Educational intervention does not reduce non‐invasive urine contamination rates in children presenting to the emergency department

2019 ◽  
Vol 56 (1) ◽  
pp. 142-147 ◽  
Author(s):  
Ron Jacob ◽  
Blessy John‐Denny ◽  
Katherine Donaldson ◽  
Brent White ◽  
Alexander Outhred ◽  
...  
Keyword(s):  
Emergency Department ◽  
Educational Intervention ◽  
Non Invasive ◽  
Urine Contamination

Improved Compliance with Universal Precautions among Operating Room and Emergency Department Personnel Following an Educational Intervention

1999 ◽  
Author(s):  
Lynn Kim ◽  
◽  
Rodney Parks ◽  
Donna Jeffe ◽  
Bradley Evanoff ◽  
...  
Keyword(s):  
Emergency Department ◽  
Operating Room ◽  
Educational Intervention ◽  
Universal Precautions

scholarly journals 1120. Impact of Training Residents to Improve HIV Screening in a Teaching Hospital in Mexico City

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S590-S590
Author(s):  
Lorena Guerrero-Torres ◽  
Isaac Núñez-Saavedra ◽  
Yanink Caro-Vega ◽  
Brenda Crabtree-Ramírez
Keyword(s):  
Emergency Department ◽  
Time Series ◽  
Hiv Testing ◽  
Teaching Hospital ◽  
Educational Intervention ◽  
Temporal Trends ◽  
Hiv Screening ◽  
Hiv Diagnosis ◽  
Post Intervention ◽  
Hiv Test

Abstract Background Among 230,000 people living with HIV in Mexico, 24% are unaware of their diagnosis, and half of newly diagnosed individuals are diagnosed with advanced disease. Early diagnosis is the goal to mitigate HIV epidemic. Missed opportunities may reflect a lack of clinicians’ consideration of HIV screening as part of routine medical care. We assessed whether an educational intervention on residents was effective to 1) improve the knowledge on HIV screening; 2) increase the rate of HIV tests requested in the hospitalization floor (HF) and the emergency department (ED); and 3) increase HIV diagnosis in HF and ED. Methods Internal Medicine and Surgery residents at a teaching hospital were invited to participate. The intervention occurred in August 2018 and consisted in 2 sessions on HIV screening with an expert. A questionnaire was applied before (BQ) and after (AQ) the intervention, which included HIV screening indications and clinical cases. The Institutional Review Board approved this study. Written informed consent was obtained from all participants. BQ and AQ scores were compared with a paired t-test. To evaluate the effect on HIV test rate in the HF and ED, an interrupted time series analysis was performed. Daily rates of tests were obtained from September 2016 to August 2019 and plotted along time. Restricted cubic splines (RCS) were used to model temporal trends. HIV diagnosis in HF and ED pre- and post-intervention were compared with a Fisher’s exact test. A p< 0.05 was considered significant. Results Among 104 residents, 57 participated and completed both questionnaires. BQ score was 79/100 (SD±12) and AQ was 85/100 (SD±8), p< .004. Time series of HIV testing had apparent temporal trends (Fig 1). HIV test rate in the HF increased (7.3 vs 11.1 per 100 episodes) and decreased in the ED (2.6 vs 2.3 per 100 episodes). HIV diagnosis increased in the HF, from 0/1079 (0%) pre-intervention to 5/894 (0.6%) post-intervention (p< .018) (Table 1). Fig 1. HIV test rates. Gray area represents post-intervention period. Table 1. Description of episodes, HIV tests and rates pre- and post-intervention in the Emergency Department and Hospitalization Floor. Conclusion A feasible educational intervention improved residents’ knowledge on HIV screening, achieved maintenance of a constant rate of HIV testing in the HF and increased the number of HIV diagnosis in the HF. However, these results were not observed in the ED, where administrative barriers and work overload could hinder HIV screening. Disclosures All Authors: No reported disclosures

scholarly journals The caval index: an adequate non-invasive ultrasound parameter to predict fluid responsiveness in the emergency department?

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Silke de Valk ◽  
Tycho Joan Olgers ◽  
Mirjam Holman ◽  
Farouq Ismael ◽  
Jack Johannes Maria Ligtenberg ◽  
...  
Keyword(s):  
Emergency Department ◽  
Fluid Responsiveness ◽  
Predict Fluid Responsiveness ◽  
Ultrasound Parameter ◽  
Non Invasive ◽  
Caval Index

Emergency Nursing Resource: Non-Invasive Temperature Measurement in the Emergency Department

2012 ◽  
Vol 38 (6) ◽  
pp. 523-530 ◽  
Author(s):  
Susan Barnason ◽  
Jennifer Williams ◽  
Jean Proehl ◽  
Carla Brim ◽  
Melanie Crowley ◽  
...  
Keyword(s):  
Emergency Department ◽  
Temperature Measurement ◽  
Emergency Nursing ◽  
Non Invasive
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