Evidence map›Paper›PMID 40525596›Full record

Observational studyEmergency medicine Australasia : EMA2025

Performance Review of Emergency Care Management Plans Pre- and Post-Implementation of Electronic Records.

Daryl Yeak, Abdi D Osman, Paul MacGibbon, Amy Van Der End, Negar Mansouri, Michelle Matarazzo, George Braitberg

Abstract readObservational Study
In one paragraph

Observational study in Emergency medicine Australasia : EMA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Observational
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

7 authors.

Daryl YeakEmergency Department, Austin Health, Heidelberg, Melbourne, Victoria, Australia.
Abdi D OsmanEmergency Department, Austin Health, Heidelberg, Melbourne, Victoria, Australia.
Paul MacGibbonEmergency Department, Austin Health, Heidelberg, Melbourne, Victoria, Australia.
Amy Van Der EndEmergency Department, Austin Health, Heidelberg, Melbourne, Victoria, Australia.
Negar MansouriBusiness Intelligence Unit, Austin Health, Heidelberg, Melbourne, Victoria, Australia.
Michelle MatarazzoEmergency Department, Austin Health, Heidelberg, Melbourne, Victoria, Australia.
George BraitbergEmergency Department, Austin Health, Heidelberg, Melbourne, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients who frequently present to the Emergency Department (ED) often have complex care needs, requiring substantial resources and resulting in longer stays. Emergency Care Management Plans (ECMPs) are designed to help clinicians adopt a person-centred approach, clarify goals, avoid unnecessary interventions, and reduce ED visit frequency and duration. ECMPs at our institution were previously stored in paper medical records, making timely access difficult. On April 2, 2012, ECMPs were scanned into the Electronic Medical Record (EMR), allowing easier access. This study assesses the impact of electronic ECMPs.

methodsUsing a retrospective observational design guided by the STROBE checklist, we evaluated whether the introduction of electronic ECMPs reduced the frequency and duration of ED visits. Data from all ED patients with electronic ECMPs were extracted and analysed to compare variables pre- and post-implementation, including demographics, most common triage data, visit frequency, length of stay (LOS), and discharge diagnoses.

resultsA total of 115 patients (mean age: 53) were included. Ambulance transport was the most common (64%), and Australasian Triage Scale (ATS) category 3 was the most frequent (57%). Post implementation the mean number of presentations reduced from 16 to 9, and ED LOS (EDLOS) decreased from 4676 to 2577 min (p < 0.001). Short Stay Unit LOS (SSULOS) decreased from 1359 to 638 min (p < 0.001), leading to an overall reduction of 2802 min (p < 0.001).

conclusionECMPs effectively reduced both the frequency and duration of ED visits. Further research is needed to explore patient experience and other outcome measures.

Indexed as

Electronic Health RecordsEmergency Service, HospitalAdultAgedFemaleHumansLength of StayMaleMiddle AgedRetrospective StudiesTriagecomplex careED length of stayEmergency Care Management Plans

Identifiers

PMID40525596
PMCPMC12172138

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.