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Non-urgent emergency visits

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https://www.readbyqxmd.com/read/28447542/assessing-outcomes-of-educational-videos-in-group-visits-for-patients-with-chronic-pain-at-an-academic-primary-care-clinic
#1
Carrie Vogler, Stacy Sattovia, Laura Y Salazar, Tiffany I Leung, Albert Botchway
OBJECTIVES: This study evaluates the impact of pain education group visits on patients with chronic non-cancer pain (CNCP). The primary outcome of the study was to evaluate patients' functional status and secondary outcomes included knowledge, behavior, and satisfaction, before and after participation in the pain education group visits. METHODS: Locally produced patient educational videos on chronic non-cancer pain were delivered during patient group visits led by a healthcare provider...
April 27, 2017: Postgraduate Medicine
https://www.readbyqxmd.com/read/28423834/communication-of-children-symptoms-in-emergency-classification-of-the-terminology
#2
Jessica Rochat, Johan Siebert, Annick Galetto, Christian Lovis, Frédéric Ehrler
The significant part of non-urgent visits to the emergency highlight the necessity to advise people on the actions to take according to their symptoms. Although information sources are accessible through different channels their content often employs medical terminologies that are difficult to understand by laypersons. Our goal is to provide a terminology of the most common symptoms in pediatric emergency adapted to laypersons. This terminology is organized in a hierarchy by the mean of a card-sorting study...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28355651/-perception-of-the-emergency-department-for-outpatient-care-in-a-rural-region-in-saxony-anhalt-a-qualitative-survey-of-patients-and-general-practitioners
#3
Martina Schmiedhofer, Julia Searle, Anna Slagman, Johann Frick, Stephan Ruhla, Martin Möckel
Background The increasing number of low-acuity visits to Emergency Departments (ED) is an important issue in Germany and contributes to ED crowding. A sustainable solution needs deeper knowledge of patients' underlying rationales. Methods To explore patients' motives we conducted 31 semi-structured face-to-face interviews with low-acuity ED patients in a rural region in Saxony-Anhalt. Subsequently we interviewed 12 General Practitioners (GP)s about their perspectives on patients visiting ED with low-acuity conditions and referring patients to ED...
March 29, 2017: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/28215655/the-caregiver-perspective-on-unscheduled-72-hour-return-visits-to-pediatric-acute-care-sites-a-focus-on-discharge-processes
#4
Nidhya Navanandan, Sarah K Schmidt, Natasha Cabrera, Michael C DiStefano, Rakesh D Mistry
OBJECTIVE: To characterize pediatric caregivers' reasons for 72-hour emergency department (ED) and urgent care (UC) returns. METHODS: A sample of caregivers returning within 72 hours of initial visit to a pediatric ED or affiliated UC site were surveyed from November 2014 to June 2015; patients evaluated at outside ED/UC, scheduled for return, or non-English/Spanish speaking were excluded. Caregiver surveys underwent item generation, validation, and pilot testing...
February 12, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28125556/o-008-yi-the-impact-of-a-nurse-navigator-program-on-telephone-calls-and-emergency-department-utilization-among-ibd-patients
#5
Anshika Kapur, Sonia Divakaran, Cynthia Walsh, Anne Nguyen, Chelsea Alacantra, Joseph Anda, Yankamma Curry, Patricia Adams, Gil Melmed
BACKGROUND: Inflammatory bowel disease (IBD) is a chronic relapsing condition with a high burden of illness and need for urgent and healthcare services. Recent international quality measures for IBD have highlighted the need for dedicated IBD nurses, and published studies have demonstrated associations between telephone calls and urgent/emergent care utilization. At baseline, all calls routed to a nurse were staffed by general nurses involved in multiple gastroenterology sections. We evaluated the impact of the sequential introduction of 2 dedicated IBD "nurse navigators" at a tertiary IBD center on telephone call volume and other parameters...
February 2017: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/27995205/the-ed-use-and-non-urgent-visits-of-elderly-patients
#6
Umut Gulacti, Ugur Lok, Murat Celik, Nurettin Aktas, Haci Polat
OBJECTIVE: To evaluate the use of the emergency department (ED) by elderly patients, their non-urgent visits and the prevalence of main disease for ED visits. METHODS: This cross-sectional study was conducted on patients aged 65 years and over who visited the ED of a tertiary care university hospital in Turkey between January 2015 and January 2016 retrospectively. RESULTS: A total of 36,369 elderly patients who visited the ED were included in the study...
December 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27913657/cost-benefit-analysis-of-telehealth-in-pre-hospital-care
#7
James R Langabeer, Tiffany Champagne-Langabeer, Diaa Alqusairi, Junghyun Kim, Adria Jackson, David Persse, Michael Gonzalez
OBJECTIVE: There has been very little use of telehealth in pre-hospital emergency medical services (EMS), yet the potential exists for this technology to transform the current delivery model. In this study, we explore the costs and benefits of one large telehealth EMS initiative. METHODS: Using a case-control study design and both micro- and gross-costing data from the Houston Fire Department EMS electronic patient care record system, we conducted a cost-benefit analysis (CBA) comparing costs with potential savings associated with patients treated through a telehealth-enabled intervention...
December 2, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27861509/parasitological-clearance-rates-and-drug-concentrations-of-a-fixed-dose-combination-of-azithromycin-chloroquine-in-asymptomatic-pregnant-women-with-plasmodium-falciparum-parasitemia-an-open-label-non-comparative-study-in-sub-saharan-africa
#8
Kamija Phiri, Joshua Kimani, George A Mtove, Qinying Zhao, Ricardo Rojo, Jeffery Robbins, Stephan Duparc, Ayman Ayoub, Pol Vandenbroucke
BACKGROUND: Malaria remains one of the most important causes of morbidity and mortality in pregnant women and their newborn babies in sub-Saharan Africa. Intermittent preventive treatment in pregnancy (IPTp) is recommended by the World Health Organization (WHO) to reduce the burden of disease and improve maternal and neonatal survival and general health. Due to the growing resistance to sulfadoxine-pyrimethamine (SP), the current WHO-recommended drug for IPTp, identification of new and effective drugs is an urgent priority...
2016: PloS One
https://www.readbyqxmd.com/read/27776575/understanding-the-use-of-emergency-department-and-urgent-care-services-by-diabetic-patients-of-a-family-medicine-health-team-a-retrospective-observational-study
#9
Matthew Ward
Aim To understand the frequency, urgency, and rationale of emergency department and urgent care (ED/UC) use by diabetic patients of a Family Medicine Health Team (FHT). METHODS: A retrospective, observational study with comparison control groups was conducted from 1 January 2013 to 31 December 2014. A total of 693 diabetic patients were compared with two, age-standardized non-diabetic groups: one with a higher disease burden based on International Classification of Diseases 9 diagnoses and the other from a randomized patient pool...
October 25, 2016: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/27773714/nonurgent-and-urgent-emergency-department-use-during-pregnancy-an-observational-study
#10
Kimberly A Kilfoyle, Roxanne Vrees, Christina A Raker, Kristen A Matteson
BACKGROUND: Emergency department use is common among pregnant women. Nonurgent emergency department use may represent care that would be better provided by an established obstetric provider in an ambulatory setting. OBJECTIVE: The objective of the study was to identify sociodemographic factors associated with nonurgent emergency department use in pregnancy. STUDY DESIGN: This is a cross-sectional study of women recruited during their postpartum hospitalization...
February 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27720843/hospital-based-health-care-after-traumatic-brain-injury
#11
David B Salisbury, Simon J Driver, Megan Reynolds, Monica Bennett, Laura B Petrey, Anne Marie Warren
OBJECTIVE: To investigate trends of hospital-based health care utilization after admission to a level I trauma center after acute traumatic brain injury (TBI). DESIGN: Retrospective review. SETTING: Large urban trauma hospital and a hospital council data registry consisting of 88 member institutions (>150 hospitals) covering 15,000 square miles. PARTICIPANTS: All patients (N=5291) admitted to a level I trauma center between January 1, 2006, and June 30, 2014, who experienced an acute TBI based on International Classification of Diseases, Ninth Revision coding...
March 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27669017/high-dose-inactivated-influenza-vaccine-is-associated-with-cost-savings-and-better-outcomes-compared-to-standard-dose-inactivated-influenza-vaccine-in-canadian-seniors
#12
Debbie L Becker, Ayman Chit, Carlos A DiazGranados, Michael Maschio, Eddy Yau, Michael Drummond
Seasonal influenza infects approximately 10-20% of Canadians each year, causing an estimated 12,200 hospitalizations and 3,500 deaths annually, mostly occurring in adults ≥65 years old (seniors). A 32,000-participant, randomized controlled clinical trial (FIM12; Clinicaltrials.gov NCT01427309) showed that high-dose inactivated influenza vaccine (IIV-HD) is superior to standard-dose vaccine (SD) in preventing laboratory-confirmed influenza illness in seniors. In this study, we performed a cost-utility analysis (CUA) of IIV-HD versus SD in FIM12 participants from a Canadian perspective...
December 2016: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/27629892/non-urgent-emergency-callers-characteristics-and-prognosis
#13
K K Lehm, M S Andersen, I S Riddervold
OBJECTIVE: In Denmark, calls to the Danish emergency number 1-1-2 concerning medical emergencies are received by an emergency medical communication center (EMCC). At the EMCC, health care professionals (nurses, paramedics, and physicians) decide the necessary response, depending on the level of emergency as indicated by the Danish Index for Emergency Care. The index states 37 main criteria (symptoms) and five levels of emergency, descending from A (life threatening) to E (not serious)...
March 2017: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27487992/patient-intention-and-self-reported-compliance-in-relation-to-emergency-department-attendance-after-using-an-after-hours-gp-helpline
#14
Rosemary McKenzie, David Dunt, Allison Yates
OBJECTIVE: To determine ED attendance and compliance with GP advice following a call to an after hours telephone triage and advice service. METHODS: A descriptive study of users' of an after hours helpline self-reported ED attendance and compliance with GP recommendation, based on routinely collected service data and telephone survey results for 2783 callers in 2011-2012. The outcome measure was self-reported health service utilisation following advice from a GP on an after hours helpline...
October 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27406005/cancer-patients-use-of-primary-care-out-of-hours-services-a-cross-sectional-study-in-norway
#15
COMPARATIVE STUDY
Camilla Kjellstadli Thoresen, Hogne Sandvik, Steinar Hunskaar
OBJECTIVE: To investigate how cancer patients in Norway use primary care out-of-hours (OOH) services and describe different contact types and procedures. DESIGN: A retrospective cross-sectional registry study using a billing registry data source. SETTING: Norwegian primary care OOH services in 2014. SUBJECTS: All patients' contacts in OOH services in 2014. Cancer patients were identified by ICPC-2 diagnosis. MAIN OUTCOME MEASURES: Frequency of cancer patients' contacts with OOH services, contact types, diagnoses, procedures, and socio-demographic characteristics...
September 2016: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/27378228/is-it-a-matter-of-urgency-a-survey-of-assessments-by-walk-in-patients-and-doctors-of-the-urgency-level-of-their-encounters-at-a-general-emergency-outpatient-clinic-in-oslo-norway
#16
Sven Eirik Ruud, Per Hjortdahl, Bård Natvig
BACKGROUND: Emergency room (ER) use is increasing in several countries. Variability in the proportion of non-urgent ER visits was found to range from 5 to 90 % (median 32 %). Non-urgent emergency visits are considered an inappropriate and inefficient use of the health-care system because they may lead to higher expenses, crowding, treatment delays, and loss of continuity of health care provided by a general practitioner. Urgency levels of doctor-walk-in patient encounters were assessed based on their region of origin in a diverse Norwegian population...
July 4, 2016: BMC Emergency Medicine
https://www.readbyqxmd.com/read/27315242/profiling-the-patients-visiting-the-emergency-room-for-musculoskeletal-complaints-characteristics-and-outcomes
#17
Mattia Bellan, Rossella Molinari, Luigi Castello, Daniele Sola, Antonello Gibbin, Giulia Guaschino, Roberta Pedrazzoli, Alessia Puma, Mario Pirisi, Gian Carlo Avanzi, Pier Paolo Sainaghi
Non-traumatic musculoskeletal complaints are often dealt with by emergency room (ER) physicians. We aimed to quantify how many patients with such complaints have conditions requiring immediate recognition and treatment, versus specialist referral, versus primary care. We retrieved the clinical records of all the patients admitted to the ER department of our hospital along 1 year. Pediatric (age <14 years) and obstetrics/gynecology cases were excluded. Data from all patients visiting the ER for non-traumatic musculoskeletal complaints were classified as follows: true emergencies (i...
November 2016: Clinical Rheumatology
https://www.readbyqxmd.com/read/27237784/warfarin-associated-intraspinal-hematoma
#18
Joji Inamasu, Keisuke Ito, Natsuki Hattori, Yuichi Hirose
Intracerebral hemorrhage is a well-known complication resulting from warfarin use; however, warfarin-associated intraspinal hematoma is very rare. Warfarin-associated intraspinal hematoma may exhibit delayed progression, and patients may present with atypical symptoms, occasionally resulting in delayed diagnosis. We report the case of a 65-year-old man who visited our emergency department (ED) with acute urinary retention. He had been previously diagnosed with non-valvular atrial fibrillation, arterial hypertension, and benign prostatic hyperplasia, and he used warfarin for the prevention of systemic embolism...
December 25, 2016: Keio Journal of Medicine
https://www.readbyqxmd.com/read/27231794/comparative-assessment-of-medical-resource-use-and-costs-associated-with-patients-with-symptomatic-peripheral-artery-disease-in-the-united-states
#19
COMPARATIVE STUDY
Monica Reed Chase, Howard S Friedman, Prakash Navaratnam, Kim Heithoff, Ross J Simpson
BACKGROUND: There is growing concern about appropriate disease management for peripheral artery disease (PAD) because of the rapidly expanding population at risk for PAD and the high burden of illness associated with symptomatic PAD. A better understanding of the potential economic impact of symptomatic PAD relative to a matched control population may help improve care management for these patients. OBJECTIVE: To compare the medical resource utilization, costs, and medication use for patients with symptomatic PAD relative to a matched control population...
June 2016: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/27104309/-exploring-patient-motives-to-use-emergency-departments-for-non-urgent-conditions-a-qualitative-study
#20
M H Schmiedhofer, J Searle, A Slagman, M Möckel
Background: The increasing utilization of Emergency Departments (ED) by outpatients with acute but non-urgent conditions contributes to ED crowding. This study aims to explore the motives of patients categorized as non-urgent for visiting the ED. Methods: A qualitative study based on semi-structured interviews was conducted at 2 ED's at Charité Berlin. A total of 40 patients categorized as non-urgent were interviewed. Data were analyzed using Qualitative Content Analysis. Results: In addition to unavailable appointments or having to wait a long time for an appointment with general practitioners and specialists, patients stated better time-flexibility, the University Hospital's quality of care and the availability of multidisciplinary care as reasons to seek medical care in the ED...
April 22, 2016: Das Gesundheitswesen
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