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Effects of an emergency transfer coordination center on secondary overtriage in an emergency department

DC FieldValueLanguage
dc.contributor.author김민정-
dc.contributor.author김지훈-
dc.contributor.author박인철-
dc.contributor.author유제성-
dc.contributor.author정성필-
dc.date.accessioned2019-12-18T00:36:39Z-
dc.date.available2019-12-18T00:36:39Z-
dc.date.issued2019-
dc.identifier.issn0735-6757-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/173135-
dc.description.abstractBACKGROUND: Patients who cannot be stabilized at a lower-level emergency department (ED) should be transferred to an upper-level ED by emergency medical services. However, some patients are subsequently discharged after transfer without any intervention or admission, and this secondary overtriage (SO) wastes the limited resources of upper-level EDs. This study aimed to investigate whether an emergency transfer coordination center (ETCC) could reduce the risk of SO among patients who were transferred to a tertiary ED by emergency medical services. METHODS: This retrospective observational study evaluated data from a prospective registry at an urban tertiary ED in Korea (January 2017 to May 2017). The exposure of interest was defined as ETCC approval prior to transfer and the primary outcome was SO. Univariate analyses were used to identify statistically significant variables, which were used for a multivariate logistic regression analysis to estimate the effects of ETCC approval on SO. RESULTS: During the study period, 1270 patients were considered eligible for this study. A total of 291 transfers were approved by the center's ETCC, and the remaining patients were transferred without approval. Compared to cases without ETCC approval, cases with transfer after ETCC approval had a significantly lower risk of SO (odds ratio: 0.624, 95% confidence interval: 0.413-0.944). CONCLUSION: Transfers that were evaluated by an ETCC had a lower risk of SO, which may improve the appropriateness of transfer. Thus, tertiary EDs that have high proportions of transferred patients should have a transfer coordination system that is similar to an ETCC.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherW B Saunders-
dc.relation.isPartOfAMERICAN JOURNAL OF EMERGENCY MEDICINE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHEmergency Service, Hospital/organization & administration*-
dc.subject.MESHFemale-
dc.subject.MESHHospitalization-
dc.subject.MESHHumans-
dc.subject.MESHInjury Severity Score-
dc.subject.MESHLogistic Models-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMultivariate Analysis-
dc.subject.MESHOutcome and Process Assessment (Health Care)-
dc.subject.MESHPatient Transfer/organization & administration*-
dc.subject.MESHReferral and Consultation/organization & administration*-
dc.subject.MESHRegistries-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRural Health Services/organization & administration*-
dc.subject.MESHTriage/organization & administration*-
dc.titleEffects of an emergency transfer coordination center on secondary overtriage in an emergency department-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Emergency Medicine (응급의학교실)-
dc.contributor.googleauthorEung Nam Kim-
dc.contributor.googleauthorMin Joung Kim-
dc.contributor.googleauthorJe Sung You-
dc.contributor.googleauthorHye Jung Shin-
dc.contributor.googleauthorIn Cheol Park-
dc.contributor.googleauthorSung Phil Chung-
dc.contributor.googleauthorJi Hoon Kim-
dc.identifier.doi10.1016/j.ajem.2018.05.060-
dc.contributor.localIdA00470-
dc.contributor.localIdA05321-
dc.contributor.localIdA05321-
dc.contributor.localIdA01628-
dc.contributor.localIdA01628-
dc.contributor.localIdA02507-
dc.contributor.localIdA02507-
dc.contributor.localIdA03625-
dc.contributor.localIdA03625-
dc.relation.journalcodeJ00079-
dc.identifier.eissn1532-8171-
dc.identifier.pmid29861365-
dc.identifier.urlhttps://www.sciencedirect.com/science/article/pii/S0735675718304406-
dc.subject.keywordEmergency transfer-
dc.subject.keywordSecondary overtriage-
dc.subject.keywordTransfer coordination-
dc.contributor.alternativeNameKim, Min Joung-
dc.contributor.affiliatedAuthor김민정-
dc.contributor.affiliatedAuthor김지훈-
dc.contributor.affiliatedAuthor김지훈-
dc.contributor.affiliatedAuthor박인철-
dc.contributor.affiliatedAuthor박인철-
dc.contributor.affiliatedAuthor유제성-
dc.contributor.affiliatedAuthor유제성-
dc.contributor.affiliatedAuthor정성필-
dc.contributor.affiliatedAuthor정성필-
dc.citation.volume37-
dc.citation.number3-
dc.citation.startPage395-
dc.citation.endPage400-
dc.identifier.bibliographicCitationAMERICAN JOURNAL OF EMERGENCY MEDICINE, Vol.37(3) : 395-400, 2019-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers

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