Optimizing the Prehospital-Hospital Emergency Care Path Application Value in Emergency Treatment of Patients with Cerebral Hemorrhage

Objective. To explore the effect of optimizing the prehospital-hospital emergency nursing path on the rescue speed, rescue effect, and patient prognosis of patients with cerebral hemorrhage. Methods. A retrospective study was performed to select 227 patients with acute cerebral hemorrhage who visited our hospital from August 2018 to October 2019, and we compared the optimization of the prehospital-hospital emergency nursing pathway (research group) with traditional prehospital time spent in the rescue and the prognosis of patients in the emergency care pathway (control group) in the hospital. The GOS score, FMA score, and Barthel index were used to compare the prognosis of the two groups of patients. Results. The prehospital-hospital emergency nursing route was optimized compared with the traditional nursing route. The rescue time of patients in each link was shorter ( P < 0.05 ), and the incidence of complications was low ( P < 0.05 ). The scales and scores all suggested that patients had a better prognosis ( P < 0.05 ). Conclusion. Optimizing the prehospital-hospital emergency nursing path can significantly shorten the rescue time, improve the rescue effect, and improve the prognosis of patients.

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The Application and Practice of Humanistic Care in the Emergency Department

Journal of Nursing ◽

10.18686/jn.v4i3.9 ◽

2015 ◽

Vol 4 (3) ◽

pp. 25

Author(s):

Yuehuan Fu

Keyword(s):

Emergency Department ◽

Control Group ◽

Emergency Nursing ◽

Care Model ◽

Hospital Emergency ◽

Patients Satisfaction ◽

Satisfaction Degree ◽

Emergency Department Patients ◽

Experimental Group

Objective: To study the application of humanized nursing in the emergency room, hence seek more suitable care model for emergency nursing. Methods: By reviewing the 521 patients visited to the hospital emergency department in April 2013 to May 2014, the patients were divided into control group and experimental group in accordance with the principle of voluntary and the principle of random. The control group has a total of 260 patients with normal nursing model. The experimental group has a total of 261 patients with the humanized nursing mode. Patients satisfaction degree was investigated after the nursing care. Results: The satisfaction questionnaire Results show that the satisfaction degree of experimental group patients was significantly higher than the control group patients (p < 0.05). Conclusion: Humanistic nursing can effectively improve the emergency department patients satisfaction degree, help to improve the quality of service, and has value for clinical promotion.

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The Value of Emergency Nursing Mode in the Treatment of Patients with Traumatic Shock

Journal of Healthcare Engineering ◽

10.1155/2022/6887236 ◽

2022 ◽

Vol 2022 ◽

pp. 1-8

Author(s):

Jinmei Xu ◽

Xueying Zhou ◽

Chunying Wang ◽

Jianli Hu

Keyword(s):

Success Rate ◽

Traumatic Shock ◽

Control Group ◽

Study Group ◽

Emergency Nursing ◽

Preparation Time ◽

Rescue Effect ◽

Emergency Rescue ◽

The Difference ◽

Better Than

Objective. To study the value of emergency nursing mode in patients with traumatic shock. Methods. 76 patients with traumatic shock in our hospital from March 2019 to February 2021 were selected and divided into study group and control group according to different rescue modes, 38 cases in each group. The study group adopted emergency nursing mode for rescue, while the control group adopted routine nursing mode for rescue. The rescue intervention, emergency stay and preoperative preparation time, rescue success rate, emergency rescue effect, complications, and satisfaction rate of patients and their families for rescue were compared between the two groups. Results. The rescue intervention, emergency stay and preoperative preparation time of the study group were significantly shorter than those of the control group, and the difference was statistically significant ( P < 0.05 ). The rescue success rate of the study group was 97.37%, which was significantly higher than 84.21% of the control group, and the difference was statistically significant ( P < 0.05 ). The improvement rate of the study group was significantly higher than that of the control group, the disability rate was significantly lower than that of the control group, the overall emergency rescue effect was better than that of the control group, and the difference was statistically significant ( P < 0.05 ). The incidence of complications in the study group was 2.63%, which was significantly lower than 23.68% in the control group ( P < 0.05 ). The satisfaction rate of patients and their families in the study group was 97.37%, which was significantly higher than 84.21% in the control group ( P < 0.05 ). Conclusion. Emergency nursing mode in patients with traumatic shock owns higher rescue value, can buy time for the operation, improve the success rate and effect of rescue, make safety and satisfaction higher. Overall, for patients with traumatic shock, emergency nursing mode is better than conventional rescue nursing.

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Studies focus on the quality of hospital emergency care

PsycEXTRA Dataset ◽

10.1037/e556522006-017 ◽

2003 ◽

Keyword(s):

Emergency Care ◽

Hospital Emergency

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Clinical Study of Qingpeng Ointment Treatment of Shoulder-Hand Syndrome After Cerebral Hemorrhage During the Rehabilitation Period

Combinatorial Chemistry & High Throughput Screening ◽

10.2174/1386207323666201211093227 ◽

2020 ◽

Vol 23 ◽

Author(s):

Ruihuan Pan ◽

Shanshan Ling ◽

Haodong Yang ◽

Yan Huang ◽

Lechang Zhan ◽

...

Keyword(s):

Treatment Group ◽

Cerebral Hemorrhage ◽

Clinical Medicine ◽

External Rotation ◽

Statistical Significance ◽

Hand Function ◽

Tibetan Medicine ◽

Controlled Study ◽

Control Group ◽

The Difference

Background: Shoulder-hand syndrome (SHS) refers to a syndrome causing sudden edema, shoulder pain and limited hand function. Qingpeng ointment, a kind of Tibetan medicine, can reduce swelling, relieve pain, tonify stagnation and clear the meridians, which is consistent with the pathological mechanism of SHS after stroke. Therefore, if clinical trials can be used to explore the effectiveness of Qingpeng ointment for treatment of poststroke SHS and promote its application in clinical medicine, this is of specific significance for the treatment of poststroke SHS. Objective: To investigate the clinical efficacy and safety of Qingpeng ointment in the treatment of poststroke SHS. To provide an objective basis for a better therapeutic treatment for poststroke SHS． Method: A prospective, randomized, controlled study was conducted. This study recruited 120 patients with poststroke SHS who met the inclusion criteria. They were randomized into the treatment group and the control group, with 60 patients allocated to each group. The treatment group received routine medical treatment and rehabilitative care after using the Qingpeng ointment, while the patients in the control group received only routine treatment without the ointment. All patients received clinical assessment with the Visual Analogue Scale (VAS), measurement of the range of motion (ROM) of the upper-limb joints, the Fugl-Meyer Assessment of Upper Extremity (FMA-U) and the Modified Barthel Index Score (MBI) before and after the whole treatment. Results: After 4 weeks of treatment, the VAS scores of both groups were decreased significantly (P＜0.05), and the difference between the two groups was statistically significant (P < 0.05). There is no statistical significance for the difference between the treatment group and control group in terms of the FMA-U and MBI scores and the forward bend, backward, outstretch, external rotation and pronation angles after treatment. The increases in the values of VAS, FMA-M and MBI in the treatment group were greater than those in the control group, and the difference was statistically significant (P < 0.05). The increases in the values of the forward bend, outreach and external rotation angles in the treatment group were greater than those in the control group, and the difference was statistically significant (P < 0.05). Conclusion: The treatment group showed better results than the control group in terms of the relief of pain symptoms, the improvement of motor function and the improvement of the activities of daily living for patients with shoulder-hand syndrome after cerebral hemorrhage. Qingpeng ointment is effective and safe in treating poststroke SHS.

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Providing Inpatient Mobilization with a Mobility Technician Constrains Cost in Primary Total Knee Arthroplasty

The Journal of Knee Surgery ◽

10.1055/s-0040-1718597 ◽

2020 ◽

Author(s):

Thomas A. Novack ◽

Christopher J. Mazzei ◽

Jay N. Patel ◽

Eileen B. Poletick ◽

Roberta D'Achille ◽

...

Keyword(s):

Total Knee Arthroplasty ◽

Knee Arthroplasty ◽

Care Pathway ◽

Primary Total Knee Arthroplasty ◽

Cost Savings ◽

Patient Discharge ◽

Control Group ◽

Study Group ◽

Bundled Payment ◽

Total Knee

AbstractSince the 2016 implementation of the comprehensive care for joint replacement (CJR) bundled payment model, our institutions have sought to decrease inpatient physical therapy (PT) costs by piloting a mobility technician program (MTP), where mobility technicians (MTs) ambulate postoperative total knee arthroplasty (TKA) patients under the supervision of nursing staff members. MTs are certified medical assistants given specialized gate and ambulation training by the PT department. The aim of this study was to examine the economic and clinical impact of MTs on the primary TKA postoperative pathway. We performed a retrospective review of TKA patients who underwent surgery at our institution between April 2018 and March 2019 and who were postoperatively ambulated by MTs. The control group included patients who had surgery during the same months of the prior year, preceding introduction of MTs to the floor. Inclusion criteria included: unilateral primary TKA for arthritic conditions and conversion to unilateral primary TKA from a previous knee surgery. Minitab Software (State College, PA) was used to perform the statistical analysis. There were 658 patients enrolled in the study group and 1,400 in the control group. The two groups shared similar demographics and an average age of 68 (p = 0.177). The median length of stay (LOS) was 2 days in both groups (p = 0.133) with 90.5% of patients in the study group discharged to home versus 81.5% of patients in the control group (p < 0.001). The ability of MTs to increase patient discharge to home without negatively impacting LOS suggest MTs are valuable both clinically to patients, and economically to the institution. Cost analysis highlighted the substantial cost savings that MTs may create in a bundled payment system. With the well-documented benefits of early ambulation following TKA, we demonstrate how MTs can be an asset to optimizing the care pathway of TKA patients.

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Advanced paramedics and nurses can deliver safe and effective pre‐hospital and in‐hospital emergency care: An integrative review

Nursing Open ◽

10.1002/nop2.866 ◽

2021 ◽

Author(s):

Jörgen Jansson ◽

Maria Larsson ◽

Jan Nilsson

Keyword(s):

Emergency Care ◽

Integrative Review ◽

Hospital Emergency ◽

Advanced Paramedics

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Knowledge-Based System supported by Chatbot to assist the Risk Classification Process of Patients in Hospital Emergency care (Preprint)

10.2196/preprints.33665 ◽

2021 ◽

Author(s):

Marciane Mueller ◽

Rejane Frozza ◽

Liane Mählmann Kipper ◽

Ana Carolina Kessler

Keyword(s):

Medical Care ◽

Knowledge Base ◽

Language Processing ◽

Emergency Care ◽

Risk Classification ◽

Conversational Agent ◽

Conversational Agents ◽

Hospital Emergency ◽

Knowledge Based System ◽

Knowledge Based

BACKGROUND This article presents the modeling and development of a Knowledge Based System, supported by the use of a virtual conversational agent called Dóris. Using natural language processing resources, Dóris collects the clinical data of patients in care in the context of urgency and hospital emergency. OBJECTIVE The main objective is to validate the use of virtual conversational agents to properly and accurately collect the data necessary to perform the evaluation flowcharts used to classify the degree of urgency of patients and determine the priority for medical care. METHODS The agent's knowledge base was modeled using the rules provided for in the evaluation flowcharts comprised by the Manchester Triage System. It also allows the establishment of a simple, objective and complete communication, through dialogues to assess signs and symptoms that obey the criteria established by a standardized, validated and internationally recognized system. RESULTS Thus, in addition to verifying the applicability of Artificial Intelligence techniques in a complex domain of health care, a tool is presented that helps not only in the perspective of improving organizational processes, but also in improving human relationships, bringing professionals and patients closer. The system's knowledge base was modeled on the IBM Watson platform. CONCLUSIONS The results obtained from simulations carried out by the human specialist allowed us to verify that a knowledge-based system supported by a virtual conversational agent is feasible for the domain of risk classification and priority determination of medical care for patients in the context of emergency care and hospital emergency.

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Appropriateness of cases presenting in the emergency department following ambulance service secondary telephone triage: a retrospective cohort study

BMJ Open ◽

10.1136/bmjopen-2017-016845 ◽

2017 ◽

Vol 7 (10) ◽

pp. e016845 ◽

Cited By ~ 8

Author(s):

Kathryn Eastwood ◽

Karen Smith ◽

Amee Morgans ◽

Johannes Stoelwinder

Keyword(s):

Emergency Department ◽

Hospital Admission ◽

Emergency Care ◽

Retrospective Cohort ◽

Care Pathway ◽

Cohort Analysis ◽

Care Pathways ◽

Telephone Triage ◽

Alternative Care ◽

Referral Service

ObjectiveTo investigate the appropriateness of cases presenting to the emergency department (ED) following ambulance-based secondary telephone triage.DesignA pragmatic retrospective cohort analysis of all the planned and unplanned ED presentations within 48 hours of a secondary telephone triage.SettingThe secondary telephone triage service, called the Referral Service, and the hospitals were located in metropolitan Melbourne, Australia and operated 24 hours a day, servicing 4.25 million people. The Referral Service provides an in-depth secondary triage of cases classified as low acuity when calling the Australian emergency telephone number.PopulationCases triaged by the Referral Service between September 2009 and June 2012 were linked to ED and hospital admission records (N=44,523). Planned ED presentations were cases referred to the ED following the secondary triage, unplanned ED presentations were cases that presented despite being referred to alternative care pathways.Main outcome measuresAppropriateness was measured using an ED suitability definition and hospital admission rates. These were compared with mean population data which consisted of all of the ED presentations for the state (termed the ‘average Victorian ED presentation’).ResultsPlanned ED presentations were more likely to be ED suitable than unplanned ED presentations (OR 1.62; 95% CI 1.5 to 1.7; p<0.001) and the average Victorian ED presentation (OR 1.85; 95% CI 1.01 to 3.4; p=0.046). They were also more likely to be admitted to the hospital than the unplanned ED presentation (OR 1.5; 95% CI 1.4 to 1.6; p<0.001) and the average Victorian ED presentation (OR 2.3, 95% CI 2.24 to 2.33; p<0.001). Just under 15% of cases diverted away from the emergency care pathways presented in the ED (unplanned ED attendances), and 9.5% of all the alternative care pathway cases were classified as ED suitable and 6.5% were admitted to hospital.ConclusionsSecondary telephone triage was able to appropriately identify many ED suitable cases, and while most cases referred to alternative care pathways did not present in the ED. Further research is required to establish that these were not inappropriately triaged away from the emergency care pathways.

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