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Patient Abandonment Rate Assessment in the Emergency Department of a Nursing Home Conventioned: The Case of Evangelical Hospital “Betania”

2023; Springer Science+Business Media; Linguagem: Inglês

10.1007/978-3-031-25191-7_35

1611-3349

Giovanni Improta, Vincenzo Bottino, Mara Morra, Mario Alessandro Russo, Rodolfo Nasti, Maria Triassi,

Emergency and Acute Care Studies

The Emergency Department (ED) has been in a critical situation for years to manage with limited capacity a rapidly growing demand. This condition, aggravated by overcrowding, pushes patients to abandon the ED. This phenomenon, called "left without being seen" (LWBS), in addition to being dangerous for patients who thus lose the possibility of contact with the systems of care, can also be used as a quality indicator for performance evaluation. In this work, the LWBS rate for the year 2019 of the Evangelical Hospital "Betania" of Naples (Italy) was analyzed. To do so, statistical analysis and Firth logistic regression were used. The results show that patients with non-critical conditions and accessing in the evening hours are the most likely to abandon the ED.