to the Emergency Department in a Veterans Affairs Multistate System" @default.
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- W4360977429 doi "https://doi.org/10.1016/j.jen.2023.02.010" @default.
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