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Patient uncertainty as a predictor of 30-day return Emergency Department visits: An observational study

Academic Emergency Medicine Feb 20, 2019

Rising KL, et al. - Researchers examined whether patient uncertainty at the time of Emergency Department (ED) discharge as measured by the “Uncertainty Scale” (U-Scale) is associated with 30-day return ED visits. Outcomes of this cross-sectional single-site pilot study revealed no association between the total U-Scale score and subsequent ED utilization. However, repeat ED utilization could be observed in correlation with uncertainty related to treatment quality and the decision to seek care as measured by the U-Scale subscales. Unlike individual patient factors such as age and race that have been associated with frequent ED visits in prior studies, these domains of uncertainty are potentially modifiable. Implementation of interventions designed to address patient uncertainty may help providers and health systems to successfully prevent recurrent acute care encounters.
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