{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T14:20:33Z","timestamp":1778941233506,"version":"3.51.4"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,11,17]],"date-time":"2015-11-17T00:00:00Z","timestamp":1447718400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2016,2]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>This research aims to describe the effect of standard care (control) versus a clinical management pathway (intervention) on patient length of stay and admission rates during a public health emergency at one Australian ED.<\/jats:p><\/jats:sec>Methods<\/jats:title>A retrospective audit of hospital records for patients who presented in May 2013 with gastroenteritis\u2010like symptoms was undertaken following a surge in patient presentations from a Salmonella<\/jats:italic> outbreak. Patients who presented with gastroenteritis\u2010like symptoms between 15 and 19 May 2013 received care according to a clinical management pathway (intervention). The focus of the intervention was based on symptom management, including a standardised approach to analgesia, anti\u2010emetics and rehydration. Patient characteristics, such as age and gender are described using descriptive statistics. A Mann\u2013Whitney test was used to compare continuous data, and a Fisher's exact test was used to compare categorical data, between the two groups.<\/jats:p><\/jats:sec>Results<\/jats:title>Over an 8 day period, 110 patients presented with gastroenteritis\u2010like symptoms. The median length of stay was statistically different between the two groups (P<\/jats:italic>\u2009<\u20090.001). More patients were admitted to hospital from the control group (n<\/jats:italic>\u2009=\u20095) when compared with the intervention group (n<\/jats:italic>\u2009=\u20090); however, given the small number of patients in these groups, inferential statistical analysis was not a reasonable consideration.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>The length of stay for patients between the two groups was statistically different, suggesting that the implementation of a clinical management pathway for patients with gastroenteritis\u2010like symptoms reduced the ED length of stay. This finding is useful in future planning for similar public health emergency responses and\/or for use when patients present with gastroenteritis\u2010like symptoms on a daily basis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.12497","type":"journal-article","created":{"date-parts":[[2015,11,18]],"date-time":"2015-11-18T00:02:40Z","timestamp":1447804960000},"page":"34-38","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Impact of a pilot pathway for the management of gastroenteritis\u2010like symptoms in an emergency department: A case study following a Salmonella<\/i> outbreak"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5265-6365","authenticated-orcid":false,"given":"Jamie","family":"Ranse","sequence":"first","affiliation":[{"name":"Emergency Department, Calvary Health Care ACT Canberra Australian Capital Territory Australia"},{"name":"Faculty of Health University of Canberra Canberra Australian Capital Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matt","family":"Luther","sequence":"additional","affiliation":[{"name":"Emergency Department, Calvary Health Care ACT Canberra Australian Capital Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen","family":"Ranse","sequence":"additional","affiliation":[{"name":"Faculty of Health University of Canberra Canberra Australian Capital Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,11,17]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid2011.131315"},{"key":"e_1_2_8_3_1","first-page":"E213","article-title":"Working Group Monitoring the incidence and causes of diseases potentially transmitted by food in Australia: annual report of the OzFoodNet network, 2010","volume":"36","author":"OzFoodNet","year":"2012","journal-title":"Commun. Dis. Intell. Q. Rep"},{"key":"e_1_2_8_4_1","first-page":"31","article-title":"Health disaster management guidelines for evaluation and research in the Utstein style","volume":"17","author":"Sundnes KO","year":"2003","journal-title":"Prehosp. Disaster Med."},{"key":"e_1_2_8_5_1","volume-title":"Pandemic (H1N1) 2009 Influenza Outbreak in Australia: Impact on Emergency Departments","author":"FitzGerald GJ","year":"2010"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aenj.2010.03.001"},{"key":"e_1_2_8_7_1","first-page":"7","article-title":"If you build it, they will come: an influenza assessment clinic","volume":"24","author":"Luther M","year":"2009","journal-title":"Aust. J. Emerg. Mgt."},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.2147\/CEG.S6554"},{"key":"e_1_2_8_9_1","unstructured":"Queensland Health \u2013 Salmonella Infection: Queensland Health Guidelines for Public Health Units.2010. [Cited 25 July 2015.] Available from URL:http:\/\/www.health.qld.gov.au\/cdcg\/index\/salmonella.asp."},{"key":"e_1_2_8_10_1","unstructured":"The Royal Children's Hospital Melbourne.Gastroenteritis: clinical practice guidelines.2013. [Cited 25 July 2015.] Available from URL:http:\/\/www.rch.org.au\/clinicalguide\/guideline_index\/Gastroenteritis\/"},{"key":"e_1_2_8_11_1","unstructured":"Australian Institute of Health and Welfare \u2013 Australian hospital statistics 2012\u201313: emergency department care. 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