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Types of Reports III: Telephone and Verbal Reports01:26

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Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
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Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
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Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...
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Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
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Description
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Updated: Jun 18, 2026

Emergency Undocking in Robotic Surgery: A Simulation Curriculum
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Emergency Undocking in Robotic Surgery: A Simulation Curriculum

Published on: May 20, 2018

Emergency unscheduled returns: can we do better?

W S Kuan1, M Mahadevan

  • 1Emergency Medicine Department, National University Hospital, Singapore. kuanwinsen@hotmail.com

Singapore Medical Journal
|December 5, 2009
PubMed
Summary

Unscheduled return visits to the emergency department (ED) are often due to issues with abdominal pain patients, particularly concerning hydration and discharge advice. Improving junior doctor training and patient guidance can reduce these revisits.

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Area of Science:

  • Emergency Medicine
  • Healthcare Management
  • Patient Safety

Background:

  • Unscheduled return visits to the emergency department (ED) are a significant concern.
  • Identifying factors contributing to revisits is crucial for improving patient care and resource allocation.

Purpose of the Study:

  • To identify the primary reasons for unscheduled ED return visits.
  • To analyze system, physician, and patient-related factors influencing re-attendance.
  • To inform strategies for reducing ED revisits.

Main Methods:

  • Retrospective review of 842 patient cases returning to the ED within 72 hours.
  • Data collected between January 2005 and June 2005.
  • Analysis focused on identifying causes for unscheduled returns.

Main Results:

  • Unscheduled returns represented 2% of total ED encounters, with younger patients most frequent.
  • Abdominal pain patients comprised 25% of returns, often linked to inadequate hydration and discharge advice.
  • Missed diagnoses were common in uncertain abdominal pain cases (68.7%), with significant differences in return rates between junior and senior doctors.

Conclusions:

  • Targeting abdominal pain patients with improved hydration and comprehensive discharge advice is recommended.
  • Enhanced educational sessions and supervision for junior staff on acute abdominal conditions are necessary.
  • Strategies should focus on preventing missed diagnoses and improving initial patient management to reduce unscheduled ED returns.