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| 1 | Effects of a general practitioner cooperative co-located with an emergency department on patient throughput显示文摘BACKGROUND:In 2013 a General Practitioner Cooperative(GPC) was introduced at the Emergency Department(ED) of our hospital.One of the aims of this co-located GPC was to improve throughput of the remaining patients at the ED.To determine the change in patient flow,we assessed the number of self-referrals,redirection of self-referrals to the GPC and back to the ED,as well as ward and ICU admission rates and length of stay of the remaining ED population.METHODS:We conducted a four months' pre-post comparison before and after the implementation of a co-located GPC with an urban ED in the Netherlands.RESULTS:More than half of our ED patients were self-referrals.At triage,54.5%of these selfreferrals were redirected to the GPC.After assessment at the GPC,8.5%of them were referred back to the ED.The number of patients treated at the ED declined with 20.3%after the introduction of the GPC.In the remaining ED population,there was a significant increase of highly urgent patients(P<0.001),regular admissions(P<0.001),and ICU admissions(P<0.001).Despite the decline of the number of patients at the ED,the total length of stay of patients treated at the ED increased from 14 682 hours in the two months' control period to 14 962 hours in the two months' intervention period,a total increase of 270 hours in two months(P<0.001).CONCLUSION:Introduction of a GPC led to efficient redirection of self-referrals but failed to improve throughput of the remaining patients at the ED. | Michiel J.van Veelen Crispijn L.van den Brand Resi Reijnen M.Christien van der Linden | 2016 | World Journal of Emergency Medicine2016，7，4： | 2 |
| 2 | Pathophysiology of intraabdominal adhesion and abscess formation, and the effect of hyalumnan显示文摘 | Reijnen MM Bleichrodt RP van Goor H | 2003 | BrJ Surg2003，90，5： | 1 |
| 3 | Recent clinical developments in pathophysiology, epidemiology, diag- nosis and treatment of intra-abdominal adhesions 显示文摘 | Dijkstra FR Nieuwenhuijzen M Reijnen MM | 2000 | Seand J Gastroenterol Suppl2000，，232： | 1 |
| 4 | The effects of car traffic on breeding bird populations in woodland Ⅲ Reduction of density in relation to the proximity of main roads显示文摘 | REIJNEN R FOPPEN R TER BRAAK C et ol | 1995 | JAppl Ecol1995，32，： | 1 |
| 5 | A Gastric Diverticulum Containing Pancreatic Tissue and Presenting as Congenital Double Pylorus: Case Report and Review of the Literature显示文摘 | Victorien M. Wolters Peter G. J. Nikkels David C. Van Der Zee Peter P. G. Kramer Jan E. A. R. De Schryver Ineke G. M. Reijnen Roderick H. J. Houwen | 2001 | Journal of Pediatric Gastroenterology and Nutrition2001，，1： | 1 |
| 6 | Conservative treatment of ingrowing toonail显示文摘 | Reijnen A M Goris J A | 1989 | J Surg1989，76，9： | 1 |
| 7 | Primary balloon expandable polytetrafluoroethylene-covered stenting of focal infrarenal aortic occlusive disease显示文摘 | Rutger C.G. Bruijnen Frederike A.B. Grimme Alexander D. Horsch Jacques A. Van Oostayen Clark J. Zeebregts Michel M.P.J. Reijnen | 2012 | Journal of Vascular Surgery2012，，3： | 1 |
| 8 | Expression profile of pro- teins involved in scar formation in thehealing process of full thick- ness excisional wounds in the porcine model 显示文摘 | Ulrich MM Verkerk M Reijnen L | 2007 | Wound Repair Regen2007，15，4： | 1 |
| 9 | Recent clinical development in pathophysiology, epidemioloy, diagnosis, and treatment of intra- abdominal adhesions 显示文摘 | Dijkstra FR Nieuwenhuijzen M Reijnen MMPJ | 2000 | Scand J Gastrcent erol2000，，： | 1 |
| 10 | Gas cleaning at high-temperatures and high-pressures:A review显示文摘 | Reijnen K Vanbrakel J | 1984 | Powder Technology1984，40，13： | 1 |
| 11 | Recent clinical developments in pathophysiology, epidemiology, diagnosis and treatment of intra-abdominal adhesions显示文摘 | Dijkstra FR Nieuwenhuijzen M Reijnen MM | 2000 | Scand J Gastroenterol2000，，： | 1 |
| 12 | The Nuclear Protein Sgel of Fusarium oxysporura is required for parasitic growth显示文摘 | Michielse C B Wijk R V Reijnen L | 2009 | PLoS Pathogens2009，5，10： | 1 |
| 13 | Recent clinical development in pathophysiology,epidemiology,diagnosis,and treatment of intra-abdominal adhesions 显示文摘 | Dijkstra FR Nieuwenhuijzen M Reijnen MMPJ | 2000 | Scand J Gastroenterol2000，232，： | 1 |
| 14 | The antiadhesive agent sodium hyaluronate increases the proliferation rate of human peritoneal mesothelial cells显示文摘 | Reijnen MMPJ Falk P van Goor H | 2000 | Fertil Steril2000，74，1： | 1 |
| 15 | Ga Sb Single-crystal Growth by Vertical Gradient Freeze显示文摘 | Reijnen L Brunton R Grant I R | 2005 | Journal of Crystal Growth2005，275，12： | 1 |
| 16 | Diagnosis and treatment of adult intussusception显示文摘 | Reijnen H Jooten H Deboer H | 1989 | Am J Surg1989，158，1： | 1 |
| 17 | Why do firms cooperate on R&D? An empirical study显示文摘 | Kleinknecht A and Reijnen J O N | 1992 | Research Policy1992，21，4： | 1 |
| 18 | The relation between atherosclerosis and the occurrence of post-operative delirium in vascular surgery patients显示文摘 | Pol RA van Leeuwen BL Reijnen MM Zeebregts CJ | 2012 | Vasc Med2012，2，： | 1 |
| 19 | Diagnosis and treatment of adult intussuception 显示文摘 | Reijnen H Jooten H Deboer H | 1989 | Am J Surg1989，，： | 1 |
| 20 | The creation of theoptimal dedicated endovascular suite 显示文摘 | Sikkink CJ Reijnen MM Zeebregts CJ | 2008 | Eur J Vase EndovascSurg2008，35，2： | 1 |
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