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Multicenter Study
. 2023 Jul 7:11:1189939.
doi: 10.3389/fpubh.2023.1189939. eCollection 2023.

Healthcare-associated adverse events and readmission to the emergency departments within seven days after a first consultation

Guillaume Gasperini  1 , Leila Bouazzi  2 , Antoine Sanchez  3 , Louis Marotte  1 , Laury Kézachian  4 , Guillaume Bellec  1 , Nicolas Cazes  5 , Maxime Rosetti  6 , Claire Bousquet  6 , Aurélien Renard  5 , Stéphane Sanchez  2   7
Affiliations
Multicenter Study

Healthcare-associated adverse events and readmission to the emergency departments within seven days after a first consultation

Guillaume Gasperini et al. Front Public Health. .

Abstract

Introduction: The use of emergency hospital service has become increasingly frequent with a rise of approximately 3.6%. in annual emergency department visits. The objective of this study was to describe the reasons for reconsultations to emergency departments and to identify the risk and protective factors of reconsultations linked to healthcare-associated adverse events.

Materials and methods: A retrospective, descriptive, multicenter study was performed in the emergency department of Troyes Hospital and the Sainte Anne Army Training Hospital in Toulon, France from January 1 to December 31, 2019. Patients over 18 years of age who returned to the emergency department for a reconsultation within 7 days were included. Healthcare-associated adverse events in the univariate analysis (p < 0.10) were introduced into a multivariate logistic regression model. Model performance was examined using the Hosmer-Lemeshow test and calculated with c-statistic.

Results: Weekend visits and performing radiology examinations were risk factors linked to healthcare associated adverse events. Biological examinations and the opinion of a specialist were protective factors.

Discussion: Numerous studies have reported that a first consultation occurring on a weekend is a reconsultation risk factor for healthcare-associated adverse events, however, performing radiology examinations were subjected to confusion bias. Patients having radiology examinations due to trauma-related pathologies were more apt for a reconsultation.

Conclusion: Our study supports the need for better emergency departments access to biological examinations and specialist second medical opinions. An appropriate patient to doctor ratio in hospital emergency departments may be necessary at all times.

Keywords: adverse event; emergency departments; emergency medical service; healthcare-associated adverse events; reconsultation; second visit.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Study flow chart *returned to the emergency department (ED) a second time within 7 days of their first visit.
See this image and copyright information in PMC

References

    1. Cour des comptes . Les urgences hospitalières: des services toujours trop sollicités [Internet]. (2019). Available at: https://www.ccomptes.fr/system/files/2019-02/08-urgences-hospitalieres-T....
    1. Cohen L, Genisson C, Savary R-P. Les urgences hospitalière, miroir des dysfonctionnements de notre système de santé. France. Extraordinary session of the French Senate Information report n°685 (2017).
    1. Liu J, Masiello I, Ponzer S, Farrokhnia N. Can interprofessional teamwork reduce patient throughput times? A longitudinal single-Centre study of three different triage processes at a Swedish emergency department. BMJ Open. (2018) 8:e019744. doi: 10.1136/bmjopen-2017-019744, PMID: - DOI - PMC - PubMed
    1. Wiler JL, Gentle C, Halfpenny JM, Heins A, Mehrotra A, Mikhail MG, et al. . Optimizing emergency department front-end operations. Ann Emerg Med. (2010) 55:142–160.e1. doi: 10.1016/j.annemergmed.2009.05.021, PMID: - DOI - PubMed
    1. Madsen M, Kiuru S, Castrèn M, Kurland L. The level of evidence for emergency department performance indicators: systematic review. Eur J Emerg Med. (2015) 22:298–305. doi: 10.1097/MEJ.0000000000000279 - DOI - PubMed

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