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| Título: | The use of unscheduled returns to the Emergency Department as a quality indicator: an integrative review |
| Autor(es): | Sales, Nathane Carolina Vieira de |
| Assunto: | Emergências médicas
Retorno não programado (Saúde) |
| Data de apresentação: | 2014 |
| Data de publicação: | 3-Ago-2017 |
| Referência: | SALES, Nathane Carolina Vieira de. The use of unscheduled returns to the Emergency Department as a quality indicator: an integrative review. 2014. ix, 186 f., il. Trabalho de conclusão de curso (Bacharelado em Enfermagem)—Monash University, [Universidade de Brasília], [Victoria], 2014. |
| Abstract: | Background: Repeat visit by patients to the Emergency Department (ED) is a feature of busy emergency services, however the volume of writing and research relating to unscheduled returns (USR) to the ED is increasing exponentially. While these reports are very varied, few papers have conceptualised USR to the ED as a quality indicator. Overall, USRs to the ED have been defined as re-presentations of patients for the same chief complaints to EDs within a specified period of time of their initial visit. Objective: The objective of this study was to assess and conceptualise how USRs to the ED is being used by researchers as a measure or as a quality indicator. Methods: Integrative review methodology was used to review articles relating to USR to the ED from three databases: CINAHL, MEDLINE and SCOPUS. All papers were assessed against inclusion criteria. The 79 articles included in the integrative review were codified into categories, and further subdivided into branches. Results: The findings overall reveal significant heterogeneity in the use of USR to the ED as a quality indicator. The 79 papers were represented in five core categories (and branches) related to USR to the ED as quality indicator, six of these papers were codified into two core-categories. The categories for use of USR as a quality indicator are: 1) ‘USR rates and USR vulnerable populations’ represented by 42 papers and codified in six branches; 2) ‘Different factors influencing prevalence of USR in particular ED settings’ represented by 24 papers codified in eight branches; 3) ‘Improving the system of care in the ED using USR is an outcome measure’ represented by 14 papers codified in eight branches; 4) ‘Outside ED measures that identify USR risk’ represented by three papers codified in two branches; and 5) ‘Costs of USR’ represented by two papers codified in two branches. Conclusion: This study reveals the relative importance of USR to the ED used as a quality indicator. This is an evolving area of research, and it has important implications for policy and ED practice. Moreover, three main points about the subject were identified: Health groups and USR risks; factors influencing USR prevalence; improving the system of care in the ED and evaluating impact using USR. Furthermore, the research on this subject is very context specific and some researchers suggest the need for using USR in combination with other measurements to have most reliable results. |
| Informações adicionais: | Trabalho de conclusão de curso (graduação)—Monash University, [Universidade de Brasília], 2014. |
| Aparece na Coleção: | Enfermagem - Campus UnB Ceilândia
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Este item está licenciado na Licença Creative Commons
