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Methods This retrospective observational cohort study was conducted in a public teaching hospital in Queensland Australia Patients older than 18 y triaged with an ATS 3 and admitted to the ICU within 24 h of triage or admitted to the ward between January 1 2012 and December 31 2012 were included
1 INTRODUCTION AND BACKGROUND The triage of patients in the Emergency Departments (ED) is a worldwide healthcare problem Triage is commonly defined as an essential procedure in ED that involves sorting patients according to priorities [] thereby reducing patients' waiting time and improving the quality of patient care [2-4] Afaya et al [] indicate that an unfair allocation of patients
Adherence to evidence-based processes of stroke care improves patient outcomes 13 30 and many of these are initiated administered or co-ordinated by nurses 40 The use of clinical pathways and stroke care protocols also improve adherence to evidence-based care 41 42 and patient outcomes 43 The use of specialized stroke clinical co-ordinators
Aim We compared the abilities of two established clinical scores to predict emergency department (ED) disposition: the Glasgow Admission Prediction Score (GAPS) and the Ambulatory Score (Ambs) Methods The scores were compared in a prospective multicentre cohort study We recruited consecutive patients attending ED triage at two UK sites: Northern General Hospital in Sheffield and
A retrospective study of approximately 1 million trauma patients indicated that using physiologic (Step One) and anatomic (Step Two) criteria alone for triage of patients resulted in a high degree of under triage implying that using special considerations for determining trauma center need helped reduce the problem of under triage (46) Among
We used previously collected data from a multi-region retrospective cohort of 79 937 injured patients ≥ 18 years to determine baseline patient characteristics diagnostic test values of current triage practices in the regions (based on the national field triage guidelines) EMS transport patterns for triage-positive and negative patients two
Empowering Patients with Telehealthi Contents Telehealth: A component of health care transformation 1 Patient Stories: A wide variety of telehealth use cases 2 Telehealth enables immediate assessment and triage 2 Telehealth extends and improves primary care 4
Aug 14 2020All patients were recruited via the DISCOVER study (DIagnostic and Severity markers of COVID-19 to Enable Rapid triage study) a single centre prospective study recruiting consecutive patients admitted with COVID-19 from 30 03 2020 until present (Ethics approval via South Yorkshire REC: 20/YH/0121 CRN approval no: 45469)
We used previously collected data from a multi-region retrospective cohort of 79 937 injured patients ≥ 18 years to determine baseline patient characteristics diagnostic test values of current triage practices in the regions (based on the national field triage guidelines) EMS transport patterns for triage-positive and negative patients two
First HE-MACS could be used at triage when patients first arrive in the ED Achieving rapid 'rule-out' for patients soon after arrival without biomarker evaluation could help to alleviate the growing pressures faced by crowded EDs and accurately assign patients triage category (i e time to
assessment in the field can affect triage decisions The National Study on the Costs and Outcomes of Trauma (NSCOT) identified a 25% reduction in mortality for severely injured adult patients who received care at a Level I trauma center rather than at a nontrauma center (10) Similarly a retrospective cohort study of 11 398 severely injured adult
Adherence to evidence-based processes of stroke care improves patient outcomes 13 30 and many of these are initiated administered or co-ordinated by nurses 40 The use of clinical pathways and stroke care protocols also improve adherence to evidence-based care 41 42 and patient outcomes 43 The use of specialized stroke clinical co-ordinators
To improve triage workflow Mission used an evidence-based triage assessment—the Emergency Severity Index (ESI) triage acuity scale—to determine patient acuity and priority of care at triage Mission determined that the list of initial questions by the triage nurse were too lengthy It scaled down the list of questions to ensure a rapid
Methods This retrospective observational cohort study was conducted in a public teaching hospital in Queensland Australia Patients older than 18 y triaged with an ATS 3 and admitted to the ICU within 24 h of triage or admitted to the ward between January 1 2012 and December 31 2012 were included
Mar 09 2020Although some triage protocols focus on excluding some patients to increase availability of intensive care beds bed availability is not an end in itself [6] The implicit (and sometimes explicit) intent of triage protocols tends to be the "public good" of maximising population survival
Feb 08 2019We also found that younger patients and patients were more likely to be transferred consistent with prior observations of disparities in trauma triage [26–28] Perhaps these characteristics influence the representativeness of a case (i e younger men demonstrate more signs 'typical' of severe injury than older women) Some types of
A retrospective study of approximately 1 million trauma patients indicated that using physiologic (Step One) and anatomic (Step Two) criteria alone for triage of patients resulted in a high degree of under triage implying that using special considerations for determining trauma center need helped reduce the problem of under triage (46) Among
Adherence to evidence-based processes of stroke care improves patient outcomes 13 30 and many of these are initiated administered or co-ordinated by nurses 40 The use of clinical pathways and stroke care protocols also improve adherence to evidence-based care 41 42 and patient outcomes 43 The use of specialized stroke clinical co-ordinators
To accommodate the arrival of patients across a continuum of severity and stability EDs use the process of triage to sort and categorize patients The purpose of ED triage is to "prioritize incoming patients and to identify those who cannot wait to be seen " 1 It is self-evident that some chief complaints are minor and non-urgent while
This method has the potential to enhance outcomes for patients and healthcare organizations alike in a number of ways A 2014 study published in Health Affairs suggested that predictive systems could help identify patients and consequently improve outcomes in six categories: high-cost patients readmission rates triage decompensation adverse
Objectives Patient flow and crowding are two major issues in ED service improvement A substantial amount of literature exists on the interventions to improve patient flow and crowding making it difficult for policymakers managers and clinicians to be familiar with all the available literature and identify which interventions are supported by the evidence
Feb 01 2017Introduction Triage is one of the most important functions in the Emergency Department (ED) It is a dynamic process that involves high level clinical assessment skills to assess both the degree of urgency of the patients presenting problem and the most appropriate place in the ED for their treatment to commence Whilst the primary purpose of the triage process is unchanged
Aug 15 2015Having a robust Emergency Department Presenting Problem Code Set (EDPPCS) is important for collecting and analysing data around Emergency Department (ED) activity funding bio-surveillance and research This paper analyses the clinical utilisation of the current EDPPCS using two years worth of ED data collected as part of the larger state-wide Demand for Emergency Services
Oct 18 2016Internationally recognised evidence-based guidelines recommend appropriate triage of patients with stroke in emergency departments (EDs) administration of tissue plasminogen activator (tPA) and proactive management of fever hyperglycaemia and swallowing before prompt transfer to a stroke unit to maximise outcomes We aim to evaluate the effectiveness in EDs of a theory-informed
Too many children in need of specialised care were transported to lower-level paediatric or adult trauma centres which is associated with increased mortality and morbidity Current protocols cannot accurately discriminate between patients at low and high risk and highly sensitive and child-specific triage tools need to be developed to ensure the right patient is transported to the right
How Triage Works Triage systems run the gamut from verbal shouting in an unusual emergency to well-defined colored tagging systems used by soldiers and EMTs when they arrive on the scene of a mass casualty accident or a battlefield with many wounded soldiers Each organization has its own triage
Nov 12 2019Waiting for healthcare services is a problem across the care continuum [] in emergency departments [] acute hospitals [] and in ambulatory community and outpatient settings [] Much work has been done on patient flow particularly in the acute setting [] but there has been increased attention focusing on access triage and patient flow in non-bed-based services [6 7 8]
assessment in the field can affect triage decisions The National Study on the Costs and Outcomes of Trauma (NSCOT) identified a 25% reduction in mortality for severely injured adult patients who received care at a Level I trauma center rather than at a nontrauma center (10) Similarly a retrospective cohort study of 11 398 severely injured adult
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