A Quality Improvement Initiative to Reduce 72h ED Reattendance Turned Inpatient Cases
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2020
Reduce 72h ED reattendance leading to inpatient cases from 25.6% to 23.8% by FY19. The project successfully reduced ED reattendance and inpatient conversion rates below target.
Year Submitted: 2020
Published Date: 31 December 2020
Tags: Care Process ＆ Redesign, Value Based Care, Safe Care, Access To Care, Readmission Rate
About this Content
Aims
Reduce 72h ED reattendance leading to inpatient cases from 25.6% to 23.8% by FY19.
Background
High 72h reattendance rates strained ED resources and indicated inadequate initial clinical management.
Methods
Conducted root cause analysis, implemented PDSA cycles, reminded clinicians of reattendance policy, and optimized EDTU bed usage.
Results
Reattendance rates dropped from 26.3% to below 23.8% for 3 consecutive months.
Conclusion
The project successfully reduced ED reattendance and inpatient conversion rates below target.
Lessons Learnt
Engagement, reminders, and utilizing alternative discharge options (e.g., EDTU) were crucial for improvement.
Keywords
ED Reattendance, Emergency Medicine, EDTU Utilization, Patient Safety, Process Optimization
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Healthcare Administration, Nursing, Medical |
Applicable Specialty or Discipline | Emergency Medicine |
Project Lead(s) | Tay Wei Ling |
Project Member(s) | Chan Chunn Hoo |
Connect with this contributor!
Dr Tay Wei Ling - wei_ling_tay@nuhs.edu.sg