Search results for "Emergency Department"
showing 8 items of 108 documents
Triage assessment of registered nurses in the emergency department
2013
Standardised triage systems have been implemented in emergency departments (EDs) to improve the efficacy of assessment strategies as performed by registered nurses (RNs). However, the exact effect the standardised triage systems have on the decision-making process remains unclear.Aim: To evaluate decision making in the triage setting before and after implementation of the Medical Emergency Triage and Treatment System Adult in one hospital's ED.Methods: A descriptive intervention design with a quantitative approach. A total of 655 patients before and 413 patients after the intervention were included. A questionnaire was used to evaluate how the RNs assessed the patients before intervention w…
P6389Infection and type 2 myocardial infarction: a large observational study from emergency department
2019
Abstract Background Troponin elevation is frequent in patients with acute infection (AI) admitted to emergency unit (EU). Acute infection (AI) has been suggested as a common trigger in type 2 myocardial infarction (T2MI), corresponding to a myocardial oxygen supply-demand mismatch without atherothrombosis. We aim to characterize risk factors of T2MI occurrence and in-hospital mortality among patients admitted to an EU with AI and elevated troponin. Methods Among the medical records of all the patients admitted from January 2014 to December 2016 in a university hospital EU (n=82 543), patients with a diagnosis of AI and elevated troponin Ic (≥0.10μg/L) (n=714) were systematically adjudicated…
Delirium Assessment in Older People in Emergency Departments. A Literature Review.
2018
Delirium is a neuropsychiatric syndrome often manifesting in acute disease conditions, and with a greater prevalence in the older generation. Delirium in the Emergency Department (ED) is a highly prevalent problem that typically goes unnoticed by healthcare providers. The onset of a delirium episode in the ED is associated with an increase in morbidity and mortality. Because delirium is a preventable syndrome, these statistics are unacceptable. Emergency Department staff therefore should strive to perform systematic screening in order to detect delirium. Different tools have been developed for the assessment of delirium by healthcare professionals other than psychiatrists or geriatricians. …
Acute decompensated heart failure: Decision pathways for older people
2015
Introduction: Acute decompensated heart failure (ADHF) is a common condition in older people, but little research has been conducted on the appropriate decision pathways for this population. The aim of this review was to explore ADHF management in older people, paying particular attention to the comprehensive geriatric assessment (CGA). Material and methods: A search was run in the PubMed literature database, combining the term "acute heart failure" with "management", "geriatric" "multidisciplinary", "co-management", "co-care", "approach", and "comprehensive geriatric assessment", from the databases inception to 1st January 2015. A manual check was also conducted on the reference lists in t…
Emergency department performances during overcrowding: the experience of the health protection agency of Brianza.
2018
Background: Hospital emergency departments (ED) can contribute to improve health outcomes and reduce costs of health care system. This study evaluated ED admissions during a twelve months period, analyzing characteristics of patients who underwent to emergency care in order to understand factors involved in ED overcrowding and promote adequate management. Methods: This retrospective study analyzed a twelve months window, with in-depth focus on December/January when almost all EDs reported overcrowding. All ED admissions were recorded in electronic schedules including: demographic characteristics, time/date of the access, incoming triage code, diagnosis, performed procedures, discharge, time…
Type 1 or Type 2 Myocardial Infarction in Patients with a History of Coronary Artery Disease: Data from the Emergency Department
2019
A type 2 myocardial infarction (T2MI) is the result of an imbalance between oxygen supply and demand, without acute atherothrombosis. T2MI is frequent in emergency departments (ED), but has not been extensively evaluated in patients with previously known coronary artery disease (CAD). Our study assessed the incidence and characteristics of T2MI compared to type 1 (T1MI) in CAD patients admitted to an ED. Among 33,669 consecutive patients admitted to the ED, 2830 patients with T1MI or T2MI were systematically included after prospective adjudication by the attending clinician according to the universal definition. Among them, 619 (22%) patients had a history of CAD. Using multivariable analys…
Finnish Health Care Professionals’ Views of Patients Who Experience Family Violence
2015
1. Inka Koistinen[1][1] 2. Juha Holma[1][1] 1. 1University of Jyvaskyla, Finland 1. Juha Holma, Department of Psychology, Psychotherapy Training and Research Center, University of Jyvaskyla, P.O. Box 35, Jyvaskyla, 40014 Finland. Email: juha.m.holma{at}jyu.fi The aim of this study was to examine the beliefs health care personnel have about patients who experience family violence. This was done by analyzing the positions constructed for such patients using content analysis. The data comprise six focus groups conducted with physicians, nurses, social workers, and psychologists working in a maternity unit, a psychiatric ward, and an emergency department. The research team collected the data in…
Improving the operation of an emergency department by using a simulation model
2007
FL Toni Ruohonen on tutkinut väitöskirjassaan monia suomalaisia koskettavaa ongelmaa: terveydenhuollon päivystysjärjestelmän tehottomuutta. Tietokonesimulointia apuna käyttäen Ruohonen kehitti päivystyspoliklinikan uuden toimintamallin, jolla päivystykseen tulevan potilaan hoitoprosessia voidaan nopeuttaa jopa 40 %. – Terveydenhuollon yksiköt ovat hyvin monimutkaisia kokonaisuuksia, ja niillä on paljon satunnaisia piirteitä. Uusien teoreettisten ratkaisumallien kehittäminen ongelmiin on ollut melko helppoa, mutta niiden toimivuus on voitu osoittaa vasta käytännön kokeilun jälkeen, Ruohonen toteaa.Tutkimuksessa Ruohonen loi aluksi tietokoneella mallin oikeasta poliklinikasta sairaalan henkil…