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intern report

ED Observation Units and Their Efficacy

I had concerns for admitting a patient to the observation unit for suspected CHF exacerbation. The specific protocols for CHF exacerbation are available on EPIC and list a very specific set of criteria that allows for admission to the 2SS observation unit. I was initially curious about the development of these criteria, and more broadly, the efficacy of observation units and their sustainability as the face of a changing environment in Emergency Medicine. My main question was: do observation units lead to equal or better outcomes for patients versus conventional admission? Are they cost-effective or do they merely delay the costs associated with admission and full work-up? [...]