Evidence map›Paper›PMID 37484497›Full record

ArticleJournal of the American College of Emergency Physicians open2023

Changes in low-acuity patient volume in an emergency department after launching a walk-in clinic.

Divya Kurian, Vandana Sundaram, Anna Graber Naidich, Shreya A Shah, Daniel Ramberger, Saud Khan, Shashank Ravi, Sunny Patel, Ryan Ribeira, Ian Brown and 5 more

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2023. 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. Observational
  2. Article
  3. Article
  4. Changes in low-acuity patient volume in an emergency department after launching a walk-in clinic.Journal of the American College of Emergency Physicians open · 2023
    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

15 authors.

Divya KurianDepartment of Emergency Medicine Stanford University Palo Alto California USA.
Vandana SundaramQuantitative Sciences Unit Stanford University Palo Alto California USA.
Anna Graber NaidichQuantitative Sciences Unit Stanford University Palo Alto California USA.
Shreya A ShahStanford University School of Medicine Stanford University Palo Alto California USA.
Daniel RambergerStanford Health Care Palo Alto California USA.
Saud KhanStanford Health Care Palo Alto California USA.
Shashank RaviDepartment of Emergency Medicine Stanford University Palo Alto California USA.
Sunny PatelDepartment of Emergency Medicine New York-Presbyterian Hospital-Weill Cornell Medicine New York New York USA.
Ryan RibeiraDepartment of Emergency Medicine Stanford University Palo Alto California USA.
Ian BrownDepartment of Emergency Medicine Stanford University Palo Alto California USA.
Alexei WagnerDepartment of Emergency Medicine Brigham and Women's Hospital Boston Massachusetts USA.
Laleh GharahbhagianDepartment of Emergency Medicine Stanford University Palo Alto California USA.
Kate MillerQuantitative Sciences Unit Stanford University Palo Alto California USA.
Sam ShenDepartment of Emergency Medicine Stanford University Palo Alto California USA.
Maame Yaa A B YiadomDepartment of Emergency Medicine Stanford University Palo Alto California USA.ORCID https://orcid.org/0000-0002-6479-0764

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Unscheduled low-acuity care options are on the rise and are often expected to reduce emergency department (ED) visits. We opened an ED-staffed walk-in clinic (WIC) as an alternative care location for low-acuity patients at a time when ED visits exceeded facility capacity and the impending flu season was anticipated to increase visits further, and we assessed whether low-acuity ED patient visits decreased after opening the WIC. Methods: In this retrospective cohort study, we compared patient and clinical visit characteristics of the ED and WIC patients and conducted interrupted time-series analyses to quantify the impact of the WIC on low-acuity ED patient visit volume and the trend. Results: There were 27,211 low-acuity ED visits (22.7% of total ED visits), and 7,058 patients seen in the WIC from February 26, 2018, to November 17, 2019. Low-acuity patient visits in the ED reduced significantly immediately after the WIC opened ( Conclusion: The WIC did not result in a sustained reduction in low-acuity patients in the main ED. However, it enabled emergency staff to see low-acuity patients in a lower resource setting during times when ED capacity was limited.

Indexed as

care useclinical operationsemergency departmentemergency department censusemergency department overcrowdingemergency department patient volumelow‐acuityunscheduled careurgent carewalk‐in clinic

Identifiers

PMID37484497
PMCPMC10361543

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.