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https://www.readbyqxmd.com/read/30340502/initial-assessment-level-of-care-and-outcome-among-children-who-were-seen-by-emergency-medical-services-a-prospective-observational-study
#1
Carl Magnusson, Johan Herlitz, Thomas Karlsson, Christer Axelsson
BACKGROUND: The assessment of children in the Emergency Medical Service (EMS) is infrequent representing 5.4% of the patients in an urban area in the western part of Sweden. In Sweden, patients are assessed on scene by an EMS nurse whom independently decides on interventions and level of care. To aid the EMS nurse in the assessment a triage instrument, Rapid Emergency Triage and Treatment System-paediatrics (RETTS-p) developed for Emergency Department (ED) purpose has been in use the last 5 years...
October 19, 2018: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/30339099/estimating-weekly-call-volume-to-a-national-nurse-telephone-triage-line-in-an-influenza-pandemic
#2
Bishwa B Adhikari, Lisa M Koonin, Melissa L Mugambi, Kellye D Sliger, Michael L Washington, Emily B Kahn, Martin I Meltzer
Telephone nurse triage lines, such as the Centers for Disease Control and Prevention's (CDC) Flu on Call® , a national nurse triage line, may help reduce the surge in demand for health care during an influenza pandemic by triaging callers, providing advice about clinical care and information about the pandemic, and providing access to prescription antiviral medication. We developed a Call Volume Projection Tool to estimate national call volume to Flu on Call® during an influenza pandemic. The tool incorporates 2 influenza clinical attack rates (20% and 30%), 4 different levels of pandemic severity, and different initial "seed numbers" of cases (10 or 100), and it allows variation in which week the nurse triage line opens...
September 2018: Health Security
https://www.readbyqxmd.com/read/30335687/practice-pattern-variation-in-test-ordering-for-low-acuity-pediatric-emergency-department-patients
#3
Kaynan Doctor, Kristen Breslin, James M Chamberlain, Deena Berkowitz
OBJECTIVES: Rising costs in healthcare have focused attention on interventions to optimize efficiency of patient care, including decreasing unnecessary diagnostic testing. The primary objective of this study was to determine the variability of laboratory and radiology testing among licensed independent providers (LIPs) with different training backgrounds treating low-acuity patients in a pediatric emergency department (PED). METHODS: We performed a retrospective review of the electronic health records of all encounters with patients 21 years or younger, triaged as low-acuity, visiting 2 urban, academic PEDs from January 2012 to December 2013...
October 17, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/30327415/a-simple-clinical-assessment-is-superior-to-systematic-triage-in-prediction-of-mortality-in-the-emergency-department
#4
Anne Kristine Servais Iversen, Michael Kristensen, Rebecca Monett Østervig, Lars Køber, György Sölétormos, Jakob Lundager Forberg, Jesper Eugen-Olsen, Lars Simon Rasmussen, Morten Schou, Kasper Karmark Iversen
OBJECTIVE: To compare the Danish Emergency Process Triage (DEPT) with a quick clinical assessment (Eyeball triage) as predictors of short-term mortality in patients in the emergency department (ED). METHODS: The investigation was designed as a prospective cohort study conducted at North Zealand University Hospital. All patient visits to the ED from September 2013 to December 2013 except minor injuries were included. DEPT was performed by nurses. Eyeball triage was a quick non-systematic clinical assessment based on patient appearance performed by phlebotomists...
October 16, 2018: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/30306952/methodologies-for-improving-the-quality-and-safety-of-telehealth-systems
#5
Elizabeth M Borycki, Andre W Kushniruk
A range of telehealth applications have been developed. In Canada, telehealth shows considerable promise given the country's large geographical area and need for support in rural areas. In this paper, the authors describe our method for ensuring the quality and safety of telehealth applications by applying clinical simulations. These simulations allow for testing and fine-tuning of telehealth applications before they are released on a large scale. Two applications are briefly described, one involving tele-triage and a second involving tele-nursing...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/30300182/implementing-a-pediatric-perioperative-surgical-home-integrated-care-coordination-pathway-for-laryngeal-cleft-repair
#6
Izabela Leahy, Connor Johnson, Steven J Staffa, Reza Rahbar, Lynne R Ferrari
BACKGROUND: The Pediatric Perioperative Surgical Home (PPSH) model is an integrative care model designed to provide better patient care and value by shifting focus from the patient encounter level to the overarching surgical episode of care. So far, no PPSH model has targeted a complex airway disorder. It was hypothesized that the development of a PPSH for laryngeal cleft repair would reduce the high rates of postoperative resource utilization observed in this population. METHODS: Institutional review board approval was obtained for the purpose of data collection and analysis...
October 8, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30275144/using-interprofessional-education-to-promote-oral-health-literacy-in-a-faculty-student-collaborative-practice
#7
Moshtagh R Farokhi, Andrew Muck, Juanita Lozano-Pineda, Stephanie L Boone, Heidi Worabo
The aim of this study was to assess the oral health literacy knowledge gained by patients who are refugees, community members, and medical and nursing students after participating in an interprofessional education collaborative of students and faculty from the University of Texas Health San Antonio Schools of Dentistry, Medicine, and Nursing. In this faculty-student collaborative practice, all patients were triaged (including oral hygiene status and alcohol/tobacco use), and tailored treatment options were offered following assessment of their dental, medical, and social histories...
October 2018: Journal of Dental Education
https://www.readbyqxmd.com/read/30247207/decreasing-the-time-to-administration-of-first-dose-of-antibiotics-in-children-with-severe-sepsis
#8
Yash Mittal, Jhuma Sankar, Nitin Dhochak, Samriti Gupta, Rakesh Lodha, Sushil Kumar Kabra
OBJECTIVES: To measure difference in median time to antibiotic administration in severe sepsis before and after making process changes and clinical outcomes such as duration of hospitalization and mortality. METHODS: The study was carried out in the emergency department in children <17 years of age with severe sepsis/septic shock. In phase 1, data were collected and reasons for delayed antibiotic administration were identified. Following this, process changes like creating a triage tool, re-enforcing the severe sepsis protocol and increasing the number of nurses were made to correct the delay...
April 5, 2018: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/30237732/health-care-utilization-by-veterans-prescribed-chronic-opioids
#9
Cynthia Kay, Erica Wozniak, Alice Ching, Joanne Bernstein
Purpose: Ambulatory resources such as telephone calls, secure messages, nurse visits, and telephone triage are vital to the management of patients on chronic opioid therapy (COT). They are also often overlooked as health care services and yet to be broadly studied. The aim of the present study was to describe the Veterans Affairs (VA) health care utilization by patients based on COT, type, and amount of opioids prescribed. Patients and methods: A retrospective chart review was done on 617 patients on COT at a VA primary care clinic...
2018: Journal of Pain Research
https://www.readbyqxmd.com/read/30234163/assessment-of-the-intermediate-care-unit-triage-system
#10
Joost D J Plate, Linda M Peelen, Luke P H Leenen, R Marijn Houwert, Falco Hietbrink
Background: An important critique with respect to the utilization of intermediate care units (IMCU) is that they potentially admit patients who would otherwise be cared for on the regular ward. This would lead to an undesired waste of critical care resources. This article aims to (1) describe the caseload at the IMCU and (2) to assess the triage system at the IMCU to determine potentially unnecessary admissions. Methods: This cohort study included all admissions at the mixed-surgical IMCU from 2001 to 2015...
2018: Trauma surgery & acute care open
https://www.readbyqxmd.com/read/30220447/-evaluation-of-the-nurse-triage-at-the-ophtalmology-emergency-department-of-pierre-paul-riquet-hospital
#11
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...
October 2018: Journal Français D'ophtalmologie
https://www.readbyqxmd.com/read/30195863/sepsis-screening-in-triage-to-decrease-door-to-antibiotic-time
#12
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
https://www.readbyqxmd.com/read/30182279/triage-nurse-ordered-diagnostic-studies-an-evolving-strategy-to-reduce-emergency-department-length-of-stay
#13
REVIEW
Javed Ismail, Jhuma Sankar
No abstract text is available yet for this article.
October 2018: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/30176530/predicting-early-deterioration-of-admitted-patients-at-the-intermediate-care-unit
#14
Joost D J Plate, Falco Hietbrink, Luke P H Leenen, Linda M Peelen
PURPOSE: Under-triage is a major threat when admitting patients at the Intermediate Care Unit (IMCU). This study aims to identify risk factors and predict early deterioration of IMCU admissions, to reduce the risk of under-triage. MATERIALS AND METHODS: This retrospective cohort study included all admissions to the mixed-surgical stand-alone IMCU of a tertiary referral hospital (2001-2015). Variables included were age, sex, admission indication, admitting specialty, re-admission, and nursing interventions...
August 16, 2018: Journal of Critical Care
https://www.readbyqxmd.com/read/30160072/perceived-benefits-of-and-barriers-to-psychosocial-risk-screening-in-pediatric-oncology-by-health-care-providers
#15
Maru Barrera, Sarah Alexander, Wendy Shama, Denise Mills, Leandra Desjardins, Kelly Hancock
BACKGROUND: Although systematic psychosocial screening has been established as a standard of psychosocial care in pediatric oncology, this is not yet widely implemented in clinical practice. Limited information is available regarding the reasons behind this. In this study, we investigated perceptions of psychosocial screening by health care providers (HCPs) involved in pediatric cancer care. METHODS: Using purposeful sampling, 26 HCPs (11 oncologists, 8 nurses, and 7 social workers) from a large North American pediatric cancer center participated in semistructured interviews...
August 29, 2018: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/30158174/cervical-spine-can-be-assessed-effectively-by-emergency-department-triage-nurses
#16
Mike Parker
No abstract text is available yet for this article.
October 2018: Evidence-based Nursing
https://www.readbyqxmd.com/read/30145535/comparison-of-scenario-based-triage-education-by-lecture-and-role-playing-on-knowledge-and-practice-of-nursing-students
#17
Samira Delnavaz, Hadi Hassankhani, Fariborz Roshangar, Abbas Dadashzadeh, Parvin Sarbakhsh, Mansour Ghafourifard, Eskandar Fathiazar
INTRODUCTION: Quick and accurate triage of patients in the emergency department is a key factor for successful management of the emergency situations and ensuring the quality of care. Moreover, triage skills education is one of the important aspects of preparedness of nurses for different emergency situations. The objective of this study was to compare the effect of educating emergency severity index (ESI) triage using lecture and role-playing on the knowledge and practice of nursing students...
November 2018: Nurse Education Today
https://www.readbyqxmd.com/read/30126534/the-epidemiology-of-elderly-falls-attended-by-emergency-medical-services-in-victoria-australia
#18
Shelley Cox, Renee Roggenkamp, Stephen Bernard, Karen Smith
BACKGROUND: With an increase in the proportion of older people in the community comes an increase in the demand on emergency medical services (EMS) by elderly patients who have fallen. OBJECTIVE: To describe the epidemiology of elderly falls patients attended by EMS in Victoria, Australia and identify predictors of transport and repeat falls. METHODS: A retrospective review included all elderly (age ≥ 65 years) falls patients attended by EMS between 2010 and 2017...
September 2018: Injury
https://www.readbyqxmd.com/read/30121156/emergency-department-mortality-fair-and-square
#19
M Saban, H Patito, L Zaretsky, R Salama, A Darawsha
OBJECTIVE: This study explored the therapeutic approaches used for end-of-life (EOL) patients admitted to the emergency department (ED) and examined whether the decision to perform life-extending treatment (LET) or to allow natural death (AND) depends on patient characteristics, medical staff variables, and ED setting. METHODS: A retrospective archive study was conducted from January 2015 to December 2017 in the ED of a tertiary hospital. The study sample were 674 EOL patients who had died in the ED...
August 13, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30119627/development-of-a-personalized-diagnostic-model-for-kidney-stone-disease-tailored-to-acute-care-by-integrating-large-clinical-demographics-and-laboratory-data-the-diagnostic-acute-care-algorithm-kidney-stones-daca-ks
#20
Zhaoyi Chen, Victoria Y Bird, Rupam Ruchi, Mark S Segal, Jiang Bian, Saeed R Khan, Marie-Carmelle Elie, Mattia Prosperi
BACKGROUND: Kidney stone (KS) disease has high, increasing prevalence in the United States and poses a massive economic burden. Diagnostics algorithms of KS only use a few variables with a limited sensitivity and specificity. In this study, we tested a big data approach to infer and validate a 'multi-domain' personalized diagnostic acute care algorithm for KS (DACA-KS), merging demographic, vital signs, clinical, and laboratory information. METHODS: We utilized a large, single-center database of patients admitted to acute care units in a large tertiary care hospital...
August 17, 2018: BMC Medical Informatics and Decision Making
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