Using transprofessional care in the emergency department to reduce patient admissions: A retrospective audit of medical histories

Morphet, J; Griffiths, DL; Crawford, K; Williams, A; Jones, T; Berry, B; Innes, K

Using transprofessional care in the emergency department to reduce patient admissions: A retrospective audit of medical histories

Morphet, J Griffiths, DL Crawford, K Williams, A Jones, T Berry, B Innes, K

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Publication Type:: Journal Article
Citation:: Journal of Interprofessional Care, 2016, 30 (2), pp. 226 - 231
Issue Date:: 2016-03-03

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Field	Value	Language
dc.contributor.author	Morphet, J	en_US
dc.contributor.author	Griffiths, DL	en_US
dc.contributor.author	Crawford, K	en_US
dc.contributor.author	Williams, A	en_US
dc.contributor.author	Jones, T	en_US
dc.contributor.author	Berry, B	en_US
dc.contributor.author	Innes, K https://orcid.org/0000-0002-3501-8046	en_US
dc.date.issued	2016-03-03	en_US
dc.identifier.citation	Journal of Interprofessional Care, 2016, 30 (2), pp. 226 - 231	en_US
dc.identifier.issn	1356-1820	en_US
dc.identifier.uri	http://hdl.handle.net/10453/46617
dc.description.abstract	© 2016 Taylor & Francis. The demand for emergency department (ED) services has increased significantly, due to our increasingly ageing population and limited access to primary care. This article reports outcomes from a transprofessional model of care in an ED in Victoria, Australia. Nurses, physiotherapists, social workers, and occupational therapists undertook additional education to increase the range of services they could provide and thereby expedite patient flow through the ED. One hundred patients who received this service were matched against 50 patients who did not. The most common reasons for patient admission were limb injury/limb pain (n = 47, 23.5%) and falls (n = 46, 23.0%). Transprofessional interventions included applying supportive bandages, slings, zimmer splints and controlled ankle motion (CAM) boots, and referral to new services such as case management and mental health teams. The rate of hospital admissions was significantly lower in the transprofessional group (n = 27, 18.0%) than in the reference group (n = 19, 38%, p = 0.005). This group also had a slightly lower re-presentation rate (n = 4, 2.7%) than patients in the reference group (n = 2, 4.0%). There are many benefits that support this model of care that in turn reduces ED overcrowding and work stress. A transprofessional model may offer a creative solution to meeting the varied needs of patients presenting for emergency care.	en_US
dc.relation.ispartof	Journal of Interprofessional Care	en_US
dc.relation.isbasedon	10.3109/13561820.2015.1115394	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Patient Admission	en_US
dc.subject.mesh	Occupational Therapy	en_US
dc.subject.mesh	Retrospective Studies	en_US
dc.subject.mesh	Cooperative Behavior	en_US
dc.subject.mesh	Interprofessional Relations	en_US
dc.subject.mesh	Time Factors	en_US
dc.subject.mesh	Staff Development	en_US
dc.subject.mesh	Nursing Staff	en_US
dc.subject.mesh	Emergency Service, Hospital	en_US
dc.subject.mesh	Patient Care Team	en_US
dc.subject.mesh	Victoria	en_US
dc.subject.mesh	Workflow	en_US
dc.subject.mesh	Physical Therapists	en_US
dc.subject.mesh	Social Workers	en_US
dc.title	Using transprofessional care in the emergency department to reduce patient admissions: A retrospective audit of medical histories	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	30	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Students
utslib.copyright.status	closed_access
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	30	en_US

Abstract:

© 2016 Taylor & Francis. The demand for emergency department (ED) services has increased significantly, due to our increasingly ageing population and limited access to primary care. This article reports outcomes from a transprofessional model of care in an ED in Victoria, Australia. Nurses, physiotherapists, social workers, and occupational therapists undertook additional education to increase the range of services they could provide and thereby expedite patient flow through the ED. One hundred patients who received this service were matched against 50 patients who did not. The most common reasons for patient admission were limb injury/limb pain (n = 47, 23.5%) and falls (n = 46, 23.0%). Transprofessional interventions included applying supportive bandages, slings, zimmer splints and controlled ankle motion (CAM) boots, and referral to new services such as case management and mental health teams. The rate of hospital admissions was significantly lower in the transprofessional group (n = 27, 18.0%) than in the reference group (n = 19, 38%, p = 0.005). This group also had a slightly lower re-presentation rate (n = 4, 2.7%) than patients in the reference group (n = 2, 4.0%). There are many benefits that support this model of care that in turn reduces ED overcrowding and work stress. A transprofessional model may offer a creative solution to meeting the varied needs of patients presenting for emergency care.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/46617