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"Triage" AND "Nurse"

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https://read.qxmd.com/read/30770955/a-mixed-psychiatric-and-somatic-care-unit-for-trauma-patients-10-years-of-experience-in-an-urban-level-i-trauma-center-in-the-netherlands
#1
Lisette Dekker, Hansje M Heller, Jessica E van der Meij, Annelies E J Toor, Leo M G Geeraedts
BACKGROUND: A medical-psychiatric unit (MPU) is a special ward where staff is trained in caring for patients with psychiatric or behavioural problems that need hospitalisation for physical health problems. It is well known that these patients are at higher risk of complications and have a longer length of stay resulting in higher costs than patients without psychiatric comorbidity. The objective of this study was to analyse the trauma patient population of the first 10 years of existence of the MPU in a level I trauma center...
February 15, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/30765331/effects-of-a-standardized-emergency-department-protocol-on-after-hours-use-of-venous-duplex-ultrasound
#2
Ross M Clark, Dyann Weingardt, James M Goff, Erika R Ketteler
OBJECTIVE: Vascular laboratory (VL) venous duplex ultrasound is the "gold standard" for diagnosis of lower extremity deep venous thrombosis (DVT), which is linked to many morbid conditions. Decreasing night and weekend use of VL services in the emergency department (ED) represents a potentially viable means of reducing costs as skilled personnel must remain on call and receive a wage premium when activated. We investigated the effects of workflow changes that required ED providers to use a computerized decision-making tool, integrated into the electronic medical record, to calculate a Wells score for each patient considered for an after-hours venous duplex ultrasound study for suspected DVT...
February 11, 2019: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://read.qxmd.com/read/30760021/timely-recognition-of-palliative-care-needs-of-patients-with-advanced-chronic-heart-failure-a-pilot-study-of-a-dutch-translation-of-the-needs-assessment-tool-progressive-disease-heart-failure-nat-pd-hf
#3
Daisy Ja Janssen, Josiane Boyne, David C Currow, Jos Mga Schols, Miriam J Johnson, H-P Brunner- La Rocca
BACKGROUND: The Needs Assessment Tool: Progressive Disease - Heart Failure (NAT:PD-HF) was developed to identify and triage palliative care needs in patients with chronic heart failure. A Dutch version is currently lacking. AIMS: The aim of this study was to investigate the feasibility and acceptability of a Dutch NAT:PD-HF in chronic heart failure outpatients; and to gain preliminary data regarding the effect of the NAT:PD-HF on palliative care referral, symptoms, health status, care dependency, caregiver burden and advance directives...
February 13, 2019: European Journal of Cardiovascular Nursing
https://read.qxmd.com/read/30741185/effects-of-telenursing-triage-and-advice-on-healthcare-costs-and-resource-use
#4
Hanne Gidora, Elizabeth M Borycki, Andre W Kushniruk
Telenursing triage and advice services are continuing to expand both nationally and internationally. A primary role of telehealth nursing triage is to channel patients or clients towards appropriate levels of care, thereby reducing healthcare costs and freeing up resources. PURPOSE: The objective of this research is to: (a) present an overview of the current research, (b) describe the extent to which telenursing services are fulfilling this role, (c) identify gaps in the literature and (d) propose future research directions...
2019: Studies in Health Technology and Informatics
https://read.qxmd.com/read/30741088/school-nurses-on-the-front-lines-of-medicine-emergencies-associated-with-sport-and-physical-activities-part-1
#5
Elizabeth Brigham, Jodi Brady, Robert P Olympia
Illness and injury associated with sport and physical activities may occur in the school setting. Although most sport-related illness and injury in students are considered minor emergencies, life- and limb-threatening illnesses or injuries may occur, such as sudden cardiac arrest, heat stroke, status asthmaticus, catastrophic brain or cervical spine injuries, hypoglycemia, blunt chest/abdominal injuries, or extremity fractures requiring surgery. It is important for the school nurse to recognize potential life- and limb-threatening emergencies associated with sport and physical activity, to initiate stabilization of the student with life- and limb-threatening symptoms, and to triage these students to an appropriate level of care (back to the classroom, home with their guardian with follow up at their primary healthcare provider's office, or directly to the closest emergency department via emergency medical services)...
February 9, 2019: NASN School Nurse
https://read.qxmd.com/read/30733125/different-triage-categorization-using-emergency-severity-index-esi-method-in-emergency-department
#6
Mariza Elsi, Iswenti Novera
OBJECTIVE: Triage is basically a categorization process to prioritize various treatments for patients based on the types of disease, severity, prognosis and resource availability. However, the term triage is more appropriate to be used in the context of natural disaster or mass casualties. Within the context of emergency situation in emergency department, the term triage refers to a method used to assess the severity of patients' condition, determine the level of priority, and mobilize the patients to the suitable care unit...
February 4, 2019: Enfermería Clínica
https://read.qxmd.com/read/30716123/the-copenhagen-triage-algorithm-is-non-inferior-to-a-traditional-triage-algorithm-a-cluster-randomized-study
#7
Rasmus Bo Hasselbalch, Mia Pries-Heje, Martin Schultz, Louis Lind Plesner, Lisbet Ravn, Morten Lind, Rasmus Greibe, Birgitte Nybo Jensen, Thomas Høi-Hansen, Nicholas Carlson, Christian Torp-Pedersen, Lars S Rasmussen, Kasper Iversen
INTRODUCTION: Triage systems with limited room for clinical judgment are used by emergency departments (EDs) worldwide. The Copenhagen Triage Algorithm (CTA) is a simplified triage system with a clinical assessment. METHODS: The trial was a non-inferiority, two-center cluster-randomized crossover study where CTA was compared to a local adaptation of Adaptive Process Triage (ADAPT). CTA involves initial categorization based on vital signs with a final modification based on clinical assessment by an ED nurse...
2019: PloS One
https://read.qxmd.com/read/30714118/causal-inference-when-counterfactuals-depend-on-the-proportion-of-all-subjects-exposed
#8
Caleb H Miles, Maya Petersen, Mark J van der Laan
The assumption that no subject's exposure affects another subject's outcome, known as the no-interference assumption, has long held a foundational position in the study of causal inference. However, this assumption may be violated in many settings, and in recent years has been relaxed considerably. Often this has been achieved with either the aid of a known underlying network, or the assumption that the population can be partitioned into separate groups, between which there is no interference, and within which each subject's outcome may be affected by all the other subjects in the group via the proportion exposed (the stratified interference assumption)...
February 4, 2019: Biometrics
https://read.qxmd.com/read/30712544/the-effects-of-a-targeted-history-question-on-patient-triage-nurse-communication
#9
REVIEW
Kristyn C Huffman
Fast tracks are widely used in emergency departments to increase patient throughput as annual visits continue to rise in the United States. A modified triage process known as QuickLook, which omits patients' past medical history, is used in some hospitals to further increase throughput. This article discusses the effects of QuickLook on patient placement, reviews the role of past medical history in triage, and discusses the impact of integrating a targeted history question into the QuickLook process of an emergency department in Arizona...
March 2019: Nursing Clinics of North America
https://read.qxmd.com/read/30705904/survival-analysis-and-mortality-predictors-of-hospitalized-severe-burn-victims-in-a-malaysian-burns-intensive-care-unit
#10
Henry Tan Chor Lip, Jih Huei Tan, Mathew Thomas, Farrah-Hani Imran, Tuan Nur' Azmah Tuan Mat
Background: Prognostic measures to determine burn mortality are essential in evaluating the severity of individual burn victims. This is an important process of triaging patients with high risk of mortality that may be nursed in the acute care setting. Malaysian burn research is lacking with only one publication identified which describes the epidemiology of burn victims. Therefore, the objective of this study was to go one step further and identify the predictors of burn mortality from a Malaysian burns intensive care unit (BICU) which may be used to triage patients at higher risk of death...
2019: Burns and Trauma
https://read.qxmd.com/read/30697863/paediatric-emergency-department-presentations-due-to-feeding-tube-complications-in-children-with-cerebral-palsy
#11
Ai-Lynn Wong, Elaine Meehan, Franz E Babl, Susan M Reid, Anthony Catto-Smith, Katrina Williams, Dinah S Reddihough
AIM: To describe the characteristics of emergency department (ED) presentations due to complications from gastrostomy or gastrojejunal feeding tubes among children with cerebral palsy (CP), the complexity of complications and the management approaches taken. METHODS: The Victorian CP Register was linked to the ED databases of Victoria's two tertiary paediatric hospitals, and data on presentations due to feeding tube complications were identified based on discharge diagnosis codes...
January 30, 2019: Journal of Paediatrics and Child Health
https://read.qxmd.com/read/30689490/quality-of-out-of-hours-telephone-triage-by-general-practitioners-and-nurses-development-and-testing-of-the-aqtt-an-assessment-tool-measuring-communication-patient-safety-and-efficiency
#12
D S Graversen, A F Pedersen, A H Carlsen, F Bro, L Huibers, M B Christensen
OBJECTIVE: To develop a valid and reliable assessment tool able to measure quality of communication, patient safety and efficiency in out-of-hours (OOH) telephone triage conducted by both general practitioners (GP) and nurses. DESIGN: The Dutch KERNset tool was translated into Danish and supplemented with items from other existing tools. Face validity, content validity and applicability in OOH telephone triage (OOH-TT) were secured through a two-round Delphi process involving relevant stakeholders...
January 28, 2019: Scandinavian Journal of Primary Health Care
https://read.qxmd.com/read/30642384/triage-knowledge-and-skills-among-nurses-in-emergency-units-of-specialized-hospital-in-hawassa-ethiopia-cross-sectional-study
#13
Bereket Duko, Ephrem Geja, Zewdie Oltaye, Fanuel Belayneh, Addisu Kedir, Melese Gebire
OBJECTIVE: This study was aimed to assess knowledge and skills of triage and associated factors among nurses in emergency department of Hawassa University Comprehensive Specialized Hospital, South Ethiopia. Institutional based cross-sectional study design was conducted among 101 nurses from March 1-30, 2018. The data was coded and entered to SPSS version 22.0. Descriptive statistics was done and Chi square test was done to show the association between independent variables and dependent variable...
January 14, 2019: BMC Research Notes
https://read.qxmd.com/read/30637760/emergency-psychiatric-services-in-roozbeh-hospital-a-qualitative-study-of-the-staff-s-experiences
#14
Mahtab Motamed, Seyyed Taha Yahyavi, Vandad Sharifi, Javad Alaghband-Rad, Farinaz Aghajannashtaei
PURPOSE: This study aims to explore how psychiatric residents and nurses experience the conditions of psychiatric emergency services. DESIGN AND METHODS: This qualitative study was carried out using content analysis. Data were collected through unstructured interviews conducted during three focus groups. FINDINGS: The results of the focus groups were classified into the following five categories of issues influencing the staff's experiences: repetitive problems, long wait times, ambiguity, insecurity, and stability...
January 13, 2019: Perspectives in Psychiatric Care
https://read.qxmd.com/read/30633669/tele-triage-outcomes-for-patients-with-chest-pain-comparing-physicians-and-registered-nurses
#15
Dana R Sax, David R Vinson, Cyrus K Yamin, Jie Huang, Troy M Falck, Reena Bhargava, Debra J Amaral, Mary E Reed
We took advantage of a change in protocol in an integrated delivery system's telephone consultation service-routing callers complaining of chest pain to physicians instead of registered nurses, whenever feasible-to explore whether tele-triage outcomes differed by staffing type. Comparing outcomes of 11,315 physician-directed calls to those of an equal number of nurse-directed calls in 2013, we found that the physician-directed calls were briefer (eight minutes versus thirteen minutes), produced fewer ED referrals (10 percent versus 16 percent), and resulted in higher patient adherence to the providers' site-of-care recommendation (86 percent versus 82 percent)...
December 2018: Health Affairs
https://read.qxmd.com/read/30630838/reliability-of-triage-systems-for-paediatric-emergency-care-a-systematic-review
#16
Maria Clara Magalhães-Barbosa, Jaqueline Rodrigues Robaina, Arnaldo Prata-Barbosa, Claudia de Souza Lopes
OBJECTIVE: To present a systematic review on the reliability of triage systems for paediatric emergency care. METHODS: A search of MEDLINE, Cochrane Library, Latin American and Caribbean Health Sciences Literature, Scientific Electronic Library Online, Nursing Database Index and Spanish Health Sciences Bibliographic Index for articles in English, French, Portuguese or Spanish was conducted to identify reliability studies of five-level triage systems for patients aged 0-18 years published up to April 2018...
January 10, 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/30624735/translating-see-and-treat-to-primary-care-opening-the-gates-does-not-cause-a-flood
#17
Carl Savage, Staffan Bjessmo, Oleg Borisenko, Henrik Larsson, Jacob Karlsson, Pamela Mazzocato
Objective: To explore how the See-and-Treat concept can be applied in primary care and its effect on volume and productivity. Design: An explanatory single-case study design with a mixed methods approach and presented according to the SQUIRE 2.0 guidelines. Setting: A publicly-funded, private primary care provider within the Stockholm County, which caters to a diverse patient population in terms of ethnicity, religion, socioeconomic status and care needs...
January 9, 2019: International Journal for Quality in Health Care
https://read.qxmd.com/read/30620215/towards-prompt-electrocardiogram-acquisition-in-triage-preliminary-testing-of-a-symptom-based-clinical-prediction-rule-for-the-android-tablet
#18
Sharon O'Donnell, Peter Monahan, Gabrielle McKee, Geraldine McMahon, Elizabeth Curtin, Sean Farrell, Debra Moser
BACKGROUND: For patients with suspected acute coronary syndrome, international guidelines indicate that an Electrocardiogram (ECG) should be performed within 10 min of first medical contact, however success at achieving these guidelines is limited. AIMS: The purpose of this study was to develop and perform initial testing of a clinical prediction rule embedded in a tablet application, and to expedite the identification of patients who require an electrocardiogram within 10 min...
January 8, 2019: European Journal of Cardiovascular Nursing
https://read.qxmd.com/read/30616518/exploring-the-sorting-of-patients-in-community-health-centres-across-gauteng-province-south-africa
#19
B A Stott, S Moosa
BACKGROUND: Primary health care worldwide faces large numbers of patients daily. Poor waiting times, low patient satisfaction and staff burnout are some problems facing such facilities. Limited research has been done on sorting patients in non-emergency settings in Africa. This research looked at community health centres (CHCs) in Gauteng Province, South Africa where queues appear to be poorly managed and patients waiting for hours. This study explores the views of clinicians in CHCs across Gauteng on sorting systems in the non-emergency ambulatory setting...
January 7, 2019: BMC Family Practice
https://read.qxmd.com/read/30606339/predictors-of-dependency-in-geriatric-trauma-patients-with-rib-fractures-a-population-study
#20
Alexandra E Halevi, Elizabeth Mauer, Pierre Saldinger, Daniel J Hagler
The geriatric trauma population is unique. These patients are at risk of being discharged to rehabilitation or a skilled nursing facility, instead of being returned to their homes, placing a significant burden on both the patient families and society. This study evaluated which patient characteristics increase the likelihood of a previously independent geriatric blunt trauma becoming functionally dependent and being discharged to a location other than home. Data were extracted from the National Trauma Data Bank from 2012 to 2014 for blunt trauma patients ≥65 years old, admitted from home, with one or more rib fractures...
December 1, 2018: American Surgeon
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