The Impact Of Early Intervention Protocols On Patient Outcomes In Emergency Medicine

Abstract

Emergency departments (EDs) might benefit from specialized health and social care Practitioner (HSCP) teams to enhance patient and procedure results. This systematic review summarizes all information on how early evaluation and management by HSCP teams affects ED quality, safety, and efficacy. A systematic literature search in April 2019 investigated the effectiveness of ED-based HSCP teams serving adults aged ≥ 18 years old with two or more of the subsequent fields: occupational therapist, physiotherapist, medical social worker, clinical pharmacist, or speech and language a professional therapist Two individuals independently extracted and assessed each study's quality. The study includes six studies (n = 273,886) on multidisciplinary care management Teams (CCTs) for persons aged ≥ 65. On average, CCT care reduced hospital stays by 2% (three studies), enhanced fall recommendations to social services (one study), increased staff and patient satisfaction (two investigations) with release security and workload shipping, and enhanced health-related quality of care. Two trials found no statistically significant variations among the control and intervention groups in ED re-visits (0.2%–3%), hospital duration of stay (1 hour difference), or death (0.5% difference). One research found 13.9% more unexpected hospitalizations after the intervention. The studies were diverse in methodology. We found little and varied evidence that HSCP teams in the ED reduces hospital admissions and increase satisfaction among patients and staff. More thorough cost-effectiveness studies are required.