Non-urgent patients in the Emergency Departement

The non-urgent patients in the Emergency Departement (ED) are a widespread challenging problem. In the present study we investigated the relationship between the non-urgent patients in ED and the primary care services in an urban area (Mestre- Venezia). An alternative management of these patients supported by a group of family doctors in a separate laboratory, close to the ED, and using the ED triage system, has also been studied. The management of these patients in terms of waiting time, percent of patients who have left the ED without being seen and inappropriate dismissions, was sactisfactory. Otherwise 50% of the patients were sent to an urgent specialistic advisory in spite of their non-urgent problem presented. The involvement of primary care providers and a reasonable limit to an unjustified specialistic advisory are requiered to achieve a reliable alternative management for non-urgent patients in ED.