caa a22 4500 477061869 CHVBK 20180405111403.0 cr unu---uuuuu 170330e19960901xx s 000 0 eng 10.1007/BF00181670 doi (NATIONALLICENCE)springer-10.1007/BF00181670 Lee Thomas Section for Clinical Epidemiology, Division of General Medicine and the Cardiovascular Division, Partners Community Health Care, Inc., Boston, Massachusetts aut Emergency department observation units: Has the time come? [Elektronische Daten] [Thomas Lee] Background: Economic pressures for efficiency in health care have led to the need for new strategies for the care of patients with acute chest pain. Methods: Chest pain observation units have been developed in many hospitals and are widely considered to have the potential to provide rapid and safe evaluations for low-risk patients with acute chest pain. Critical pathways are also an increasingly used strategy for the management of this patient population. Results: Available data suggest that chest pain observation units can decrease 6 month resource utilization compared with patients admitted to traditional sites of care. However, the potential exists for these units to increase resource utilization by encouraging admissions to the hospital of patients who otherwise would have been discharged directly home. Conclusions: Chest pain observation units appear to be an important innovation for the care of patients with a low risk for acute myocardial infarction. Use of guidelines for these units may permit true increases in efficiency without compromising quality. Kluwer Academic Publishers, 1996 chest pain nationallicence observation units nationallicence resource utilization nationallicence acute myocardial infarction nationallicence AMI nationallicence Journal of Thrombosis and Thrombolysis Kluwer Academic Publishers 3/3(1996-09-01), 257-261 0929-5305 3:3<257 1996 3 11239 https://doi.org/10.1007/BF00181670 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00181670 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Lee Thomas Section for Clinical Epidemiology, Division of General Medicine and the Cardiovascular Division, Partners Community Health Care, Inc., Boston, Massachusetts aut NATIONALLICENCE 773 0- Journal of Thrombosis and Thrombolysis Kluwer Academic Publishers 3/3(1996-09-01), 257-261 0929-5305 3:3<257 1996 3 11239 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer