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Related Experiment Videos

Return visits to the emergency department.

B Lerman1, M S Kobernick

  • 1Medical School, University of Michigan.

The Journal of Emergency Medicine
|September 1, 1987
PubMed
Summary

Many emergency department patients return within 72 hours. Over 30% of these revisits are avoidable with improved initial medical care and patient education.

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Emergency department revisits.

Annals of emergency medicine·1989

Area of Science:

  • Emergency Medicine
  • Healthcare Management

Background:

  • Unscheduled patient revisits to the emergency department (ED) pose a persistent challenge for physicians.
  • These revisits occur when patient conditions do not improve or worsen after initial treatment.

Purpose of the Study:

  • To determine the frequency of unscheduled ED revisits within 72 hours.
  • To analyze the nature of patient problems leading to revisits.
  • To identify factors contributing to avoidable revisits.

Main Methods:

  • A retrospective study was conducted on all patients visiting the ED.
  • Patients returning within 72 hours of their initial visit were identified.
  • Chart reviews classified revisit reasons, distinguishing avoidable from unavoidable cases, and assessed for care or education errors.

Main Results:

  • Out of 64,336 initial ED visits, 255 patients (0.4%) returned within 72 hours.
  • A significant proportion, 83 (32.5%), of these revisits were deemed avoidable.
  • Avoidable revisits were linked to deficiencies in initial medical care or patient education.

Conclusions:

  • A notable percentage of emergency department revisits are preventable.
  • Improving initial patient assessment, medical care, and education can reduce unscheduled returns.
  • The population of patients returning to the ED represents a high-risk group requiring careful management.

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