TY - JOUR A2 - Smereka, Jacek AU - Prudhomme, Nicholas AU - Kwok, Edmund S. H. AU - Olejnik, Laura AU - White, Shannon AU - Thiruganasambandamoorthy, Venkatesh PY - 2019 DA - 2019/10/31 TI - A Health Records Review of Outpatient Referrals from the Emergency Department SP - 5179081 VL - 2019 AB - 目标。许多病人从急诊科（ED）出院回家需要与专业服务紧急门诊咨询。我们试图关于时间门诊咨询以确定最好和表现最差的服务，失去了随访的患者比例，协商之前，相关的回报急诊就医，并共同战略的速度使用我们的表现最出色诊所。 方法。我们在四个1周的期间进行的渥太华医院急诊就医的医疗记录的审查。所有的成年门诊咨询的请求被列入了图审查和随访至12个月。结果措施包括人口统计学，转诊就诊率，未完成转介，返回急诊就医和时间间隔。有至少15级咨询服务的请求被列入数据分析及转诊程序的定性映射。 结果。在963例谁符合纳入标准中，有803（83.4％）参加了他们的约会，而160（16.6％）未能跟进。The overall median time to successful consultation was 9 days (IQR = 2–27). 92 (9.6%) patients returned to the ED with a related complaint. The top-performing clinics included ophthalmology, orthopedics, and thrombosis (median = 1, 8, 1 days; incomplete consultation = 3%, 4%, 6%; return ED visits = 0%, 6%, 2% respectively). The bottom-performing clinics included otorhinolaryngology, neurology, and gynecology (median = 47, 39, 27 days; incomplete consultation = 50%, 41%, 37%; return ED visits = 11%, 15%, 26%, respectively). Processes incorporated by top-performing clinics included reserving appointment slots for emergency referrals, structured referral forms, and centralized booking. 结论。我们发现，在等待时间，从ED门诊转介的可靠性都相当大的可变性。顶级性能的诊所纳入共同的转诊程序。SN - 2090年至2840年UR - https://doi.org/10.1155/2019/5179081 DO - 10.1155 /五百一十七万九千〇八十一分之二千〇一十九JF - 急诊医学国际PB - Hindawi出版KW - ER -