Virtual lesion clinic – Evaluation of a teledermatology triage system for referrals for suspected melanoma

2021 ◽  
Author(s):  
Rebecca Teague ◽  
Mark Wang ◽  
Daniel Wen ◽  
Michael Sunderland ◽  
Gill Rolfe ◽  
...  
Keyword(s):  
Triage System ◽  
Virtual Lesion

Eignet sich das Manchester-Triage-System zur Lenkung von Notfallpatienten zwischen stationärem und ambulantem Sektor?

2017 ◽  
Author(s):  
F Greiner ◽  
D Brammen ◽  
A Slagman ◽  
F Walcher ◽  
B Erdmann
Keyword(s):  
Triage System ◽  
Manchester Triage System

scholarly journals Risikomanagement in der Triage ambulanter Notfallpatienten

2021 ◽  
Author(s):  
Dirk Pabst ◽  
Jonas Schibensky ◽  
David Fistera ◽  
Joachim Riße ◽  
Clemens Kill ◽  
...  
Keyword(s):  
Medical Service ◽  
Chronische Erkrankung ◽  
Triage System ◽  
Manchester Triage System ◽  
Stationäre Aufnahme

Zusammenfassung Hintergrund Zur frühzeitigen Entscheidung in zukünftigen „Integrierten Notfallzentren“, ob eine ambulante oder innerklinische Versorgung indiziert ist, wäre es hilfreich, ein System zu haben, mit dem die Identifizierung von Patienten mit ambulanter Behandlungsindikation möglich ist. In dieser Studie untersuchten wir, ob das Manchester Triage System (MTS) dafür geeignet ist, Patienten zu erkennen, die sicher der ambulanten medizinischen Versorgung zugeteilt werden können. Methode Notaufnahmepatienten der „blauen“ MTS-Dringlichkeitsstufe wurden auf den Endpunkt „stationäre Aufnahme“ untersucht und mit der nächsthöheren MTS-Kategorie „grün“ verglichen. In einem zweiten Schritt wurde die „blaue“ Dringlichkeitsstufe auf die häufigsten gemeinsamen Kriterien untersucht, die zur stationären Aufnahme führten. Ergebnisse Nach Ausschluss von Patienten, die durch den Rettungsdienst oder nach vorherigem Arztbesuch vorstellig wurden, war die Rate der stationären Aufnahmen in der blauen Dringlichkeitsstufe signifikant niedriger als in der grünen Kategorie (10,8 % vs. 29,0 %). Die Rate konnte durch die Etablierung einer Untergruppe mit den zusätzlichen Ausschlusskriterien chronische Erkrankung und Wiedervorstellung nach vorheriger stationärer Behandlung auf 0,9 % gesenkt werden. (CEReCo-blue-Gruppe: Chronic Disorder (C), Emergency Medical Service (E), Readmission (R), Prior Medical Consultation (Co)). Schlussfolgerung Die blaue MTS-Dringlichkeitsstufe scheint zur Selektion von Patienten mit ambulanter Behandlungsindikation nicht geeignet zu sein. Wir schlagen die Einführung einer Untergruppe, der sog. CEReCo-blue-Gruppe vor, die für die Selektion dieser Patientengruppe hilfreich sein könnte.

scholarly journals E-Triage Systems for COVID-19 Outbreak: Review and Recommendations

Sensors ◽  
2021 ◽  
Vol 21 (8) ◽  
pp. 2845
Author(s):  
Fahd Alhaidari ◽  
Abdullah Almuhaideb ◽  
Shikah Alsunaidi ◽  
Nehad Ibrahim ◽  
Nida Aslam ◽  
...  
Keyword(s):  
Population Growth ◽  
Disease Severity ◽  
Waiting Time ◽  
Transmission Rate ◽  
Waiting Times ◽  
Triage System ◽  
Disease Symptoms ◽  
Comprehensive Review ◽  
Severity Levels ◽  
Growth And Aging

With population growth and aging, the emergence of new diseases and immunodeficiency, the demand for emergency departments (EDs) increases, making overcrowding in these departments a global problem. Due to the disease severity and transmission rate of COVID-19, it is necessary to provide an accurate and automated triage system to classify and isolate the suspected cases. Different triage methods for COVID-19 patients have been proposed as disease symptoms vary by country. Still, several problems with triage systems remain unresolved, most notably overcrowding in EDs, lengthy waiting times and difficulty adjusting static triage systems when the nature and symptoms of a disease changes. In this paper, we conduct a comprehensive review of general ED triage systems as well as COVID-19 triage systems. We identified important parameters that we recommend considering when designing an e-Triage (electronic triage) system for EDs, namely waiting time, simplicity, reliability, validity, scalability, and adaptability. Moreover, the study proposes a scoring-based e-Triage system for COVID-19 along with several recommended solutions to enhance the overall outcome of e-Triage systems during the outbreak. The recommended solutions aim to reduce overcrowding and overheads in EDs by remotely assessing patients’ conditions and identifying their severity levels.

scholarly journals Evaluation of a dental nurse-led triage system in a private dental practice during the COVID-19 pandemic

BDJ Team ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. 28-33
Author(s):  
Angela Cowell ◽  
Louise Goodwin ◽  
Katherine Hare ◽  
Colin Campbell
Keyword(s):  
Dental Practice ◽  
Triage System

scholarly journals Performance of the Manchester triage system in older emergency department patients: a retrospective cohort study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Steffie H. A. Brouns ◽  
Lisette Mignot-Evers ◽  
Floor Derkx ◽  
Suze L. Lambooij ◽  
Jeanne P. Dieleman ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Triage System ◽  
Manchester Triage System ◽  
Emergency Department Patients

scholarly journals An audit of acute oncology services: patient experiences of admission procedures and staff utilisation of a new telephone triage system

2016 ◽  
Vol 24 (12) ◽  
pp. 5041-5048 ◽  
Author(s):  
Lorraine Warrington ◽  
Patricia Holch ◽  
Lucille Kenyon ◽  
Ceri Hector ◽  
Krystina Kozlowska ◽  
...  
Keyword(s):  
Patient Experiences ◽  
Telephone Triage ◽  
Triage System

scholarly journals Validity of the Manchester Triage System in paediatric emergency care

2006 ◽  
Vol 23 (12) ◽  
pp. 906-910 ◽  
Author(s):  
J Roukema ◽  
E W Steyerberg ◽  
A van Meurs ◽  
M Ruige ◽  
J van der Lei ◽  
...  
Keyword(s):  
Emergency Care ◽  
Triage System ◽  
Manchester Triage System ◽  
Paediatric Emergency ◽  
Paediatric Emergency Care

scholarly journals Applying quality improvement principles to improve accident and emergency department overcrowding and flow in Rwanda: a case study

2015 ◽  
Vol 4 (5) ◽  
pp. 47 ◽  
Author(s):  
Jean Claude Byiringiro ◽  
Rex Wong ◽  
Caroline Davis ◽  
Jeffery Williams ◽  
Joseph Becker ◽  
...  
Keyword(s):  
Emergency Department ◽  
Quality Improvement ◽  
Success Factors ◽  
Low Cost ◽  
Post Intervention ◽  
Triage System ◽  
Accident And Emergency ◽  
Number Of Patients ◽  
Accident And Emergency Department ◽  
The Impact

Few case studies exist related to hospital accident and emergency department (A&E) quality improvement efforts in lowerresourced settings. We sought to report the impact of quality improvement principles applied to A&E overcrowding and flow in the largest referral and teaching hospital in Rwanda. A pre- and post-intervention study was conducted. A linked set of strategies included reallocating room space based on patient/visitor demand and flow, redirecting traffic, establishing a patient triage system and installing white boards to facilitate communication. Two months post-implementation, the average number of patients boarding in the A&E hallways significantly decreased from 28 (pre-intervention) to zero (post-intervention), p < .001. Foot traffic per dayshift hour significantly decreased from 221 people to 160 people (28%, p < .001), and non-A&E related foot traffic decreased from 81.4% to 36.3% (45% decrease, p < .001). One hundred percent of the A&E patients have been formally triaged since the implementation of the newly established triage system. Our project used quality improvement principles to reduce the number of patients boarding in the hallways and to decrease unnecessary foot traffic in the A&E department with little investment from the hospital. Key success factors included a collaborative multidisciplinary project team, strong internal champions, data-driven analysis, evidence-based interventions, senior leadership support, and rapid application of initial implementation learnings. Results to date show the application of quality improvement principles can help hospitals in resource-limited settings improve quality of care at relatively low cost.

scholarly journals Photosynthesis of Blueberry Leaves as Affected by Septoria Leaf Spot and Abiotic Leaf Damage

Plant Disease ◽  
2004 ◽  
Vol 88 (4) ◽  
pp. 397-401 ◽  
Author(s):  
I. Roloff ◽  
H. Scherm ◽  
M. W. van Iersel
Keyword(s):  
Leaf Area ◽  
Disease Severity ◽  
Leaf Spot ◽  
Abiotic Factors ◽  
Lesion Size ◽  
Leaf Conductance ◽  
Yield Potential ◽  
Leaf Spots ◽  
Virtual Lesion ◽  
Septoria Leaf Spot

Leaf spots caused by fungal pathogens or abiotic factors can be prevalent on southern blueberries after harvest during the summer and fall, yet little is known about how they affect physiological processes that determine yield potential for the following year. In this study, we measured CO2 assimilation and leaf conductance on field-grown blueberry plants affected by Septoria leaf spot (caused by Septoria albopunctata) or by edema-like abiotic leaf blotching. Net assimilation rate (NAR) on healthy leaves varied between 6.9 and 12.4 μmol m-2 s-1 across cultivars and measurement dates. Infection by S. albopunctata had a significant negative effect on photosynthesis, with NAR decreasing exponentially as disease severity increased (R2 ≥0.726, P < 0.0001). NAR was reduced by approximately one-half at 20% disease severity, and values approached zero for leaves with >50% necrotic leaf area. There was a positive, linear correlation between NAR and leaf conductance (R2 ≥ 0.622, P < 0.0001), suggesting that the disease may have reduced photosynthesis via decreased CO2 diffusion into affected leaves. Estimates of virtual lesion size associated with infection by S. albopunctata ranged from 2.8 to 3.1, indicating that the leaf area in which photosynthesis was impaired was about three times as large as the area covered by necrosis. For leaves afflicted by edema-like damage, there also was a significant negative relationship between NAR and affected leaf area, but the scatter about the regression was more pronounced than in the NAR-disease severity relationships for S. albopunctata (R2 = 0.548, P < 0.0001). No significant correlation was observed between leaf conductance and affected area on these leaves (P = 0.145), and the virtual lesion size associated with abiotic damage was significantly smaller than that caused by S. albopunctata. Adequate carbohydrate supply during the fall is critical for optimal flower bud set in blueberry; therefore, these results document the potential for marked yield losses due to biotic and abiotic leaf spots.

Five-level triage system more effective than three-level in tertiary emergency department

2002 ◽  
Vol 28 (5) ◽  
pp. 395-400 ◽  
Author(s):  
Debbie A. Travers ◽  
Anna E. Waller ◽  
J.Michael Bowling ◽  
Deborah Flowers ◽  
Judith Tintinalli
Keyword(s):  
Emergency Department ◽  
Triage System
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