@entity662 is an important presentation in adult @entity1 attending @entity341 ( @entity341 ). The process of ruling out an @entity1187 ( @entity1187 ) conventionally requires a short in- @entity1 stay. This places a significant burden on healthcare systems. Recent developments have encouraged us to explore the role of an @entity341 observation ward in the management of these @entity1 . We designed and implemented two proformas ('flowformas'). The first provides integrated guidance and documentation for the management of @entity662 in the @entity341 . In @entity1 determined to be at low risk of short-term adverse outcomes the @entity1187 rule-out process is now completed on the @entity341 observation ward rather than on the cardio-respiratory admission ward. The second proforma is used before discharge to determine the likelihood of underlying @entity453 ( @entity453 ), thereby allowing risk-based follow-up arrangements to be made. We collected data on all @entity1 admitted to EDU on the NSTEMI rule-out pathway over a 12-month period. Between Feb 2012 and Feb 2013, 816 @entity1 fulfilling the criteria were admitted on the pathway. 67 @entity1 (8%) required admission due to @entity1187 . 15 @entity1 were admitted on two, and one on three occasions. In conclusion, it is possible to deliver @entity1187 rule-out on an emergency observation ward. This reduces healthcare costs and shortens hospital stay.

Reducing short-stay hospital admissions by ruling out non-ST elevation myocardial infarction and estimating XXXX likelihood on an emergency department observation ward.

@entity662 :: ('MESH:D002637', 'Disease') :: ['Chest pain', 'chest pain'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1187 :: ('MESH:D054058', 'Disease') :: ['ACS', 'acute coronary syndrome'] @entity341 :: ('MESH:D004630', 'Disease') :: ['ED', 'emergency departments'] @entity453 :: ('MESH:D003324', 'Disease') :: ['CAD', 'coronary artery disease']
@entity453 :: (MESH:D003324,Disease) :: ['coronary artery disease']
