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    The Effect of Clinical Decision Support System on the Rates of Patients Who Reapply to the Emergency Department with the Same Diagnosis
    (Selçuk Üniversitesi, 2023 Ekim) Özkan, Elife; Köse, İlker
    Aim: Reducing re-applications with the same diagnosis within 24 hours and decreasing the density in emergency departments where many patients apply, as in the pandemic period. Materials and Methods: A comparison was made between quarterly and monthly increases in 2021, 2020 and 2019 during the pandemic period. The data was obtained from the Basic Health Statistics Module and 2 data sets followed by the Health Quality Standards Emergency Department. As a statistical method, data on emergency department admissions and re-admissions for the JanuaryJune periods of 2019, 2020 and 2021 were compared with Kruskal Wallis and Mann Whitney tests. Results: Kruskal Wallis test shows that there is a statistically significant difference in terms of re- applications between 2019, 2020 and 2021 (p = 0.006). According to Mann Whitney test results, there are statistically significant differences in terms of re-applications between 2019 and 2020 (p = 0.004) and between 2020 and 2021 (p = 0.016). However, this difference is not significant between 2019 and 2021 (p = 0.336). Re-application Rates: The Kruskal Wallis test shows that there is a statistically significant difference in re-application rates between 2019, 2020 and 2021 (p = 0.034). According to Mann Whitney test results, there is a statistically significant difference in re-application rates between 2020 and 2021 (p = 0.025). However, this difference is not significant between 2019 and 2020 (p = 0.078) and 2019 and 2021 (p = 0.150). Conclusion: Re-application rates to emergency services within 24 hours returned to their pre- pandemic level. Differences in physician-based approaches in diagnosis and treatment have been eliminated and standardization has been achieved. It is aimed to make working easier and more effective in situations that lead to mass applications to emergency hospital services. The same situation has become an example of similar practices in hospital services.