Extended Patient Alone Time in Emergency Department Leads to Increased Risk of 30-Day Hospitalization.

Autor:	VanDeusen AJ; From the Department of Industrial & Operations Engineering, University of Michigan, Ann Arbor, Michigan., Pasupathy KS, Huschka TR; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery., Heaton HA; Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota., Hellmich TR; Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota., Sir MY
Jazyk:	angličtina
Zdroj:	Journal of patient safety [J Patient Saf] 2021 Dec 01; Vol. 17 (8), pp. e1458-e1464.
DOI:	10.1097/PTS.0000000000000545
Abstrakt:	Objectives: This study was conducted to describe patients at risk for prolonged time alone in the emergency department (ED) and to determine the relationship between clinical outcomes, specifically 30-day hospitalization, and patient alone time (PAT) in the ED. Methods: An observational cohort design was used to evaluate PAT and patient characteristics in the ED. The study was conducted in a tertiary academic ED that has both adult and pediatric ED facilities and of patients placed in an acute care room for treatment between May 1 and July 31, 2016, excluding behavioral health patients. Simple linear regression and t tests were used to evaluate the relationship between patient characteristics and PAT. Logistic regression was used to evaluate the relationship between 30-day hospitalization and PAT. Results: Pediatric patients had the shortest total PAT compared with all older age groups (86.4 minutes versus 131 minutes, P < 0.001). Relationships were seen between PAT and patient characteristics, including age, geographic region, and the severity and complexity of the health condition. Controlling for Charlson comorbidity index and other potentially confounding variables, a logistic regression model showed that patients are more likely to be hospitalized within 30 days after their ED visit, with an odds ratio (95% confidence interval) of 1.056 (1.017-1.097) for each additional hour of PAT. Conclusions: Patient alone time is not equal among all patient groups. Study results indicate that PAT is significantly associated with 30-day hospitalization. This conclusion indicates that PAT may affect patient outcomes and warrants further investigation. Competing Interests: The authors disclose no conflict of interest. (Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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