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Characterizing Exon Skipping Efficiency in DMD Patient Samples in Clinical Trials of Antisense Oligonucleotides

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Did not wait patient management strategy (DNW PMS) study.

Fran O'Keeffe¹, Sinead Cronin, Peadar Gilligan

¹Emergency Department, Beaumont Hospital, Beaumont Road, Dublin, Ireland. fokeeffe@gmail.com

Emergency Medicine Journal : EMJ

|June 16, 2011

Summary

Senior emergency physicians reviewing triage notes identified at-risk patients who did not wait for care. This proactive recall strategy proved valuable for patient safety and risk management in the emergency department.

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Area of Science:

Emergency Medicine
Patient Safety
Healthcare Management

Background:

A significant number of patients leave emergency departments without being seen (did not wait - DNW).
Identifying at-risk DNW patients is crucial for preventing adverse outcomes.
Current risk management strategies may not adequately address DNW patients.

Purpose of the Study:

To evaluate the effectiveness of senior emergency medicine specialists reviewing triage notes of DNW patients.
To assess the utility of recalling at-risk DNW patients for further evaluation.
To determine the impact of this intervention on patient outcomes and hospital admissions.

Main Methods:

A prospective study was conducted over one year, analyzing all DNW patients.
Triage notes of DNW patients were reviewed daily by senior emergency medicine specialists.
At-risk patients were contacted and advised to return by a liaison team.

Main Results:

Out of 45,959 patients, 2872 (6.3%) did not wait.
Senior review led to 107 (3.7%) DNW patients being recalled.
Recalled patients with chest pain or alcohol/drug overdose were more likely to be identified; 9.4% required admission.

Conclusions:

Systematic senior doctor review of triage notes effectively identified at-risk DNW patients for recall.
The recall process resulted in 9.4% of recalled patients requiring acute admission.
This proactive approach enhances emergency department risk management and patient safety.