@article{ref1,
title="Observation services linked with an urgent care center in the absence of an emergency department: an innovative mechanism to initiate efficient health care delivery in the aftermath of a natural disaster",
journal="Disaster medicine and public health preparedness",
year="2016",
author="Caspers, Christopher and Smith, Silas W. and Seth, Rishi and Femia, Robert and Goldfrank, Lewis R.",
volume="10",
number="3",
pages="405-410",
abstract="OBJECTIVE: The emergency department (ED) of NYU Langone Medical Center was destroyed by Hurricane Sandy, contributing to a public health disaster in New York City. We evaluated hospital-based acute care provided through the establishment of an urgent care center with an associated ED-run observation service (EDOS) that operated in the absence of an ED during this disaster. <br><br>METHODS: We conducted a retrospective cohort study of all patients placed in an EDOS following a visit to an urgent care center during the 18 months of ED closure. We reviewed diagnoses, clinical protocols, selection criteria, and performance metrics. <br><br>RESULTS: Of 55,723 urgent care center visits, 15,498 patients were hospitalized, and 3167 of all hospitalized patients (20.4%) were placed in the EDOS. A total of 2660 EDOS patients (84%) were discharged from the EDOS. The 8 most frequently utilized clinical protocols accounted for 76% of the EDOS volume. <br><br>CONCLUSIONS: A diverse group of patients presenting to an urgent care center following the destruction of an ED by natural disaster can be cared for in an EDOS, regardless of association with a physical ED. An urgent care center with an associated EDOS can be implemented to provide patient care in a disaster situation. This may be useful when existing ED or hospital resources are compromised. (Disaster Med Public Health Preparedness. 2016;page 1 of 6).<p /> <p>Language: en</p>",
language="en",
issn="1935-7893",
doi="10.1017/dmp.2016.49",
url="http://dx.doi.org/10.1017/dmp.2016.49"
}