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Record W95984663

Emergency unscheduled returns: can we do better?

2009· article· en· W95984663 on OpenAlexaboutno aff
Win Sen Kuan, Malcolm Mahadevan

Bibliographic record

VenuePubMed · 2009
Typearticle
Languageen
FieldMedicine
TopicEmergency and Acute Care Studies
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineEmergency departmentAbdominal painAttendanceEtiologyMedical emergencyEmergency medicineQuarter (Canadian coin)SurgeryNursingPsychiatry
DOInot available

Abstract

fetched live from OpenAlex

INTRODUCTION: This study serves to identify the reasons for unscheduled return visits to the emergency department (ED), paying particular attention to system, physician and patient factors. Its purpose is to highlight inadequacies and plan strategies to reduce re-attendance. METHODS: All patients returning to the ED within 72 hours of initial visit were identified between January 2005 and June 2005. 842 cases were reviewed to identify reasons for unscheduled returns. RESULTS: Unscheduled return visits accounted for two percent of patient encounters with the younger mobile group of patients contributing the largest number. Patients presenting with abdominal pain constituted a quarter of unscheduled returns, where more than half were admitted. Possible causes were lack of rehydration and lack of proper discharge advice to these patients. The assessment and disposition of abdominal pain patients with uncertain aetiology was a major category and 68.7 percent of missed diagnosis came from this group. There was a significant difference in the unscheduled return rates between the senior and junior doctors. There was minimal morbidity and no mortality among patients who returned to the ED for the second time. CONCLUSION: A proposed strategy to reduce the number of unscheduled returns would be to target patients with abdominal pain with more liberal hydration strategies. Discharge advice with information about expected prognosis and specific signs and symptoms to look out for should be included. Educational sessions and better supervision of junior staff emphasising acute abdominal conditions should be actively incorporated to avoid associated morbidities with a missed diagnosis.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.819
Threshold uncertainty score0.559

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.023
GPT teacher head0.260
Teacher spread0.237 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations54
Published2009
Admission routes1
Has abstractyes

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