June 9, 2026 · Emergency medicine journal : EMJ · DOI: 10.1136/emermed-2025-215411

Same day emergency care for low back pain: quality improvement to support emergency flow and reduce unnecessary acute admissions

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The authors aimed to evaluate the effectiveness of a same day emergency care (SDEC) pathway for managing low back pain (LBP) in order to reduce unnecessary hospital admissions. Over a two-year quality improvement project, they implemented the SDEC unit and monitored referral patterns, admissions, and MRI utilization, ultimately achieving a significant reduction in admissions from 31% to 8% while maintaining patient satisfaction. This study highlights the potential of structured emergency care pathways to improve patient outcomes and streamline emergency department processes.

Eleanor Dunstan, Lianne Wood, Frank Coffey, Jade Feavyour, Nauman Rashid, Khalid Salem, Paul Hendrick

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