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Capstone Nursing Project
Reducing Emergency Department return visits.
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Description
Title
Reducing
Emergency
Department
return
visits
.
Subject
Patient
education
;
Health
facilities
,
Discharge
planning
;
Patient
Discharge
.
Description
Emergency
Departments
(ED)
are
overburdened
, and
it
is
projected
that
emergency
department
use
will
increase
as
more
people
gain
access
to
healthcare
, and as the
population
ages
. This
makes
it
important
to
address
issues
that
cause
patients
to
frequent
the
emergency
department
, and to
address
causes
of
unplanned
return
emergency
department
visits
.
According
to
peer-reviewed
published
research
, as
many
as
one
third
of
ED
visits
are
unplanned
returns
to the
emergency
department
.
Studies
reveal
that
many
of these
visits
are
related
to
non-emergency
complaints
.
Researchers
have
examined
the
reasons
for
patient
returns
and have
attempted
various
methods
to
address
these
issues
.
Several
methods
have
proven
to be
effective
. For
both
the
young
and
old
,
knowledge
deficits
regarding
disease
process
and
expectations
of
symptoms
have been
identified
as
reasons
for
unplanned
ED
visits
.
Anxiety
of
disease
symptoms
,
unrealistic
expectations
regarding
the
healing
process
and
misunderstandings
regarding
new
medications
have
all
been
identified
as
causes
related
to
unplanned
return
visits
to the
emergency
department
.
Lack
of
support
,
equipment
, and
resources
in the
home
environment
; have also been
recognized
as
key
reasons
for
patients
returning
to the
ED
.
Case
management
and a
multidisciplinary
team
approach
have been
demonstrated
to
break
down
social
and
psychological
barriers
and
reduce
emergency
department
return
visits
.
Potentially
,
initiating
a
focused
discharge
plan
combined
with
case
management
resources
will
decrease
the
amount
of
return
ED
visits
. An
intentional
plan
to
decrease
emergency
return
visits
will
decrease
the
volume
of
patients
traveling
through
the
emergency
department
system
and
decrease
the
burden
to
staff
.
Creator
Gibson
,
Andrea
.
Publisher
Grand
Canyon
University
Date
2014
Type
text
Format
PDF
Identifier
EBN_2014_Gibson_A_601
Source
2014_Gibson_A_601.pdf
Language
eng
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