scholarly journals Vital Signs Are Not Associated with Self-Reported Acute Pain Intensity in the Emergency Department

CJEM ◽  
2015 ◽  
Vol 18 (1) ◽  
pp. 19-27 ◽  
Author(s):  
Raoul Daoust ◽  
Jean Paquet ◽  
Benoit Bailey ◽  
Gilles Lavigne ◽  
Éric Piette ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pain Intensity ◽  
Health Care Professionals ◽  
Vital Signs ◽  
Total Sample ◽  
Electronic Medical Record System ◽  
Fracture Dislocation ◽  
Record System ◽  
Significant Pain ◽  
The Difference

AbstractObjectivesThis study aimed to ascertain the association between self-reported pain intensity and vital signs in both emergency department (ED) patients and a subgroup of patients with diagnosed conditions known to produce significant pain.MethodsWe performed a retrospective analysis of real-time, archived data from an electronic medical record system at an urban teaching hospital and regional community hospital. We included consecutive ED patients ≥16 years old who had a self-reported pain intensity ≥1 as measured during triage, from March 2005 to December 2012. The primary outcome was vital signs for self-reported pain intensity levels (mild, moderate, severe) on an 11-point verbal numerical scale. Changes in pain intensity levels were also compared to variations in vital signs. Both analyses were repeated on a subgroup of patients with diagnosed conditions recognized to produce significant pain: fracture, dislocation, or renal colic.ResultsWe included 153,567 patients (mean age of 48.4±19.3 years; 55.5% women) triaged with pain (median intensity of 7/10±3). Of these, 8.9% of patients had diagnosed conditions recognized to produce significant pain. From the total sample, the difference between mild and severe pain categories was 2.7 beats/minutes (95% CI: 2.4−3.0) for heart rate and 0.13 mm Hg (95% CI: -0.26−0.52) for systolic blood pressure. These differences generated small effect sizes and were not clinically significant. Results were similar for patients who experienced changes in pain categories and for those conditions recognized to produce significant pain.ConclusionHealth care professionals cannot use vital signs to estimate or substantiate self-reported pain intensity levels or changes over time.

scholarly journals A simple electronic medical record system designed for research

JAMIA Open ◽  
2021 ◽  
Vol 4 (3) ◽  
Author(s):  
Andrew J King ◽  
Luca Calzoni ◽  
Mohammadamin Tajgardoon ◽  
Gregory F Cooper ◽  
Gilles Clermont ◽  
...  
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
User Interfaces ◽  
Information Seeking ◽  
Vital Signs ◽  
Electronic Medical Record System ◽  
Record System ◽  
Laboratory Test Results ◽  
Medical Record System ◽  
Open Source Software Package

Abstract With the extensive deployment of electronic medical record (EMR) systems, EMR usability remains a significant source of frustration to clinicians. There is a significant research need for software that emulates EMR systems and enables investigators to conduct laboratory-based human–computer interaction studies. We developed an open-source software package that implements the display functions of an EMR system. The user interface emphasizes the temporal display of vital signs, medication administrations, and laboratory test results. It is well suited to support research about clinician information-seeking behaviors and adaptive user interfaces in terms of measures that include task accuracy, time to completion, and cognitive load. The Simple EMR System is freely available to the research community and is on GitHub.

Japanese surgical resource utilization in 2016

2019 ◽  
Vol 32 (6) ◽  
pp. 1013-1021
Author(s):  
Yoshinori Nakata ◽  
Yuichi Watanabe ◽  
Hiroto Narimatsu ◽  
Tatsuya Yoshimura ◽  
Hiroshi Otake ◽  
...  
Keyword(s):  
Resource Utilization ◽  
Electronic Medical Record System ◽  
Skin Incision ◽  
Efficiency Score ◽  
Academic Rank ◽  
Surgical Specialty ◽  
Record System ◽  
Content Type ◽  
Decision Making Unit ◽  
The Difference

Purpose The purpose of this paper is to examine from the viewpoint of resource utilization the Japanese surgical payment system which was revised in April 2016. Design/methodology/approach The authors collected data from surgical records in the Teikyo University electronic medical record system from April 1 till September 30, 2016. The authors defined the decision-making unit as a surgeon with the highest academic rank in the surgery. Inputs were defined as the number of medical doctors who assisted surgery, and the time of operation from skin incision to closure. An output was defined as the surgical fee. The authors calculated each surgeon’s efficiency score using output-oriented Charnes–Cooper–Rhodes model of data envelopment analysis. The authors compared the efficiency scores of each surgical specialty using the Kruskal–Wallis and the Steel method. Findings The authors analyzed 2,558 surgical procedures performed by 109 surgeons. The difference in efficiency scores was significant (p = 0.000). The efficiency score of neurosurgery was significantly greater than obstetrics and gynecology, general surgery, orthopedics, emergency surgery, urology, otolaryngology and plastic surgery (p<0.05). Originality/value The authors demonstrated that the surgeons’ efficiency was significantly different among their specialties. This suggests that the Japanese surgical reimbursement scales fail to reflect resource utilization despite the revision in 2016.

scholarly journals A Simple Electronic Medical Record System Designed for Research

2020 ◽  
Author(s):  
Andrew J King ◽  
Luca Calzoni ◽  
Mohammadamin Tajgardoon ◽  
Gregory F Cooper ◽  
Gilles Clermont ◽  
...  
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
User Interfaces ◽  
Information Seeking ◽  
Software Package ◽  
Vital Signs ◽  
Electronic Medical Record System ◽  
Record System ◽  
Laboratory Test Results ◽  
Medical Record System

AbstractWith extensive deployment of electronic medical record (EMR) systems, EMR usability remains a major source of frustration to clinicians. There is a significant need for a simple EMR software package that will enable investigators to study design and usability in a laboratory setting. We developed an open-source software package that implements the display functions of an EMR system. The user interface emphasizes the temporal display of data such as vital signs, medication administrations, and laboratory test results. It is well suited to support research about clinician information-seeking behaviors and adaptive user interfaces in terms of measures that include task accuracy, time to completion, and cognitive load. The Simple EMR System is freely available to the research community on GitHub.

scholarly journals Associação entre sinais vitais e Sistema Manchester de Triagem: estudo observacional retrospectivo

2018 ◽  
Vol 16 (4) ◽  
pp. 379
Author(s):  
José Carlos Amado Martins ◽  
Helisamara Mota Guedes ◽  
Cristiane Chaves de Souza ◽  
Tânia Couto Machado Chianca
Keyword(s):  
Blood Pressure ◽  
Emergency Department ◽  
Heart Rate ◽  
Observational Study ◽  
Pain Intensity ◽  
Vital Signs ◽  
Manchester Triage System ◽  
Risk Levels ◽  
Exposure Factor ◽  
The Mean

Aim: To evaluate the association between vital signs collected at the patient's entrance to the emergency department and the risk levels of the Manchester Triage System (MTS). Method: This is a retrospective observational study; whose sample was 154,714 patients. The exposure factor was the vital signs data, and the primary endpoint was the level of risk of MTS. Statistical, descriptive and inferential analyzes were conducted. Results: The most evaluated vital data was pain intensity; blood pressure was the least evaluated. Changes in heart rate to more or less of physiological patterns have increased the clinical priority of patients. Discussion: The higher the level of severity of MTS, the greater the variability of the mean of the vital signs evaluated. Conclusion: More severe patients tend to present greater variation in terms of vital signs on admission to the emergency department.

How Well were Asthmatic Patients Educated about Their Asthma? A Study at the Emergency Department

2004 ◽  
Vol 16 (1) ◽  
pp. 45-49 ◽  
Author(s):  
P.Y. Lee ◽  
E.M. Khoo
Keyword(s):  
Emergency Department ◽  
Health Care Providers ◽  
Teaching Hospital ◽  
Care Providers ◽  
Self Medication ◽  
Asthmatic Patients ◽  
Management Plans ◽  
Acute Asthma Exacerbation ◽  
The Difference ◽  
Bronchodilator Treatment

70 patients presented with acute asthma exacerbation requiring nebulised bronchodilator treatment at the emergency department of a teaching hospital in Kuala Lumpur, Malaysia, were interviewed over a two-week period in July 2001. The results showed that 45 (64%) patients had not been educated on the nature of asthma; 30 (43%) had not been advised on preventive measures or avoidance of triggers; 54 (77%) were not advised about the medications used and their side effects; 42 (60%) patients did not know the difference between reliever and preventive medications; 37 (53%) were unable to recognize features of worsening asthma and 68 (97%) were not told about the danger of non-prescribed self-medication or traditional medications. Only six (9%) patients were using peak flow meters and were taught self-management plans. The multiple regression results suggest that patients who were followed up at teaching hospital based clinics were better educated on asthma. In conclusion, asthmatic patients are still not educated well about their disease. Health care providers need to put more emphasis on asthma education so that the number of emergency room visits can be reduced. Asia Pac J Public Health 2004; 16(1): 45-49.

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