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40
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Text
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URL Address
<a href="http://doi.org/10.1097/QMH.0000000000000252" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/QMH.0000000000000252</a>
Pages
95-99
Issue
2
Volume
29
ISSN
1550-5154 1063-8628
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Update Year & Number
June 2020 Update II
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of General Surgery
Affiliated Hospital
Summa Health Akron
Dublin Core
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Title
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Timeliness of Care for Injured Patients Initially Seen at Freestanding Emergency Departments: A Pilot Quality Improvement Project.
Publisher
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Quality management in health care
Date
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2020
2020-06
Subject
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centers; delay; freestanding emergency department; golden hour; impact; injured patients; interfacility transfer; level I trauma center; mortality; Trauma; trauma patients; urgent care
Creator
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Birmingham Lauren E; Richner Gwendolyn; Moran Mary; Hatridge Kindra M; George Richard L
Description
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BACKGROUND: The impact of freestanding emergency departments (FSEDs) on timeliness of care for trauma patients is not well understood. This quality improvement project had 2 objectives: (1) to determine whether significant delays in definitive care existed among trauma patients initially seen at FSEDs compared with those initially seen at other outlying sites prior to transfer to a level I trauma center; and (2) to determine the feasibility of identifying differences in time-to-definitive care and emergency department length of stay (ED LOS) based on initial treatment location. METHODS: Trauma registry data from January 1, 2017, through December 31, 2017, from a verified level I trauma center were analyzed by location of initial presentation. Appropriate statistical tests are used to make comparisons across transport groups. RESULTS: Patients initially seen at non-FSEDs experienced ED LOS that were, on average, 24.5 minutes greater than patients seen initially at FSEDs, although the difference was not statistically significant (P = .3112). Several challenges were identified in the feasibility analysis that will inform the design for a larger study including large quantities of missing time stamp data and potential selection bias. Prospective solutions were identified. CONCLUSION: This project found that there were not significant differences in ED LOS for injured patients presenting initially to FSEDs or other non-FSED facilities, suggesting that timeliness of care was similar across location types.
Identifier
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<a href="http://doi.org/10.1097/QMH.0000000000000252" target="_blank" rel="noreferrer noopener">10.1097/QMH.0000000000000252</a>
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journalArticle
2020
Birmingham Lauren E
centers
delay
Department of General Surgery
Freestanding emergency department
George Richard L
golden hour
Hatridge Kindra M
impact
injured patients
interfacility transfer
journalArticle
June 2020 Update II
level I trauma center
Moran Mary
Mortality
NEOMED College of Medicine
Quality management in health care
Richner Gwendolyn
Summa Health Akron
trauma
trauma patients
urgent care