Providing Early Intervention For At-Risk Patients In ED Requiring Physiotherapy
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2023
Reduce hospital admission rates for ED patients ≥65 years by 25% (from 68.7% to 51.5%) without increasing 72-hour. Frontloaded PT interventions in ED successfully reduced hospital admissions and prevented re-attendance, enhancing care quality.
Year Submitted: 2023
Published Date: 31 December 2023
Tags: Care Process ＆ Redesign, Access To Care, Waiting Time, Quality Improvement, Clinical Practice Improvement
About this Content
Aims
Reduce hospital admission rates for ED patients ≥65 years by 25% (from 68.7% to 51.5%) without increasing 72-hour re-attendance rates.
Background
Overcrowding in ED and high admission rates presented opportunities for physiotherapists to intervene and reduce hospitalizations.
Methods
Developed workflows for early PT intervention, provided mobility aids in ED, and trained staff on falls prevention and assessment.
Results
Admission rates reduced to 40.2%, exceeding the target; 0% re-attendance rate achieved consistently for intervened patients.
Conclusion
Frontloaded PT interventions in ED successfully reduced hospital admissions and prevented re-attendance, enhancing care quality.
Lessons Learnt
Collaborative multidisciplinary approaches and patient empowerment are essential for sustainable improvements.
Keywords
Emergency Care, Physiotherapy, Overcrowding, Early Intervention
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) | Allied Health, Nursing, Medical |
Applicable Specialty or Discipline | Physiotherapy, Emergency Medicine |
Project Lead(s) | Kelly Chan |
Project Member(s) | Kamala Velu |
Connect with this contributor!
Kelly Chan - kelly_chan@nuhs.edu.sg
Project Attachment
C_369_NTFGH_QM_2023_Providing_Early_Intervention_For_At_Risk_Patients_In_ED_Requiring_PT.pdf