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  • 1.
    Amundsson, Maria
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Åman, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Patientflöden till akutmottagningen: En kvantitativ punktprevalensstudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background. Patient flows to Swedish emergency departments are increasing. With an increased inflow of patients, the demands on the healthcare staff at the emergency department increase. With a discrepancy between in-, through- and outflow, risks of crowding are created, with consequences such as increased waiting times for patients, increased patient safety risks and suffering as a result. The emergency nurse's responsibility includes knowledge of patient flows, patient safety and alleviation of suffering. Nevertheless, there is little research about patient flows to the emergency department nationally.

    Purpose. The purpose of the study was to study the inflow of patients to the emergency departments at two regional hospitals.

    Method. The study was conducted as a quantitative point-prevalence study with an inductive approach. The analysis includes an analysis of data from two emergency departments in Region Dalarna, n = 201.

    Results. Over 70 percent of the patients that presented to the emergency departments had a previous healthcare contact. It was most common that younger patients used their own initiative and that elderly presented by ambulance. There were more men than women who came from community health centres with referral. Patients who had another healthcare contact before the visit had a higher medical priority or risk of admittance to the hospital than the patients who came on their own initiative.

    Conclusion. A physical meeting with healthcare staff can be of great importance for reducing the inflow of patients to the emergency department. It may be that there is a low capacity in the health care system to treat low-acuity patients.

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