한국의료질향상학회지 (Quality Improvement in Health Care)
- 제6권1_2호
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- Pages.38-46
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- 1999
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- 1225-7613(pISSN)
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- 2288-078X(eISSN)
48시간 이내 응급실 재방문에 대한 분석 - 일개 종합병원을 대상으로 -
Return to the Emergency Department within 48 Hours
- 김영주 (아주대학교의료원 QI팀) ;
- 박연옥 (아주대학교의료원 QI팀) ;
- 이재만 (아주대학교의료원 응급의학과) ;
- 조준필 (아주대학교의료원 응급의학과) ;
- 이일영 (아주대학교의료원 QI실)
- Kim, Young Ju (QI Team, Ajou University Medical Center) ;
- Park, Yon Ok (QI Team, Ajou University Medical Center) ;
- Lee, Jae Man (Department of Emergency Medicine, Ajou University Medical Center) ;
- Cho, Joon Pil (Department of Emergency Medicine, Ajou University Medical Center) ;
- Lee, Il Yung (QI Office, Ajou University Medical Center)
- 발행 : 1999.05.31
초록
Background : To evaluate the frequency and cause of return to the emergency department within 48 hours and to identify the nature of the problem. Methods : We reviewed the medical records of 76 patients who returned to the emregency department within 48 hours from September 1998 to February 1999. Results : Overall revisit rate within 48hours was 2.6%. Of 76 patients, 5(6.6%) had planned return, 64(84.2%) had unplanned return and 7(9.2%) had incomplete documentation. The causes of unplanned return were inadequate medical management (11.8%), discharge against medical advice (27.6%), return after scheduled ambulatory care (22.4%), and unavoidable revisit due to symptom aggrevation or development of new symptom (22.4%). Conclusion : The study provided a basic information for us to improve the quality of emergency care by reducing unnecessary return to the emergency department. It is necessary to monitor continuously the quality of emergency care and to develop the standard of emergency return rate.