ArticleEuropean geriatric medicine2022
Experiences and perspectives of older patients with a return visit to the emergency department within 30 days: patient journey mapping.
Article in European geriatric medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 25 citations in OpenAlex.
- Development of a patient journey map for diabetic retinopathy: exploring evidence from qualitative research.BMC health services research · 2026Article
- Emergency department culture and the care of older patients with frailty: a focused ethnography.BMC emergency medicine · 2026Article
- Positive and negative experiences and emotions of older patients before, during and after hospital admission: patient journey mapping.BMC geriatrics · 2026Article
- Comparative prognostic performance of identification of seniors at risk tool and national early warning score for 30-day adverse outcomes in older emergency department patients.BMC emergency medicine · 2026Observational
- Patient pathways to PrEP persistence: a qualitative resilience-focused journey mapping study with cisgender Black and Latino men who have sex with men and clinical PrEP staff at a federally qualified health center.Frontiers in health services · 2026Article
- Using patient journey mapping and provider workflows to understand process barriers to pediatric mental and behavioral health care in emergency departments.Applied ergonomics · 2025Article
- Integrating design thinking into dental education.Frontiers in oral health · 2025Review
- An emergency department transitional care team prevents unnecessary hospitalization of older adults: a mixed methods study.BMC geriatrics · 2024Article
- Older Adult Patients in the Emergency Department: Which Patients should be Selected for a Different Approach?Annals of geriatric medicine and research · 2024Article
- The hospital-to-home care transition experience of home care clients: an exploratory study using patient journey mapping.BMC health services research · 2023Article
- Experiences of Child and Adolescent Psychiatric Patients Boarding in the Emergency Department from Staff Perspectives: Patient Journey Mapping.Administration and policy in mental health · 2023Article
- Observational
- Development and Validation of a Nomogram for Predicting Risk of Emergency Department Revisits in Chinese Older Patients.Risk management and healthcare policy · 2022Article
- Artificial Intelligence Technology-Based Medical Information Processing and Emergency First Aid Nursing Management.Computational and mathematical methods in medicine · 2022Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeUp to 22% of older patients who visit the emergency department (ED) have a return visit within 30 days. To achieve patient-centered care for this group at the ED it is important to involve the patient perspective and strive to provide the best possible experience. The aim of this study was to gain insight into the experiences and perspectives of older patients from initial to return ED visit by mapping their patient journey.
methodsWe performed a qualitative patient journey study with 13 patients of 70 years and older with a return ED visit within 30 days who presented at the Amsterdam UMC, a Dutch academic hospital. We used semi-structured interviews focusing on the patient experience during their journey and developed a conceptual framework for coding.
resultsOur sample consisted of 13 older patients with an average age of 80 years, and 62% of them were males. The framework contained a timeline of the patient journey with five chronological main themes, complemented with an 'experience' theme, these were divided into 34 subthemes. Health status, social system, contact with the general practitioner, aftercare, discharge and expectations were the five main themes. The experiences regarding these themes differed greatly between patients. The two most prominent subthemes were waiting time and discharge communication, which were mostly related to a negative experience.
conclusionsThis study provides insight into the experiences and perspectives of older patients from initial to return ED visit. The two major findings were that lack of clarity regarding waiting times and suboptimal discharge communication contributed to negative experiences. Recommendations regarding waiting time (i.e. a two-hour time out at the ED), and discharge communication (i.e. checklist for discharge) could contribute to a positive ED experience and thereby potentially improve patient-centered care.
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