Streamlining GP referrals to the emergency department: Optimizing Patient Care Pathways

Ya'ish, Feras M.; Bitar, Rana R.; Sherriff, Howard M.
October 2007
Internet Journal of Emergency & Intensive Care Medicine;2007, Vol. 10 Issue 2, p1
Academic Journal
Introduction: Increased pressure on emergency departments (ED) has necessitated the introduction of specific care pathways to optimise patient care and speed up the process of assessment and treatment. Direct General Practitioner (GP) referrals account for significant number of ED attendances. This study aims to analyse these referral episodes and establish their suitability. Methods: 240 consecutive GP referrals to medium-sized ED were identified prospectively on attendance. The ED input and final management outcome was recorded for each case. Results: 27% were cases that could be managed in a primary care setting, 15.8 % required further referral to the related specialty and only 13.8% required direct ED input and were discharged. 43.3% were cases referred for radiographic assessment, of which 70.2% showed no abnormal findings. Conclusion: 175 patients (73.3%) were deemed not requiring direct ED input. Analysis of referral patterns and introduction of appropriate referral guidelines can help streamline those referrals and improve efficiency.


Related Articles

  • Use of the Hospital Emergency Room in Relation to Use of Private Physicians. Kelman, Howard R.; Lane, Dorothy S. // American Journal of Public Health;Dec1976, Vol. 66 Issue 12, p1189 

    The article cites a study which investigates hospital emergency rooms utilization relative to the use of private physicians in suburban and semi-rural areas. Two groups of emergency room patients with primary care physician and without primary care physician were interviewed. Findings shows that...

  • Rise in admissions to speed roll-out of community matrons. Cameron, Ian // Pulse;5/21/2005, Vol. 65 Issue 20, p7 

    Reports that a key British Government target to cut emergency hospital bed days is under threat after figures revealed a sharp rise in admissions. Report from the National Health Service chief executive; General practitioners in the forefront of the Dept. of Health's drive to reduce emergency...

  • Management of minor medical problems and trauma: general practice or hospital? Myers, Paul // Journal of the Royal Society of Medicine;Nov1982, Vol. 75 Issue 11, p879 

    An assessment of the problems for which 1000 consecutive patients attended an accident and emergency department of a district general hospital showed that 54.2% could have been treated by a general practitioner. Amongst 150 patients attending hospital for minor problems between the hours of...

  • No pay for Suffolk's Saturday surgeries.  // GP: General Practitioner;1/26/2004, p5 

    Suffolk West, England-based primary care trust (PCT) has confirmed that practices providing routine Saturday surgeries under the new GMS contract will not be paid. A spokesman for West Suffolk PCT said, "Emergency services on Saturday mornings will be considered out-of-hours. But if a doctor...

  • Leader: Out-of-hours does need targets.  // GP: General Practitioner;4/29/2005, p44 

    The article reports that General Practitioners (GP) has never been an newspaper that has called for more targets for primary care. The realisation that there is no central data collection of out-of-hours performance is one such case. GPs may be less involved in out-of-hours since the new general...

  • Primary care access and its relationship with emergency department utilisation: an observational, cross-sectional, ecological study. Harris, Matthew J.; Patel, Brijesh; Bowen, Simon // British Journal of General Practice;Dec2011, Vol. 61 Issue 593, p727 

    The article presents observational, cross-sectional, and ecological research on the relationship of primary care access with emergency department utilisation. The research suggests that the access of primary care has no relationship with the use of emergency departments, which was determined by...

  • Opinion: Leader - Time for joined-up management.  // GP: General Practitioner;7/8/2005, p23 

    This article reports that emergency care practitioners (ECPs) have the potential to reduce workload of general practitioners (GPs) by taking on in-hours home visits and dealing with acute walk-in cases at the surgery, as well as keeping the whole practice team up to date with emergency skills...

  • REFORMING EMERGENCY CARE: WHAT GPS REALLY WANT. Lees, Liz; Houlders, Lois // Emergency Nurse;Feb2004, Vol. 11 Issue 9, p22 

    Presents information on a study on the improvement of access, information and alternatives to hospital emergency care in Great Britain. Background on the nurse-led general practitioner referral services implemented by the Birmingham Heartlands and Solihull NHS Teaching Trust; Model developed by...

  • Why Do Patients Choose The ED For Nonurgent Care?  // RN;Dec2005, Vol. 68 Issue 12, p27 

    The article discusses research being done on patient selection of emergency departments for nonurgent medical care. It references a study by M. S. Howard, B. A. Davis et al., published in a 2005 issue of the Journal of Emergency Nursing. Some patients believed getting treated in the emergency...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics