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Supporting frequent attenders to reduce their visits to an emergency department.

Authors
  • Lloyd-Rees, Johanna1
  • 1 University Hospitals Bristol NHS Foundation Trust, emergency department, Bristol, England.
Type
Published Article
Journal
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association
Publication Date
Dec 21, 2018
Volume
27
Issue
1
Pages
21–27
Identifiers
DOI: 10.7748/en.2018.e1853
PMID: 31468757
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Frequent attenders to emergency departments (EDs) are a heterogeneous group who have traditionally been patched up and discharged with little support. This makes them vulnerable to over investigation and they often have a poor experience in EDs, which can cause frustration among the staff who work with them. This article reviews the literature on frequent ED attenders and explores the related issues. It also describes how a multidisciplinary team (MDT) was formed to identify people in this group, evaluate their attendances and notes to understand their individual needs and identify strategies to improve their options and care while in the ED. The rationale for the formation of the MDT, the process of selecting patients and the interventions commonly used are discussed, as well as the benefits to patients, staff and the trust. ©2019 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers.

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