Incidence and predictors of antibiotic prescription errors in an emergency department of a tertiary care facility, Central Saudi Arabia

Objectives. To assess the impact of a scribe program on an academic, tertiary care facility. Methods. A retrospective analysis of emergency department (ED) data, prior to and after scribe program implementation, was used to quantitatively assess the impact of the scribe program on measures of ED throughput. An electronic survey was distributed to all emergency medicine residents and advanced practice providers to qualitatively assess the impact of the scribe program on providers. Results. Several throughput time measures were significantly lower in the postscribe group, compared to prescribe implementation, including time to disposition. The left without being seen (LWBS) decrease was not statistically significant. A total of 30 providers responded to the survey. 100% of providers indicated scribes are a valuable addition to the department and they enjoy working with scribes. 90% of providers indicated scribes increase their workplace satisfaction and quality of life. Conclusions. Through evaluation of prescribe and postscribe implementation, the postscribe time period reflects many throughput improvements not present before scribes began. Scribe Program implementation led to improved ED throughput for discharged patients with further system-wide challenges needing to be addressed for admitted patients.

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Molecular characterization of methicillin-resistant Staphylococcus aureus in nosocomial infections in a tertiary-care facility: emergence of new clonal complexes in Saudi Arabia

New Microbes and New Infections ◽

10.1016/j.nmni.2016.07.009 ◽

2016 ◽

Vol 14 ◽

pp. 13-18 ◽

Cited By ~ 23

Author(s):

A. Senok ◽

R. Ehricht ◽

S. Monecke ◽

R. Al-Saedan ◽

A. Somily

Keyword(s):

Staphylococcus Aureus ◽

Saudi Arabia ◽

Molecular Characterization ◽

Nosocomial Infections ◽

Methicillin Resistant Staphylococcus Aureus ◽

Tertiary Care ◽

Care Facility ◽

Methicillin Resistant ◽

Tertiary Care Facility

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Emergence of novel methicillin resistant Staphylococcus aureus strains in a tertiary care facility in Riyadh, Saudi Arabia

Journal of Infection and Public Health ◽

10.1016/j.jiph.2020.01.047 ◽

2020 ◽

Vol 13 (2) ◽

pp. 322

Author(s):

A. Senok ◽

A. Somily ◽

R. Nassar ◽

G. Garaween ◽

G. Kim Sing ◽

...

Keyword(s):

Staphylococcus Aureus ◽

Saudi Arabia ◽

Methicillin Resistant Staphylococcus Aureus ◽

Tertiary Care ◽

Care Facility ◽

Methicillin Resistant ◽

Tertiary Care Facility

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SARS-CoV-2 infection among asymptomatic healthcare workers of the emergency department in a tertiary care facility

Journal of Clinical Virology ◽

10.1016/j.jcv.2020.104710 ◽

2021 ◽

Vol 134 ◽

pp. 104710

Author(s):

Reham Abdelmoniem ◽

Rabab Fouad ◽

Shereen Shawky ◽

Khaled Amer ◽

Tarek Elnagdy ◽

...

Keyword(s):

Emergency Department ◽

Healthcare Workers ◽

Tertiary Care ◽

Care Facility ◽

Tertiary Care Facility

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Abstract TP367: Decreasing Decision to Transfer Times

Stroke ◽

10.1161/str.48.suppl_1.tp367 ◽

2017 ◽

Vol 48 (suppl_1) ◽

Author(s):

Denise Sorenson ◽

Jason Cooke ◽

Lisa Loll

Keyword(s):

Emergency Department ◽

Urban Areas ◽

Best Practice ◽

Tertiary Care ◽

Care Facility ◽

Direct Care ◽

Case Review ◽

Transfer Time ◽

Skin Puncture ◽

Tertiary Care Facility

Novant Health Greater Charlotte market is comprised of three advanced primary stroke care centers; one providing 24/7 stroke interventional radiology coverage. To expedite the transfer of patients meeting criteria for mechanical thrombectomy, the stroke best practice teams in the two community primary stroke centers collaborated to develop a protocol to improve the decision to transfer time to meet a goal of 120 minutes from door to skin puncture time, regardless of original transport destination. The Novant Health Charlotte market teams realize the benefit of cohesive physician coverage among the Emergency Department, Radiology and Inpatient Neurology physician providers. CTA scans performed in the non-interventional facilities are readily available to Neuro-Endovascular Radiologists, allowing for prompt interpretation and mobilization of the IR team to prepare for patient arrival. Recognizing internal critical care transport resources are limited and may not be available, the process was facilitated by the development of an activase transport protocol implemented by Mecklenburg County EMS in June of 2016. Since actual transport time is affected by traffic patterns in urban areas, the controllable measure selected by the teams was decision to transfer time. Prior to the initiation of the protocol, the median decision to transfer time for ischemic stroke patients requiring tertiary care was 66.5 minutes. Post protocol implementation the median time was reduced 32% to 44.5 minutes. Across the market, median door to skin puncture time in 2016 is 131.5 minutes. Ongoing evaluation of the transfer process, and multidisciplinary IR case review with identification of process variation is key to the success of this initiative. The Emergency Department at the tertiary care facility has been an instrumental partner in identifying issues that are barriers to timely throughput of these patients. A consistent feedback process informs all team members regarding patient outcomes. Individual case feedback is provided to all direct care givers, EMS crews and stroke team leaders, usually within 24 to 48 hours of the intervention. This data is shared monthly with the stroke best practice teams at the transferring facilities.

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(A22) Impact of Karachi Terrorist Bombing on an Emergency Department of a Tertiary Care Hospital

Prehospital and Disaster Medicine ◽

10.1017/s1049023x11000355 ◽

2011 ◽

Vol 26 (S1) ◽

pp. s6-s7

Author(s):

H. Waseem ◽

S. Shahbaz ◽

J. Razzak

Keyword(s):

Emergency Department ◽

Tertiary Care Hospital ◽

Wound Care ◽

Tertiary Care ◽

Care Facility ◽

Care Hospital ◽

Disaster Plan ◽

Tertiary Care Facility ◽

Number Of Patients ◽

The Government

ObjectivesThe objective of this study was to collect epidemiological injury data on patients presenting to the emergency department of a tertiary care hospital after the bombing on 29 December 2009.MethodsThis was a retrospective review of the medical records of the victims that were brought to a tertiary care hospital. Bombing victims were described as requiring acute care due to the direct effect of the bombing.ResultsThe results are derived from a sample size of 198 bomb blast victims, most of which were first transported to government hospitals by private cars rather than ambulances. After the government announced free treatment, there was a wave of patients, among which, most were stable and already had received some form of treatment. Approximately 5–6 patients who had life-threatening injuries were brought directly to the tertiary care facility and needed surgical intervention. The lack of security in the emergency department could have lead to another terrorist activity. There were no procedures done in the field as there is lack of emergency medical services training in Pakistan, but in the hospital most of the interventions included intravenous (IV) lines, wound care, and laceration repair. The most common treatments included the administration of IV fluids, antibiotics, and analgesia. Radiographs of specific sites and trauma series were used to rule out bone injuries. There was lack of documentation in most of the medical charts.ConclusionsThe emergency department was overwhelmed with the number of patients that it received. Therefore, an updated disaster plan and regular disaster drills are required. Rapid and accurate triage could minimize mortality among bombing survivors significantly. The majority of patients were discharged home.

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