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Related Concept Videos

Hospitals-I01:28

Hospitals-I

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Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
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Methods of Documentation VII: EMR01:30

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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...
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Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
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Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
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Related Experiment Video

Updated: Aug 6, 2025

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Patients utilizing emergency medical services - Does facility type matter?

Erin L Simon1, Bhanu Wahi-Singh2, Baruch S Fertel3

  • 1Department of Emergency Medicine, Cleveland Clinic Akron General, 1 Akron General Ave., Akron, OH 44307, USA; Northeast Ohio Medical University, 4209 SR-44, Rootstown, OH 44272, USA.

The American Journal of Emergency Medicine
|March 16, 2023
PubMed
Summary

Patients transported by emergency medical services (EMS) to freestanding emergency departments (FSEDs) received fewer tests and had lower admission rates compared to those taken to hospital-based emergency departments (HBEDs). This suggests FSEDs may offer a more streamlined care pathway for certain emergency presentations.

Keywords:
Emergency medical servicesFreestanding emergency departmentadmission ratetesting frequency

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Area of Science:

  • Emergency medicine
  • Healthcare systems analysis
  • Health services research

Background:

  • Freestanding emergency departments (FSEDs) are increasingly integrated into the US healthcare system.
  • Local emergency medical services (EMS) are transporting patients to FSEDs, potentially due to proximity and faster turnaround times.
  • The comparative utilization of diagnostic tests and admission rates between FSEDs and hospital-based emergency departments (HBEDs) for EMS-transported patients requires investigation.

Purpose of the Study:

  • To compare the frequency of diagnostic testing and hospital admission rates for patients transported via EMS to FSEDs versus HBEDs.
  • To evaluate potential differences in resource utilization and patient disposition based on emergency department type.

Main Methods:

  • Retrospective cohort study of 123,120 EMS encounters between April 1, 2020, and May 1, 2021.
  • Comparison of testing frequency (bloodwork, X-ray, CT scan) and admission rates between FSEDs and HBEDs.
  • Multiple logistic regression analysis, controlling for patient factors (comorbidity index, acuity, age, gender, insurance, race), to assess the effect of ED type on outcomes.

Main Results:

  • Patients at FSEDs underwent less bloodwork (69.5% vs. 82.4%), X-ray (68.3% vs. 70.7%), and CT scans (40.1% vs. 44.9%) compared to HBEDs.
  • Admission rates were significantly lower at FSEDs (40.6%) versus HBEDs (56.1%).
  • After adjusting for covariates, patients at FSEDs were 35% less likely to be admitted than those at HBEDs.

Conclusions:

  • EMS-transported patients to FSEDs are less likely to receive diagnostic imaging and are admitted less frequently than those to HBEDs.
  • FSEDs may represent a more resource-efficient care setting for certain emergency presentations, warranting further study into patient outcomes and appropriateness of care.