scholarly journals The Quebec emergency department guide: A cross-sectional study to evaluate its use, perceived usefulness, and implementation in rural emergency departments

CJEM ◽  
2017 ◽  
Vol 21 (1) ◽  
pp. 103-110
Author(s):  
Richard Fleet ◽  
Sandrine Hegg-Deloye ◽  
Julie Maltais-Giguère ◽  
France Légaré ◽  
Mathieu Ouimet ◽  
...  
Keyword(s):  
Emergency Department ◽  
Emergency Departments ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Professional Services ◽  
Perceived Usefulness ◽  
Cross Sectional ◽  
Nursing Services ◽  
Emergency Department Management ◽  
Department Directors

AbstractObjectivesThe Quebec Emergency Department Management Guide (QEDMG) is a unique document with 78 recommendations designed to improve the organization of emergency departments (EDs) in the province of Quebec. However, no study has examined how this guide is perceived or used by rural health care management.MethodsWe invited all directors of professional services (DPS), directors of nursing services (DNS), head nurses (HN), and emergency department directors (EDD) working in Quebec’s rural hospitals to complete an online survey (144 questions). Simple frequency analyses (percentage [%] and 95% confidence interval) were conducted to establish general familiarity and use of the QEDMG, as well as perceived usefulness and implementation of its recommendations.ResultsSeventy-three percent (19/26) of Quebec’s rural EDs participated in the study. A total of 82% (62/76) of the targeted stakeholders participated. Sixty-one percent of respondents reported being “moderately or a lot” familiar with the QEDMG, whereas 77% reported “almost never or sometimes” refer to this guide. Physician management (DPS, EDD) were more likely than nursing management (DNS and especially HN) to report “not at all” or “little” familiarity on use of the guide. Finally, 98% of the QEDMG recommendations were considered useful.ConclusionsAlthough the QEDMG is considered a useful guide for rural EDs, it is not optimally known or used in rural EDs, especially by physician management. Stakeholders should consider these findings before implementing the revised versions of the QEDMG.

scholarly journals 104 Management of sports-related concussion in UK emergency departments: a multi-centre study

2020 ◽  
Vol 37 (12) ◽  
pp. 822.2-822
Author(s):  
Haroon Rashid ◽  
Nick Dobbin ◽  
Smarak Mishra
Keyword(s):  
Emergency Department ◽  
Emergency Departments ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Return To Play ◽  
Cross Sectional ◽  
Multi Centre Study ◽  
North West ◽  
The North ◽  
Consensus Statements

Aims/Objectives/BackgroundIt is necessary for those working in emergency departments to have adequate knowledge and delivery of current sport-related concussion (SRC) management protocols including identifying patients with concussion, managing their symptoms, giving appropriate advice with regards to return to play and referring those at risk of further injuries to an appropriate service.This study aimed to establish the current practice, knowledge base and views towards SRC management of emergency department clinicians who have trained or are currently training in emergency medicine in the North West of England.Methods/DesignThis study was a multi centre, cross sectional study of 111 emergency department clinicians (EDCs) working across 15 centres in the North West of England A 21 item online survey was issued. The key questions focused on the advice given to patients on discharge, the importance of cognitive and physical rest, and knowledge of GRTP.Results/ConclusionsApproximately, 37% of the population responded to the invitation, with 111 responses included in this study. Only 27% of total respondents were aware of the Consensus Statements of Concussion in Sport guidelines, whilst 45% were unaware of any SRC guidelines. 57% of respondents had heard of a graded return to play (GRTP) protocol. Physical rest following an SRC was advised by 95% of respondents with 61% advising concomitant cognitive rest and 42% of respondents providing specific written advice. 90% of clinicians had not received any SRC training.There is a lack of knowledge amongst EDCs in the North West of England in managing and providing discharge advice according to recommendations for patients with SRC. This is likely a consequence of the limited training that these clinicians have received in managing SRC and suggests further work needs to be undertaken to educate EDCs on current SRC management guidance to ensure appropriate care and discharge advice is given to patients.

scholarly journals Smart technology for healthcare: Exploring the antecedents of adoption intention of healthcare wearable technology

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Ka Yin Chau ◽  
Michael Huen Sum Lam ◽  
Man Lai Cheung ◽  
Ejoe Kar Ho Tso ◽  
Stuart W. Flint ◽  
...  
Keyword(s):  
Structural Equation ◽  
Online Survey ◽  
Health Belief ◽  
Wearable Technology ◽  
Cross Sectional Study ◽  
Perceived Usefulness ◽  
Technological Advancement ◽  
Cross Sectional ◽  
Intention To Adopt ◽  
Adoption Intention

Technological advancement and personalized health information has led to an increase in people using and responding to wearable technology in the last decade. These changes are often perceived to be beneficial, providing greater information and insights about health for users, organizations and healthcare and government. However, to date, understanding the antecedents of its adoption is limited. Seeking to address this gap, this cross-sectional study examined what factors influence users’ adoption intention of healthcare wearable technology. We used self-administrated online survey to explore adoption intentions of healthcare wearable devices in 171 adults residing in Hong Kong. We analyzed the data by Partial least squares – structural equation modelling (PLS-SEM). The results reveal that perceived convenience and perceived irreplaceability are key predictors of perceived usefulness, which in turn strengthens users’ adoption intention. Additionally, the results also reveal that health belief is one of the key predictors of adoption intention. This paper contributes to the extant literature by providing understanding of how to strengthen users’ intention to adopt healthcare wearable technology. This includes the strengthening of perceived convenience and perceived irreplaceability to enhance the perceived usefulness, incorporating the extensive communication in the area of healthcare messages, which is useful in strengthening consumers’ adoption intention in healthcare wearable technology.

scholarly journals Impact of volunteers in the emergency department

2020 ◽  
Vol 29 (16) ◽  
pp. 940-946
Author(s):  
Freya Mehta ◽  
Peter Griffiths
Keyword(s):  
Emergency Department ◽  
Patient Experience ◽  
Emotional Support ◽  
Emergency Departments ◽  
Cross Sectional Study ◽  
Substantial Contribution ◽  
Cross Sectional ◽  
Rate Difference ◽  
Food And Drink ◽  
Hospital Volunteers

Background: Fundamental aspects of patient experience have been reported as substandard in emergency departments. Hospital volunteers can improve the patient experience in inpatient settings. However, evidence is limited on their impact in emergency departments. Aims: To determine whether emergency department volunteers could enhance patient experience through assisting with the psychological aspect of patient care and patients' nutritional needs. Methods: Patients attending an emergency department responded to a questionnaire as part of a cross-sectional study. Comparisons were made between when the volunteer scheme was running and when there were no volunteers. Outcomes included patient experience of emotional support from staff and access to food and drink. Results: Patients present when the volunteer scheme was running reported obtaining food and drink more often (96/124 vs 20/39, % rate difference 26, 95% CI 10–42, P=0.002) and that a member of staff offered them something to eat and drink more frequently (96/146 vs 19/52, % rate difference 29, 95% CI 14–45, P<0.001). There was no difference between patient responses when the volunteer scheme was running and not for emotional support from staff (49/68 vs 14/21, % rate difference 5, 95% CI -17-28, P=0.63). Conclusions: Hospital volunteers made a substantial contribution to providing food and drink to patients in the emergency department. Emotional support from volunteers was limited.

Nonwillingness to Return to the Emergency Department and Nonattendance of Follow-Up Care Arrangements Following an Initial Suicide-Related Presentation

Crisis ◽  
2021 ◽  
Author(s):  
Hannah Y. Rosebrock ◽  
Philip J. Batterham ◽  
Nicola A. Chen ◽  
Lauren McGillivray ◽  
Demee Rheinberger ◽  
...  
Keyword(s):  
Emergency Department ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Self Report ◽  
Local Health ◽  
Cross Sectional ◽  
South Wales ◽  
Patients Experience ◽  
Suicidal Crisis

Abstract. Background: For people experiencing a suicidal crisis the emergency department (ED) is often the only option to find help. Aims: The aims of this study were (a) to identify predictors of patients' nonwillingness to return to the ED for help with a future suicidal crisis, and (b) whether nonwillingness to return was associated with follow-up appointment nonattendance. Method: This study utilized baseline data from the RESTORE online survey, and included 911 participants who had presented to an ED for suicidal crisis in the past 18 months, across participating local health districts in the Australian Capital Territory and New South Wales. Results: Patients who reported a more negative ED experience and longer triage wait times were less willing to return. Those who were less willing to return were also less likely to attend their follow-up appointment. Limitations: Due to the cross-sectional study design, causal inferences are not possible. Additionally, the self-report measures used are susceptible to recall bias. Conclusion: Patients' experience of service at EDs is a key indicator to drive improvement of patient outcomes for individuals experiencing a suicidal crisis.

Rates of Presentation, Treatments and Serious Neurologic Disorders Among Children and Young Adults Presenting to US Emergency Departments With Headache

2020 ◽  
pp. 088307382097913
Author(s):  
Sriram Ramgopal ◽  
Amy Z. Zhou ◽  
Robert W. Hickey ◽  
Jennifer R. Marin
Keyword(s):  
Emergency Department ◽  
Young Adults ◽  
Emergency Departments ◽  
Cross Sectional Study ◽  
Chief Complaint ◽  
Sample Survey ◽  
Cross Sectional ◽  
Neurologic Disorders ◽  
Children And Young Adults ◽  
Nationally Representative

Objective: To evaluate rates of presentation, neuroimaging, therapies, and serious neurologic disorders (SNDs) among children and young adults presenting to the emergency department with headache. Methods: We performed a cross-sectional study of a nationally representative sample survey of visits to US emergency departments between 2002 and 2017. We identified encounters of patients ≤25 years old with chief complaint of headache. We report the rates of presentation, imaging, and treatments and report proportions having concomitant diagnoses of serious neurologic disorders. Results: Among encounters ≤25 years, 2.0% had a chief complaint of headache, with no change in the yearly rates of encounters ( P = .98). Overall, 20.8% had a head computed tomography (CT), with a reduction in performance between 2007 and 2016 ( P < .01). One-quarter (25.2%, 95% confidence interval [CI] 22.2%-28.3%) were given narcotics and 2.5% (95% CI 1.7%-3.2%) had serious neurologic disorders. Conclusion: Overall, 2.0% of emergency department encounters among patients ≤25 years were for headache, with low rates of serious neurologic disorders. CT use appeared to be declining.

scholarly journals Are we Ready to Use Microchip Implants? An International Cross-sectional Study

Organizacija ◽  
2021 ◽  
Vol 54 (4) ◽  
pp. 275-292
Author(s):  
Anja Žnidaršič ◽  
Alenka Baggia ◽  
Antonín Pavlíček ◽  
Jakub Fischer ◽  
Maciej Rostański ◽  
...  
Keyword(s):  
Online Survey ◽  
Cross Sectional Study ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Equation Modeling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Health Concerns ◽  
Perceived Trust

Abstract Background and purpose: Despite their clear relevance to human life, microchip implants are still widely viewed as negative, threatening our privacy and raising growing concerns about our health. This paper aims to investigate the important factors influencing people’s perception of microchip implants and their willingness to use them for different purposes. Methodology: The cross-sectional study was conducted in three European countries and the data were analysed using the group Structural Equation Modeling approach. Only complete answers to the online survey questionnaire items were used representing a convenience sample of 804 respondents. Results: The results show that perceived ease of use, usefulness and perceived trust are significant predictors of intention to use microchip implants. Perceived trust is influenced by privacy and technology safety. Concerns about painful procedures and other health concerns reduce the perceived usefulness of microchip implants. Apart from the predictor health concerns, the results were similar in all countries. Conclusion: Based on the presented results, researchers interested in investigating the actual use of microchip implants can establish a solid foundation for their research. The results may assist policy makers in developing the regulations to ensure the safe use of microchip implants and allow for a higher level of security. As a follow-up, investigation of changes in the acceptance of microchip implants following the threat of a global pandemic is proposed.

Visits to the Emergency Department during the 2020 COVID-19 Outbreak in Thailand

2021 ◽  
Vol 104 (Suppl. 1) ◽  
pp. S1-S4
Keyword(s):  
Public Health ◽  
Emergency Department ◽  
Emergency Departments ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Patient Age ◽  
Cross Sectional ◽  
Front Door ◽  
The Past ◽  
Ed Visits

Background: The emergency department (ED) can be thought of as the “front door” to the 2019 coronavirus (COVID-19) pandemic. However, there have yet been no studies conducted examining ED patients in this situation. Objective: To determine the numbers of ED visits by level urgency during the COVID-19 pandemic. Materials and Methods: This was a cross-sectional study. The sample consisted of patients who presented at the Srinagarind Hospital ED from January 13 to April 21, 2020 (the date of the first confirmed case of COVID-19 in Thailand according to the Ministry of Public Health and day 100). We compared these data with those from the same period over the past three years. Results: In 2020, the total number of ED visits was 13,263, with a mean patient age of 50.14+6.40 years. Over half of these patients (56.2%; n = 7,467) were female. Most visits (50.6%) occurred between 4.00 PM to 0.00 AM (afternoon shift). The majority of were walk-ins (84.2%) and ESI 3 (non-urgent; 79.9%). The average numbers of ESI 3 patients who visited the ED over the same period in 2017 to 2020 were 152.3, 171.5, 153.0 and 105.9 per day, respectively (p<0.001). Conclusion: During the COVID-19 pandemic, the number of ED visits, specifically those of ESI 3 patients, was significantly lower than during the same period in previous years. Keywords: COVID-19, Emergency departments, Pandemics, Triage

scholarly journals A cross-sectional study of patients presenting for hospital-based screening for COVID-19: risk of disease, and healthcare access preferences

2020 ◽  
Author(s):  
Amanda Rojek ◽  
Martin Dutch ◽  
Daniel Peyton ◽  
Rachel Pelly ◽  
Mark Putland ◽  
...  
Keyword(s):  
Emergency Department ◽  
Emergency Departments ◽  
Healthcare Access ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Models Of Care ◽  
Sources Of Information ◽  
Cross Sectional Survey ◽  
Community Based ◽  
Cross Sectional

AbstractIntroductionEarly during the SARS-CoV-2 pandemic, Australian emergency departments (EDs) have experienced an unprecedented surge in patients seeking screening for COVID-19. Understanding what proportion of these patients require screening, who can be safely screened in community based models of care, and who requires an emergency departments to care for them is critical for workforce and infrastructure planning across the healthcare system, as well as public messaging campaigns.MethodssIn this cross sectional survey, we screened patients presenting to a SARS-CoV-2 screening clinic in a tertiary hospital Emergency Department in Melbourne, Australia. We assessed the proportion of patients who met screening criteria; self-reported symptom severity; reasons why they came to the ED for screening; views on community-based models of care; and sources of information accessed about COVID-19.ResultsWe included findings from 1846 patients who presented to the Emergency Department (ED) for COVID-19 screening from 18th to 30th March 2020. Most patients (55.3%) did not meet criteria for screening and most (57.6%) had mild or no (13.4%) symptoms. The main reason for coming to the ED was being referred by a telephone health service (31.3%) and 136 (7.4%) said they tried to contact their GP but could not get an appointment. Only 47 (2.6%) said they thought the disease was too specialized for their GP to manage. Patients accessed numerous information sources, commonly government websites (68.4%) and other websites (51.3%) for COVID-19 information.Conclusionsif we are to ensure that emergency departments can cope with the likely surge in presentations requiring resuscitation or inpatient care COVID-19, we should strengthen access to alternative services to triage patients to prevent unnecessary presentations at health services, and to direct those who are well but require screening away from EDs.

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