Emergency departments are facing increasing overload, exacerbated by difficulties in accessing primary care. This saturation impacts the fluidity of care pathways and the quality of care. A major challenge is the high rate of short-term repeat visits, which increases the workload. These early returns may be due to an unexpected change in the patient's condition, but also to the difficulty of obtaining a quick appointment with a general practitioner, due to a shortage of practitioners or a lack of available slots within a few days.
In this context, the implementation of a Post-Emergency Consultation by an Advanced Practice Nurse could be a solution to improve patient follow-up and limit these avoidable return visits. Main objective: Identify the profiles of patients who return for a second consultation within 15 days of their first visit to the emergency department. Secondary objectives: * Describe the characteristics of these patients (age, gender, medical history, pathologies, reasons for the initial consultation, reasons for the repeat consultation). * Analyze medical records to assess whether a post-emergency consultation by an APN could have prevented this repeat consultation.
Study Type
OBSERVATIONAL
Enrollment
328
CHR Metz-Thionville
Metz, France
Percentage patients who return for a second consultation
Percentage of patients who return for a second consultation within 15 days of their first visit to the emergency department and prifile of patients
Time frame: 15 days
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