FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4384027711> ?p ?o ?g. }

• W4384027711 abstract "Introduction: Emergency departments (ED) employ many strategies to address crowding and prolonged wait times. They include front-end Care Initiation and clinician-in-triage models that start the diagnostic and therapeutic process while the patient waits for a care space in the ED. The objective of this study was to quantify the impact of a Care Initiation model on resource utilization and operational metrics in the ED.Methods: We performed a retrospective analysis of ED visits at our institution during October 2021. Baseline characteristics were compared with Chi-square and quantile regression. We used t-tests to calculate unadjusted difference in outcome measures, including number of laboratory tests ordered and average time patients spent in the waiting room and the ED treatment room, and the time from arrival until ED disposition. We performed propensity score analysis using matching and inverse probability weighting to quantify the direct impact of Care Initiation on outcome measures.Results: There were 2,407 ED patient encounters, 1,191 (49%) of whom arrived during the hours when Care Initiation was active. A total of 811 (68%) of these patients underwent Care Initiation, while the remainder proceeded directly to the main treatment area. Patients were more likely to undergo Care Initiation if they had lower acuity and lower risk of admission, and if the ED was busier as measured by the number of recent arrivals and percentage of occupied ED beds. After adjusting for patient-specific and department-level covariates, Care Initiation did not increase the number of diagnostic laboratory tests ordered. Care Initiation was associatedwith increased waiting room time by 1.8 hours and longer time from arrival until disposition by 1.3 hours, but with decreased time in the main treatment area by 0.6 hours, which represents a 15% reduction.Conclusion: Care Initiation was associated with a 15% reduction in time spent in the main ED treatment area but longer waiting room time and longer time until ED disposition without significantly increasing the number of laboratory studies ordered. While previous studies produced similar results with Care Initiation models accessing all diagnostic modalities including imaging, our study demonstrates that a more limited Care Initiation model can still result in operational benefits for EDs. [West J Emerg Med. 2023;24(4)1–7.]" @default.
• W4384027711 created "2023-07-13" @default.
• W4384027711 creator A5000854999 @default.
• W4384027711 creator A5006336736 @default.
• W4384027711 creator A5011937793 @default.
• W4384027711 creator A5019755523 @default.
• W4384027711 creator A5074918565 @default.
• W4384027711 creator A5076119471 @default.
• W4384027711 creator A5087317882 @default.
• W4384027711 date "2023-07-25" @default.
• W4384027711 modified "2023-10-01" @default.
• W4384027711 title "Impact of Care Initiation Model on Emergency Department Orders and Operational Metrics: Cohort Study" @default.
• W4384027711 cites W1934416826 @default.
• W4384027711 cites W2015603662 @default.
• W4384027711 cites W2059796825 @default.
• W4384027711 cites W2103371094 @default.
• W4384027711 cites W2115385268 @default.
• W4384027711 cites W2139890037 @default.
• W4384027711 cites W2159391343 @default.
• W4384027711 cites W2166973690 @default.
• W4384027711 cites W2335534709 @default.
• W4384027711 cites W2338336838 @default.
• W4384027711 cites W2508602774 @default.
• W4384027711 cites W2585301378 @default.
• W4384027711 cites W2605433989 @default.
• W4384027711 cites W2888970663 @default.
• W4384027711 cites W2919647441 @default.
• W4384027711 cites W3021350696 @default.
• W4384027711 cites W3027567298 @default.
• W4384027711 cites W3037021541 @default.
• W4384027711 cites W3118514817 @default.
• W4384027711 cites W3146449247 @default.
• W4384027711 cites W3165494374 @default.
• W4384027711 cites W4225929933 @default.
• W4384027711 doi "https://doi.org/10.5811/westjem.59340" @default.
• W4384027711 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37527374" @default.
• W4384027711 hasPublicationYear "2023" @default.
• W4384027711 type Work @default.
• W4384027711 citedByCount "0" @default.
• W4384027711 crossrefType "journal-article" @default.
• W4384027711 hasAuthorship W4384027711A5000854999 @default.
• W4384027711 hasAuthorship W4384027711A5006336736 @default.
• W4384027711 hasAuthorship W4384027711A5011937793 @default.
• W4384027711 hasAuthorship W4384027711A5019755523 @default.
• W4384027711 hasAuthorship W4384027711A5074918565 @default.
• W4384027711 hasAuthorship W4384027711A5076119471 @default.
• W4384027711 hasAuthorship W4384027711A5087317882 @default.
• W4384027711 hasBestOaLocation W43840277111 @default.
• W4384027711 hasConcept C105795698 @default.
• W4384027711 hasConcept C118552586 @default.
• W4384027711 hasConcept C119043178 @default.
• W4384027711 hasConcept C126322002 @default.
• W4384027711 hasConcept C149333683 @default.
• W4384027711 hasConcept C167135981 @default.
• W4384027711 hasConcept C169760540 @default.
• W4384027711 hasConcept C17923572 @default.
• W4384027711 hasConcept C194828623 @default.
• W4384027711 hasConcept C2777120189 @default.
• W4384027711 hasConcept C2780724011 @default.
• W4384027711 hasConcept C33923547 @default.
• W4384027711 hasConcept C71924100 @default.
• W4384027711 hasConcept C86803240 @default.
• W4384027711 hasConceptScore W4384027711C105795698 @default.
• W4384027711 hasConceptScore W4384027711C118552586 @default.
• W4384027711 hasConceptScore W4384027711C119043178 @default.
• W4384027711 hasConceptScore W4384027711C126322002 @default.
• W4384027711 hasConceptScore W4384027711C149333683 @default.
• W4384027711 hasConceptScore W4384027711C167135981 @default.
• W4384027711 hasConceptScore W4384027711C169760540 @default.
• W4384027711 hasConceptScore W4384027711C17923572 @default.
• W4384027711 hasConceptScore W4384027711C194828623 @default.
• W4384027711 hasConceptScore W4384027711C2777120189 @default.
• W4384027711 hasConceptScore W4384027711C2780724011 @default.
• W4384027711 hasConceptScore W4384027711C33923547 @default.
• W4384027711 hasConceptScore W4384027711C71924100 @default.
• W4384027711 hasConceptScore W4384027711C86803240 @default.
• W4384027711 hasIssue "4" @default.
• W4384027711 hasLocation W43840277111 @default.
• W4384027711 hasLocation W43840277112 @default.
• W4384027711 hasLocation W43840277113 @default.
• W4384027711 hasOpenAccess W4384027711 @default.
• W4384027711 hasPrimaryLocation W43840277111 @default.
• W4384027711 hasRelatedWork W1578423138 @default.
• W4384027711 hasRelatedWork W1832617248 @default.
• W4384027711 hasRelatedWork W2010646000 @default.
• W4384027711 hasRelatedWork W2046758511 @default.
• W4384027711 hasRelatedWork W2139971516 @default.
• W4384027711 hasRelatedWork W2755305523 @default.
• W4384027711 hasRelatedWork W2946004033 @default.
• W4384027711 hasRelatedWork W3003580243 @default.
• W4384027711 hasRelatedWork W4285684030 @default.
• W4384027711 hasRelatedWork W4384027711 @default.
• W4384027711 hasVolume "24" @default.
• W4384027711 isParatext "false" @default.
• W4384027711 isRetracted "false" @default.
• W4384027711 workType "article" @default.