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Emergency department nursing

Josiane Ribeiro Mendes, Maria Carolina Barbosa Teixeira Lopes, Cássia Regina Vancini-Campanharo, Meiry Fernanda Pinto Okuno, Ruth Ester Assayag Batista
OBJECTIVE: To identify compatibility, types and frequency of errors in preparation and administration of intravenous drugs. METHODS: A cross-sectional and descriptive study performed at the emergency department of a university hospital in the city of São Paulo (SP). The sample consisted of 303 observations of the preparation and administration of intravenous drugs by nursing aides, nursing technicians and registered nurses, using a systematized script, similar to a checklist...
September 17, 2018: Einstein
Rachel Cross, Julie Considine, Judy Currey
AIM: To examine nursing handover of vital signs during patient care transition from the emergency department (ED) to inpatient wards. BACKGROUND: Communication failures are a leading cause of patient harm making communication through clinical handover an international healthcare priority. The transition of care from ED to ward settings is informed by nursing handover. Vital sign abnormalities in the ED are associated with clinical deterioration following hospital admission...
September 19, 2018: Journal of Clinical Nursing
Laura Rasero, Nicola Ramacciati
No abstract text is available yet for this article.
September 18, 2018: Evidence-based Nursing
A Renouvin-Benat, P Sabatier, F Varenne, V Pagot-Mathis, P Fournie, F Malecaze, A Gallini, V Soler
INTRODUCTION: The steady increase in the number of visits to the various emergency services combined with the decrease in medical demographics, make it necessary to optimize triage of patients to improve their care. The purpose of this study was to evaluate the pertinence of our triage questionnaire in the classification of ophthalmologic emergencies by severity. METHODS: We used a monocentric cross-sectional study. From September 5 through September 25 2017, 858 patients who had all been seen in the ophthalmology emergency department of Pierre Paul Riquet Hospital of Toulouse university medical center and had responded to the triage nurse questionnaire were included...
September 13, 2018: Journal Français D'ophtalmologie
Steven Chan, Lynn Babcock, Gary Geis, Mary Frey, Venita Robinson, Benjamin Kerrey
INTRODUCTION: Multicenter clinical trials of high-acuity, low-frequency emergencies are expensive and resource intensive. Current standards for trial preparation have significant limitations. Our objective is to describe our use of in situ simulation (ISS) to identify and mitigate threats to enrollment, protocol adherence, and patient safety in preparation for a multicenter clinical trial of antiepileptics for status epilepticus in the emergency department. METHODS: This is a descriptive study of ISS conducted in the emergency department at a free-standing, academic pediatric institution...
September 13, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Donna B Lee, Deb Battle
Although trauma centers are required to provide trauma education to nurses caring for trauma patients, there are no clearly defined standards for this education. In an effort to improve emergency department (ED) trauma nursing care, a tiered approach to ED trauma education (basic, intermediate, and advanced) was developed to provide specialized trauma education to a larger number of ED nurses at a Level II trauma center in Georgia. This tiered approach to ED trauma nurse education has resulted in the ability to quickly activate multiple trauma teams that work together competently and efficiently, leading to improved patient care and development of competent ED trauma nurses...
September 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
Aaron Wright, Kelly Grady, Joseph Galante
Postdischarge phone calls have been shown to improve communications between patients and health care providers, potentially reducing readmission rates, medication errors, and emergency department (ED) visits. Given the complexity of social and medical issues associated with trauma, we studied the utility of an automated phone call system as a method of identifying gaps in trauma care. The Trauma Program and the Health Management and Education Department at a Level 1 academic trauma center engaged in a collaborative quality improvement effort using the CipherHealth LLC platform to provide automated phone calls to trauma patients 2-3 days after discharge...
September 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
Maggy Mitzkewich
INTRODUCTION: Identifying patients with sepsis at triage can lead to a decrease in door-to-antibiotic time. Our community hospital emergency department's mean door-to-antibiotic time was 105.3 minutes, falling short of the Surviving Sepsis Campaign guideline's benchmark goal of 60 minutes. One of the most common reasons for treatment delays was that patients with sepsis were not identified upon entrance to the emergency department. A solution to the delay was to implement a practice improvement project by having the triage nurse screen all patients for sepsis upon entrance to the emergency department...
September 5, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
Anthony Bell, Ghasem-Sam Toloo, Julia Crilly, John Burke, Ged Williams, Bridie McCann, Gerry FitzGerald
Objective The acuity and number of presentations being made to emergency departments (EDs) is increasing. In an effort to safely and efficiently manage this increase and optimise patient outcomes, innovative models of care (MOC) have been implemented. What is not clear is how these MOC reflect the needs of patients or relate to each other or to ED performance. The aim of this study was to describe ED MOC in Queensland, Australia. Methods Situated within a larger mixed-methods study, the present study was a cross-sectional study...
September 7, 2018: Australian Health Review: a Publication of the Australian Hospital Association
Z R Alikova, L A Anaeva, K K Fidarova, F U Kozyreva
The article presents analysis of state of children health care in Kabardino-Balkaria during the Great Patriotic War (1941-1945). The significant hardships are demonstrated concerning children health support during German occupation in winter 1942-1943 and during post-occupation period. The significant increase of morbidity children infections, especially measles, undernourishment, hard domestic conditions were specific for this period. The main causes of high mortality among children were pneumonia, acute diseases of gastro-intestinal tract, whooping cough, scarlatina, diphtheria...
March 2018: Problemy Sot︠s︡ialʹnoĭ Gigieny, Zdravookhranenii︠a︡ i Istorii Medit︠s︡iny
Javed Ismail, Jhuma Sankar
No abstract text is available yet for this article.
September 4, 2018: Indian Journal of Pediatrics
Taposh Kumar Biswas, Anjuman Ara Begum, Shamima Akther, M Hafizur Rahman, Henry B Perry, Heidi E Jones, Mahbub Elahi Chowdhury
BACKGROUND: In Bangladesh, while the infrastructure of public health facilities to provide maternal and newborn care services is adequate, services are not always available due to insufficient staffing. A human resource availability index for health facilities is needed for monitoring and advocacy. This study aimed to develop indices for measuring the availability of different types of human resources to provide round-the-clock emergency obstetric and newborn care (EmONC) service at district-level public facilities...
September 4, 2018: BMC Health Services Research
Kiara McNamara, Phyllis Wright
With a goal of increasing transparency regarding the utilization of Observation Units (OUs) in relation to Medicare policies, a 2012-2014 retrospective analysis was performed on 108 009 de-identified records of patients admitted from emergency departments to OUs within an urban health system. A cost-benefit analysis of OUs from the patient-centered perspective provided the theoretical patient cost. Using a query search, data regarding encounter type, length of stay, insurance carrier, origin, disposition, and age were collected...
October 2018: Nursing Administration Quarterly
Natasha Sanchez Cristal, Jennifer Staab, Rachel Chatham, Sarah Ryan, Brian Mcnair, Joseph A Grubenhoff
This study evaluated the effects of Certified Child Life Specialist (CCLS) intervention on pediatric distress and pain and family satisfaction during routine peripheral intravenous (PIV) line placement in the emergency department (ED). A convenience sample of 78 children (3-13 years) requiring PIV placement for their treatment at a regional level 1 pediatric trauma center ED with 70 000 annual visits were selected to receive either standard nursing care or CCLS intervention for PIV placement. CCLS involvement was associated with fewer negative emotional behaviors as indicated by a lower score on the Children's Emotional Manifestation Scale (-3...
September 3, 2018: Clinical Pediatrics
Laurie Newton, Cecille Sulman
OBJECTIVES: The aims of this quality improvement project were to develop a text messaging service to deliver messages to pediatric tonsillectomy patients to improve communication and overall experience. METHOD: Text messages were developed to deliver important information and reminders both preoperatively and postoperatively to pediatric tonsillectomy patients. After success with a small pilot program of five patients, a sample of 85 patients who underwent tonsillectomy participated in the program...
October 2018: International Journal of Pediatric Otorhinolaryngology
Andrew Walker, Jessica Rose Barrett, William Lee, Robert M West, Elspeth Guthrie, Peter Trigwell, Alan Quirk, Mike J Crawford, Allan House
OBJECTIVES: To describe the current provision of hospital-based liaison psychiatry services in England, and to determine different models of liaison service that are currently operating in England. DESIGN: Cross-sectional observational study comprising an electronic survey followed by targeted telephone interviews. SETTING: All 179 acute hospitals with an emergency department in England. PARTICIPANTS: 168 hospitals that had a liaison psychiatry service completed an electronic survey...
September 1, 2018: BMJ Open
Leslie Sanchez, Virginia B Young, Mary Baker
PROBLEM: Active shooter incidents are becoming more common, and although they are still rare compared with other shooting sites, incidents have increased in health care facilities. Agencies such as the Federal Bureau of Investigation, The Joint Commission, and the Emergency Nurses Association have emphasized that an action plan and training are essential for hospital preparedness. METHODS: Planning an active shooter simulation for the emergency department was a complex project and involved collaboration between the hospital's Emergency Management team, simulation staff, security, and ED leadership, which included the educators and clinical nurse specialist...
August 24, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
Seyed Majid Vafaei, Zahra Sadat Manzari, Abbas Heydari, Razieh Froutan, Leila Amiri Farahani
BACKGROUND: Standardization of documentation has enabled the use of medical records as a primary tool for evaluating health care functions and obtaining appropriate credit points for medical centres. However, previous studies have shown that the quality of medical records in emergency departments is unsatisfactory. AIM: The aim of this study was improving the nursing care documentation in an emergency department, in Iran. MATERIAL AND METHODS: This collaborative action research study was carried out in two phases to improve nursing care documentation in cooperation with individuals involved in the process, from February 2015 to December 2017 in an affiliated academic hospital in Iran...
August 20, 2018: Open Access Macedonian Journal of Medical Sciences
Mike Parker
No abstract text is available yet for this article.
August 29, 2018: Evidence-based Nursing
Laura Lamb-Susca, Paul Thomas Clements
Health care is being challenged both nationally and globally as a result of the significant expansion of human trafficking (HT). Every day, people are being bought, sold, and smuggled like modern-day slaves. Victims are used solely for the purposes of sexual exploitation, labor, and services. HT is a transnational criminal enterprise that recognizes neither boundaries nor borders. The frequency of HT is nondeterminable. There are no absolute documented statistics that show a prevalence of HT, as most of it is covert...
August 24, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
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