Development of a community collaboration program to prevent emergency department (ED) revisits for patients discharging to home from an ED

2023 Fiscal Year Final Research Report

• Project/Area Number: 19K19731
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58080:Gerontological nursing and community health nursing-related
• Research Institution: Hiroshima University (2023); The University of Tokyo (2019)
• Principal Investigator: Teramoto Chie 広島大学, 医系科学研究科(保), 講師 (00801929)
• Project Period (FY): 2019-04-01 – 2023-03-31
• Keywords: 多職種連携 / 救急要請 / 救急外来 / 帰宅患者 / 地域在住患者 / 継続的支援 / 特徴

Outline of Final Research Achievements

In this study, we focused on patients discharging to home after an emergency department(ED) visit. 1) Through a literature review, we clarified how to support for patients discharging from ED, then/after their discharging. That were screening/assessment during ED visit, education upon discharging to home, and follow-up after discharging. 2) Listening the care providors, we examined support for patients discharging from ED. and 3) We clarified the characteristics of patients by the type of activity of the emergency medical services (EMS) team in cases where the patient was not transported (non-transportation) after a call for emergency medical services. The cases of non-transportation were death (16.3%), no injuries (14.1%), refusal (30.1%), no urgency (13.0%), and false alarm/tampering (4.0%). We will continue our research on collaborative support between emergency and community professionals for patients who stay at home after using emergency medical services.

Free Research Field

救急地域看護学

Academic Significance and Societal Importance of the Research Achievements

本研究は、地域に住む救急医療サービス利用患者の、患者・家族のリテラシー/満足度の向上、及び急性期―地域間の情報提供等の地域全体で支える体制づくりを目指した。今後は、患者・家族が地域で安心して生活できる支援体制を構築し、帰宅後の患者や地域で生活する人の不必要な救急車要請や頻回な救急外来受診を減少させ、最終的には医療費の削減へとつながるよう研究を継続させる必要がある。それにより、また、地域住民の救急車及び救急外来の適切な利用により、救急医療現場側はより多くの重症患者への対応が可能になると考えられる。