Presentations to ED within 48 h post VTC to identify adverse events
hip pain
ADVERSE EVENTS
Pre-implementation, there was one occurrence where an ACE call was made, and the agreed plan was for the resident to remain and be monitored by staff in the RACF. However, the resident had an unplanned presentation to the ED within 48 h of the initial call. Post-implementation, there were two occurrences where a VTC was made, and the agreed plan was for the resident to remain and be monitored by staff in the RACF and the resident had an unplanned presentation to the ED within 48 h of the initial VTC. For the post-implementation residents, there were no concerns raised about either resident’s condition by RACF staff during the 24-h follow-up phone calls. Comments received re the residents’ condition during the 24-h follow-up phone call were “Neuro observations stable” and “will follow up with ACE if any issues”. Of the two residents that presented to ED within 48 h neither had any reported adverse events; one resident required referral for wound care follow-up and the other required investigation for hip pain that was not initially reported in the VTC. No analysis was conducted to compare within 48 h presentations pre and post-implementation as there were insufficient numbers to justify this.