Evidence map›Paper›PMID 33371037›Full record

ArticleBMJ open2020

How to improve emergency care to adults discharged within 24 hours? Acute Care planning in Emergency departments (The ACE study): a protocol of a participatory design study.

Christina Østervang, Annmarie Touborg Lassen, Charlotte Myhre Jensen, Elisabeth Coyne, Karin Brochstedt Dieperink

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Christina ØstervangDepartment of Emergency Medicine, Odense Universitetshospital, Odense, Denmark christina.oestervang.nielsen@rsyd.dk.ORCID 0000-0001-5990-0167
Annmarie Touborg LassenDepartment of Emergency Medicine, Odense Universitetshospital, Odense, Denmark.ORCID 0000-0003-4942-6152
Charlotte Myhre JensenClinical Institute, University of Southern Denmark Faculty of Health Sciences, Odense, Denmark.ORCID 0000-0002-7058-4641
Elisabeth CoyneClinical Institute, University of Southern Denmark Faculty of Health Sciences, Odense, Denmark.ORCID 0000-0001-8511-600X
Karin Brochstedt DieperinkClinical Institute, University of Southern Denmark Faculty of Health Sciences, Odense, Denmark.ORCID 0000-0003-4766-3242

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe development of acute symptoms or changes in diseases led to feelings of fear and vulnerability and the need for health professional support. Therefore, the care provided in the acute medical and surgical areas of the emergency department (ED) is highly important as it influences the confidence of patients and families in managing everyday life after discharge. There is an increase in short-episode (<24 hours) hospital admissions, related to demographic changes and a focus on outpatient care. Clear discharge information and inclusion in treatment decisions increase the patient's and family's ability to understand and manage health needs after discharge, reduces the risk of readmission. This study aims to identify the needs for ED care and develop a solution to improve outcomes of patients discharged within 24 hours of admission. METHODS AND ANALYSIS: The study comprises the three phases of a participatory design (PD). Phase 1 aims to understand and identify patient and family needs when discharged within 24 hours of admission. A qualitative observational study will be conducted in two different EDs, followed by 20 joint interviews with patients and their families. Four focus group interviews with healthcare professionals will provide understanding of the short pathways. Findings from phase 1 will inform phase 2, which aims to develop a solution to improve patient outcomes. Three workshops gathering relevant stakeholders are arranged in the design plus development of a solution with specific outcomes. The solution will be implemented and tested in phase 3. Here we report the study protocol of phase 1 and 2. ETHICS AND DISSEMINATION: The study is registered with the Danish Data Protection Agency (19/22672). Approval of the project has been granted by the Regional Committees on Health Research Ethics for Southern Denmark (S-20192000-111). Findings will be published in suitable international journals and disseminated through conferences.

Indexed as

Emergency Medical ServicesPatient DischargeAdultEmergency Service, HospitalHospitalizationHumansObservational Studies as TopicQualitative Researchaccident & emergency medicinehealth services administration & managementqualitative research

Identifiers

PMID33371037
PMCPMC7757437

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.