Page 8 - CUA2019 Abstracts - Miscellaneous/Other

Podium session 2: Mixed Non-oncology

intervention, September to November 2016) implementation of the ACU (p=0.0055). Decreasing trends were shown in mean ED wait time and
model. Secondary methods of evaluation included surveying patients and time from surgical assessment to procedure. The number of after-hours and
20 ED physicians to capture subjective feedback. weekend surgeries decreased significantly after dedicated ACU daytime
Results: Of the 579 patients presenting with renal colic,194 were diag- OR blocks were added in September 2015; 15.4% (19/123) of cases were
nosed with an obstructing kidney stone and were discharged from ED performed on weekends or after-hours from April to June 2016, in contrast
and referred to urology for outpatient care. The ED-to-clinic time was to 51% (51/100) from April to June 2014 (p<0.0001). All surveyed patients
significantly lower for those in the ACU model (p<0.001). The mean rated the care as either “excellent” or “very good,” and physicians believe
time to clinic was 15.8 days (standard deviation [SD]15.5, range 1–93) the ACU model has improved patient care.
pre-intervention vs. 4.2 days (SD 2.3, range 1–12) post-intervention. Conclusions: The ACU model has shown benefit in ensuring timely fol-
Furthermore, the ACU clinic resulted in significantly more patients being lowup for ED patients, reducing use of after-hour OR time, and improving
referred for outpatient care (p=0.0004). There was also higher likelihood patient and physician satisfaction.
that patients would successfully obtain an appointment post-referral

CUAJ • June 2019 • Volume 13, Issue 6(Suppl5) S119