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Impact of the Southeast Melbourne Virtual Emergency Department on reducing transfers from residential aged care facilities.

Muhuntha Sri-Ganeshan,Biswadev Mitra,Georgia Soldatos, Rachel Rosler, Neil Goldie, Robert Meek, Madeleine Howard, Michelle Bertolucci, Diana Egerton-Warburton, Rachel Manderson, Vince Luzuriaga,Fergus McGee, Gerard M O'Reilly,Peter A Cameron

Emergency medicine Australasia : EMA(2024)

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摘要
OBJECTIVE:To evaluate the impact of the Southeast Melbourne Virtual Emergency Department (SEMVED) on transfers from residential aged care facilities (RACFs) to traditional EDs. METHODS:A cohort study of residents requesting transfer to the ED via ambulance within participating health networks' catchments from April to June 2022. RESULTS:Two hundred thirty-eight VED consultations occurred with 79% (188/238) avoiding transfer. This represented an avoidance of 12% (188/1511) of all requests for transfer during operating hours. CONCLUSIONS:SEMVED prevented unnecessary transfers and enabled in-facility care. Integration into community outreach programmes could enhance care delivery. Patient safety outcomes were not formally assessed by our methodology.
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