scholarly journals Development and evaluation of a code frame to identify potential primary care presentations in the hospital emergency department

2019 ◽  
Vol 31 (6) ◽  
pp. 982-988 ◽  
Author(s):  
Heike Schütze ◽  
Rhyannan Rees ◽  
Stephen Asha ◽  
Kathy Eagar
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Hospital Emergency Department ◽  
Hospital Emergency

Assessment of prehospital chest pain using telecardiology

2002 ◽  
Vol 8 (4) ◽  
pp. 231-236 ◽  
Author(s):  
Simonetta Scalvini ◽  
Emanuela Zanelli ◽  
Claudia Conti ◽  
Maurizio Volterrani ◽  
Riccardo Pollina ◽  
...  
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Chest Pain ◽  
General Practitioners ◽  
Diagnostic Tests ◽  
Hospital Emergency Department ◽  
Hospital Emergency ◽  
Telephone Line ◽  
Group A ◽  
Electrocardiogram Ecg

Two hundred general practitioners were equipped with a portable electrocardiograph which could transmit a 12-lead electrocardiogram (ECG) via a telephone line. A cardiologist was available 24 h a day for an interactive teleconsultation. In a 13-month period there were 5073 calls to the telecardiology service and 952 subjects with chest pain were identified. The telecardiology service allowed the general practitioners to manage 700 cases (74%) themselves; further diagnostic tests were requested for 162 patients (17%) and 83 patients (9%) were sent to the hospital emergency department. In the last group a cardiological diagnosis was confirmed in 60 patients and refuted in 23. Seven patients in whom the telecardiology service failed to detect a cardiac problem were hospitalized in the subsequent 48 h. The telecardiology service showed a sensitivity of 97.4%, a specificity of 89.5% and a diagnostic accuracy of 86.9% for chest pain. Telemedicine could be a useful tool in the diagnosis of chest pain in primary care.

scholarly journals Impact of a structured HIV testing program in a hospital emergency department and a primary care center

PLoS ONE ◽  
2019 ◽  
Vol 14 (8) ◽  
pp. e0220375 ◽  
Author(s):  
Cristina Gómez-Ayerbe ◽  
Javier Martínez-Sanz ◽  
Alfonso Muriel ◽  
Pilar Pérez Elías ◽  
Ana Moreno ◽  
...  
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Hiv Testing ◽  
Care Center ◽  
Primary Care Center ◽  
Hospital Emergency Department ◽  
Hospital Emergency ◽  
Testing Program
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