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Updated: Aug 13, 2026
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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
[Are there alternatives to emergency admissions?]
Gunvor Eikeland1, Helge Garåsen, Geir Jacobsen
1Kvinneklinikken, St. Olavs Hospital, 7006 Trondheim. gunvor.eikeland@stolav.no
Summary
Identifying alternatives to emergency hospital admissions is challenging. While observation units are favored, primary care and hospital doctors disagree on patient suitability, complicating efforts to reduce admissions.
Area of Science:
- Hospital administration
- Emergency medicine
- Healthcare management
Background:
- Emergency admissions are rising, particularly in medical departments.
- Hospitals are exploring alternatives like observation units and emergency outpatient departments.
- This study investigates the feasibility of these alternatives in Norway.
Purpose of the Study:
- To evaluate the reasons for emergency admissions.
- To assess the potential for alternative care pathways.
- To identify barriers to implementing alternatives to hospital admission.
Main Methods:
- A prospective study of emergency admissions over one week at St. Olavs University Hospital.
- Data collected via questionnaires from admitting and treating physicians.
- Evaluation of reasons for admission and suitability for alternative care settings.
Main Results:
- 202 admissions were analyzed; acute illness was the primary reason.
- Social issues, though infrequent overall, were key for older patients.
- Observation units were frequently suggested alternatives, but consensus was lacking.
- General practitioners referred only 12% of patients.
Conclusions:
- It is difficult to identify patients suitable for non-admission treatment at the point of emergency admission.
- Disagreements exist between primary care and hospital physicians regarding alternative care.
- Further research is needed to optimize patient flow and reduce unnecessary hospitalizations.
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