Exact(1)
Therefore, we hypothesise that, at least for the LWBS, this increase may be due to the formalisation of the Manchester Triage in the ED during the period of implementation of the dedicated team, which may have led to an increase in drop-outs in the less severe visits, which account for a high share of the ED's volume [15, 27].
Similar(59)
Their modified-NYU algorithm, which we used in this study, defined a severe visit (modified-NYU rating = 3) as one in which the probability that the ED was needed was ≥75% (e.g, EDCNNPA + EDCNPA ≥0.75).
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Previous research has differentiated ED visits by levels of clinical severity and found health status and other individual characteristics distinguished severe from non-severe visits.
One winter when Robinson was in high school, he developed a fever and a sore throat so severe that it required several visits to the family doctor.
Individuals with severe ED visits typically presented with cardiac, respiratory, and other clinically severe conditions that required urgent attention.
When focusing on appropriateness in relation to these answers, it is notable that patients expecting investigations to be necessary or thinking their symptoms are too severe to visit a GP significantly more often appropriately visited the ED.
Patients who expect investigations are necessary, think their symptoms are too severe to visit a GP, or would return to the ED next time were more often appropriately visiting the ED.
Many self-referrals responded that their symptoms were too severe to visit a GP.
The majority of patients (28.0 %) attended the ED without a referral because they thought they would get help faster; the next reason was the easier access to radiologic and laboratory investigations (answered by 23.8 %); and the third was the symptoms were considered too severe to visit a general practitioner (GP) (answered by 22.7 %).
The three most chosen reasons were the following: the expectation to get help faster going directly to the ED (437 patients, 28.0 %), the expectation to need radiologic or laboratory investigations (372 patients, 23.8 %), and the presumption that the symptoms were too severe to visit a GP (355 patients, 22.7 %).
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