Home Operations & systems Who makes non-urgent ED visits
Operations & systems
Who makes non-urgent ED visits
Non-urgent emergency department utilization in adults: a systematic review of associated factors across diverse health systems
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine · Added 18 August 2026
Systematic review of 32 studies across 21 countries identified factors associated with non-urgent ED utilisation, with frequent prior ED visits (aOR up to 82) and patient perception of non-serious illness (aOR up to 21) being the strongest predictors
- Study type
- Systematic review
- Design
- Systematic review of cross-sectional, cohort and case-control studies
- Participants
- 32 studies, 21 countries
- Main finding
- Non-urgent visit proportion 1–82.4%; strongest associations with frequent prior ED visits (aOR up to 82.13) and patient perception of non-serious illness (aOR up to 21.03)
- Caveat
- Substantial heterogeneity in definitions of non-urgent visits; narrative synthesis only
- Bottom line
- Context only
Why it matters in Australia (Medium relevance). transferability — Provides operational context for understanding ED utilisation patterns, though in-hospital focus
Learning goal
Understand the patient and system factors that drive non-urgent emergency department presentations in Australian primary care context.
More
- Topic: Operations & systems
- Daily scan: 18 August 2026
Related papers on Operations & systems
-
Campus EMS naloxone and harm reduction survey
National survey examined harm reduction programs in collegiate-based EMS agencies, assessing naloxone distribution, overdose response, and substance use support services.
-
Few quality indicators for prehospital post-ROSC care
Scoping review identified 16 potential quality indicators for prehospital post-ROSC care across five domains, highlighting a major evidence gap since only two existing studies listed formal indicators.
-
Defining diagnostic excellence in the ED
Consensus study using a modified RAND/UCLA panel method to define diagnostic excellence and missed diagnostic opportunity in emergency departments — diagnostic excellence is accurate, timely, evidence-based, and patient-centered communication of a diagnosis based on available information, while a missed diagnostic opportunity is a measurable divergence from optimal practice that may lead to inaccurate/delayed explanations or communication failures.
-
Online medical direction mostly for refusals
Retrospective analysis of 9,944 online medical direction consultations from 2016-2024 found OLMD is primarily used for patient refusals (65%) with 97% physician approval, and overall ~93% agreement between paramedic requests and physician decisions