scholarly journals 244 HIV Testing History, Testing Interest, and HIV Risk-Taking Behaviors Among Adult Accident and Emergency Department Patients in Belize City

2019 ◽  
Vol 74 (4) ◽  
pp. S95-S96
Author(s):  
B. Qu ◽  
T. Wiskel ◽  
J. Mackey ◽  
M. Habert ◽  
S.J. Marks ◽  
...  
2010 ◽  
Vol 122 (1) ◽  
pp. 61-74 ◽  
Author(s):  
Roland C. Merchant ◽  
Sarah M. Freelove ◽  
Thomas J. Langan ◽  
Melissa A. Clark ◽  
Kenneth H. Mayer ◽  
...  

2019 ◽  
Vol 27 (4) ◽  
pp. 217-222 ◽  
Author(s):  
Stephanie Wing Yin Yu ◽  
Andre Ma ◽  
Vivian Hiu Man Tsang ◽  
Lulu Suet Wing Chung ◽  
Siu-Chung Leung ◽  
...  

Background: Overutilisation of the Accident and Emergency Department is an increasingly serious healthcare challenge. Online symptom checkers could help alleviate this challenge by allowing patients to self-triage before visiting the Accident and Emergency Department. Objectives: This study aimed to assess the triage accuracy of online symptom checkers, which would help determine the potential roles of symptom checkers in an Accident and Emergency Department setting. Methods: A total of 100 random Accident and Emergency Department records were sampled from the Queen Mary Hospital in Hong Kong. The inclusion criteria were patients over the age of 18 attending the Queen Mary Hospital Accident and Emergency Department in 2016. Symptom checkers by Drugs.com and FamilyDoctor were selected as representative tools. One triage recommendation was generated by each symptom checker for each case record. Each symptom checker’s triage accuracy was then evaluated using a few outcome measures: overall sensitivity, sensitivity for emergency cases and specificity for non-emergency cases, when compared with the triage categories assigned by the triage nurses. Results: The results showed that Drugs.com had a higher overall triage accuracy than FamilyDoctor (74% and 50%, respectively), but both checkers are inadequately sensitive to emergency cases (70% and 45%, respectively) with low negative predictive values (43% and 24%, respectively). Conclusion: In their current states, symptom checkers are not yet suitable as alternatives to Accident and Emergency Department triage protocols due to their low overall sensitivities and negative predictive values. However, symptom checkers might serve as useful Accident and Emergency Department adjuncts in other ways, such as to provide more information prior to a patient’s arrival to streamline the triage and preparation process at the Accident and Emergency Department.


1993 ◽  
Vol 80 (8) ◽  
pp. 1079-1079 ◽  
Author(s):  
A. F. T. Brown ◽  
G. J. Wilkes ◽  
C. T. Myers ◽  
R. E. Maclaren

1993 ◽  
Vol 18 (1) ◽  
pp. 115-118 ◽  
Author(s):  
J. STEVENSON ◽  
I. W. R. ANDERSON

160 consecutive hand infections presented to an Accident and Emergency department over a four-month period. All but one were treated solely on an out-patient basis. The mean delay to presentation was three days, the mean duration of treatment was six days. Follow-up to complete resolution was achieved in 89% of cases. No patients were treated with parenteral antibiotics. The need for careful assessment, early aggressive surgery, and meticulous attention to the principles of wound care by experienced clinicians is emphasized.


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