Emergency care Other
Conditions
Interventions
The purpose of this study is to understand what effect SDEC Services are having on patient care and hospitals nationally (in England). The researchers will deliver the study in 3 work packages outline
Sponsors
University of Sheffield
Eligibility
Sex/Gender
All
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Interviews in WP3: participants over 18 years old only. Patient interviews in WP3: patients and their carers or family who have been referred to Same Day Emergency Care. Stakeholder/staff interviews in WP3: Emergency Department (ED) clinical leads, business managers, operations directors, Same Day Emergency Care clinical leads, nurse coordinators and other roles that are identified as being key to understand how Same Day Emergency Care Services operate and their effect on hospital emergency admissions.
Exclusion criteria
Exclusion criteria: Patients or stakeholders/staff under 18 years old
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The following quantitative outcomes will be measured longitudinally between the start of financial year 2017/18 to the end of financial year 2022/23 using routinely collected data: 1. Processes/activity measure: The number of unplanned attendances at a Type 1 ED that are suitable for SDEC. 2. Impact measures: 2.1. Number of unplanned attendances at a Type 1 ED that are suitable for SDEC that result in admission to hospital (identified using the discharge destination field or an acute admission record on the same or following day). 2.2. Number of unplanned attendances at a Type 1 ED that are suitable for SDEC that result in discharge. 2.3. Average length of stay in hospital for patients admitted following an unplanned attendance at a Type 1 ED that was suitable for SDEC. 2.4. Average time in ED (from arrival to discharge or admission) for unplanned attendances at a Type 1 ED that are suitable for SDEC. 3. Balance measures: 3.1. Number of re-attendances to ED within 7 days of an unplanned attendance at a Type 1 ED that was suitable for SDEC. 3.2. Number of outpatient follow-up appointments within 90 days of an unplanned attendance at a Type 1 ED that was suitable for SDEC. 4. Safety measures: 4.1. Number of acute hospital admissions within 7 days after discharge from an unplanned attendance at a Type 1 ED that was suitable for SDEC. 4.2. Number of deaths within 7 days after discharge from an unplanned attendance at a Type 1 ED that was suitable for SDEC. The qualitative outcomes are: 1. Contextual factors impacting how SDEC Services operate and impact on hospital emergency admissions explored using semi-structured interviews of SDEC Services stakeholders (Emergency Department clinical leads, business managers, operations directors, SDEC Services clinical leads and nurse coordinators) at a single time point. 2. Patient (together with carers or family where appropriate) understanding of SDEC Services, perspectives around use of SDEC Services and | — |
Secondary
| Measure | Time frame |
|---|---|
| There are no secondary outcome measures. | — |
Countries
England, United Kingdom
Contacts
Public ContactRichard Jacques
Outcome results
None listed