Patient Expectations In The Emergency Room

673 Words3 Pages
Taking a newcomer view to the emergency department, one thought stands out: the services given in the ED are often not the intended use of the facility. I found numerous articles which examine overcrowding, patient expectations at triage (mostly wait times), and the high cost of care, with the common conclusion that many of the patients seen in the emergency room should not be there at all. Medicaid defines "Emergency Medical Condition" as a medical condition (including emergency labor and delivery) that manifests itself by acute symptoms of sufficient severity (including severe pain) such that the absence of immediate medical attention could reasonably be expected to result in: placing the patient's health in serious jeopardy; serious impairment…show more content…
The article Why are we waiting? Patients’ perspectives for accessing emergency department services with non-urgent complaints underscores the inappropriate use of the ED (Unwin, Kinman, & Rigby, 2016): Why are we waiting? tells us that even though 87.7% of study participants had a regular GP and 34.4% were visiting the ED during regular hours for most GPs, patients still chose the ED for a few basic reasons: it was clearly an emergency to me, patient may need to have tests, emergency department was more available than GP or other health care service, and patient was told to go to the emergency department by a doctor or nurse (possibly due to the need for additional testing or severity of symptoms). The study concludes that non-urgent presentations contributed to over half of all ED presentations and that appropriate, accessible, and patient centered services is predicted to reduce the daily non-urgent visits. I also feel that patient education through GP offices, nurse hotlines, and discharge teaching during prior ED care could reduce the number of future inappropriate
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