Missed Opportunities: Evolution of Patients Leaving without Being Seen or against Medical Advice during a Six-Year Period in a Swiss Tertiary Hospital Emergency Department.

Détails

Ressource 1Télécharger: BIB_2A475C409B09.P001.pdf (610.06 [Ko])
Etat: Public
Version: de l'auteur
ID Serval
serval:BIB_2A475C409B09
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Missed Opportunities: Evolution of Patients Leaving without Being Seen or against Medical Advice during a Six-Year Period in a Swiss Tertiary Hospital Emergency Department.
Périodique
Biomed Research International
Auteur(s)
Carron P.N., Yersin B., Trueb L., Gonin P., Hugli O.
ISSN
2314-6133, 2314-6141 (Electronic)
Statut éditorial
Publié
Date de publication
2014
Peer-reviewed
Oui
Volume
2014
Pages
690368
Langue
anglais
Notes
Publication types: Journal Article Publication Status: ppublish PDF : Research Article
Résumé
Aim. The study aimed at describing the evolution over a 6-year period of patients leaving the emergency department (ED) before being seen ("left without being seen" or LWBS) or against medical advice ("left against medical advice" or LAMA) and at describing their characteristics. Methods. A retrospective database analysis of all adult patients who are admitted to the ED, between 2005 and 2010, and who left before being evaluated or against medical advice, in a tertiary university hospital. Results. During the study period, among the 307,716 patients who were registered in the ED, 1,157 LWBS (0.4%) and 1,853 LAMA (0.9%) patients were identified. These proportions remained stable over the period. The patients had an average age of 38.5 ± 15.9 years for LWBS and 41.9 ± 17.4 years for LAMA. The median time spent in the ED before leaving was 102.4 minutes for the LWBS patients and 226 minutes for LAMA patients. The most frequent reason for LAMA was related to the excessive length of stay. Conclusion. The rates of LWBS and LAMA patients were low and remained stable. The patients shared similar characteristics and reasons for leaving were largely related to the length of stay or waiting time.
Pubmed
Web of science
Open Access
Oui
Création de la notice
18/07/2014 18:22
Dernière modification de la notice
20/08/2019 13:09
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