Abstract
This article describes the 1-year follow-up program implemented at Baystate Medical
Center Emergency Department during 1999. Our previous system used staff who worked
clinically, which led to prolonged delays in follow-up. Before initiating the program,
57% [95% confidence interval (CI): 55–59%] of all follow-up cases were done within
3 days. After program implementation, 69% (95% CI: 67–72%) of all follow-up cases
were completed in the same time frame. We reduced our “delayed” follow-up cases from
20% (95% CI: 18–22%) to 4% (95% CI: 3–5%) of all cases. Critical to the new system
is the assignment of nurse-physician pairing to do follow-up when they are not doing
direct patient care.
Keywords
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Article info
Publication history
Accepted:
October 30,
2000
Received in revised form:
October 13,
2000
Received:
May 9,
2000
Identification
Copyright
© 2001 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.