Color Coding the “Labyrinth”: How Staff Perceived a Two-Part Intervention to Improve Wayfinding in an Adult Emergency Department

2021 ◽  
pp. 193758672199459
Author(s):  
Michael Madson ◽  
Kelsie Goodwin
Keyword(s):  
Emergency Department ◽  
Positive Impact ◽  
High Stress ◽  
Quality Criteria ◽  
Process Efficiency ◽  
Coding System ◽  
Color Coding ◽  
Persistent Problem ◽  
Donabedian Model ◽  
Overall Effectiveness

Objectives, purpose, or aim: We report a two-part wayfinding intervention, considering four quality criteria (visibility, usability, efficiency and overall effectiveness) from staff perspectives. Background: Few studies to date have explored wayfinding in the Emergency Department (ED). Yet, as ED usage continues to grow, effective wayfinding in these high-stress, fast-paced environments is likely to become increasingly important. At an adult ED located in the U.S. Southeast, wayfinding has been a persistent problem. We subsequently developed a two-part wayfinding intervention: colored routes to key destinations in the ED and corresponding visitor badges. Methods: Quality criteria were formulated using the Donabedian model: visibility (structure), usability (process), efficiency (process), and overall effectiveness (outcome). Assessments consisted of staff surveys, which were distributed from March to early April 2019. Results: The strong ratings across quality criteria, added to affirmative comments from staff, provide evidence that the color coding system made a positive impact on wayfinding. Conclusions: While the results should be generalized with caution, the two-part intervention may be highly portable to other contexts. Future studies might examine the effect of colored routes alone. They might illuminate relations between structure, process, and outcomes as they relate to the assessment of wayfinding. They might also expand wayfinding quality criteria. Ultimately, such studies should improve not only the productivity but also the accessibility and user experience of the ED.

The Red Legs RATED tool to improve diagnosis of lower limb cellulitis in the emergency department

2021 ◽  
Vol 30 (12) ◽  
pp. S22-S29
Author(s):  
Gillian O'Brien ◽  
Patricia White
Keyword(s):  
Emergency Department ◽  
Lower Limb ◽  
Treatment Guidelines ◽  
Positive Impact ◽  
Data Gathering ◽  
Pilot Project ◽  
Accurate Diagnosis ◽  
Evidence Based ◽  
Significant Burden ◽  
User Friendly

Background: Lower limb cellulitis poses a significant burden for the Irish healthcare system. Accurate diagnosis is difficult, with a lack of validated evidence-based tools and treatment guidelines, and difficulties distinguishing cellulitis from its imitators. It has been suggested that around 30% of suspected lower limb cellulitis is misdiagnosed. An audit of 132 patients between May 2017 and May 2018 identified a pattern of misdiagnosis in approximately 34% of this cohort. Objective: The aim of this pilot project was to develop a streamlined service for those presenting to the emergency department with red legs/suspected cellulitis, through introduction of the ‘Red Leg RATED’ tool for clinicians. Method: The tool was developed and introduced to emergency department clinicians. Individuals (n=24) presenting with suspected cellulitis over 4 weeks in 2018 were invited to participate in data gathering. Finally, clinician questionnaire feedback regarding the tool was evaluated. Results: Fourteen participants consented, 6 female and 8 male with mean age of 65 years. The tool identified 50% (n=7) as having cellulitis, of those 57% (n=4) required admission, 43% (n=3) were discharged. The remainder who did not have cellulitis (n=7) were discharged. Before introduction of the tool, all would typically have been admitted to hospital for further assessment and management of suspected lower limb cellulitis. Overall, 72% (n=10) of patients who initially presented with suspected cellulitis were discharged, suggesting positive impact of the tool. Clinician feedback suggested all were satisfied with the tool and contents. Conclusion: The Red Leg RATED tool is user friendly and impacts positively on diagnosis treatment and discharge. Further evaluation is warranted.

The Validity and Quality of a Novel National Emergency Department Diagnosis Coding System

2009 ◽  
Vol 37 (2) ◽  
pp. 223
Author(s):  
R. Berant ◽  
Y. Simon ◽  
L.D. Amir ◽  
P. Halpern ◽  
M. Mimouni ◽  
...  
Keyword(s):  
Emergency Department ◽  
Coding System ◽  
National Emergency ◽  
Diagnosis Coding

scholarly journals Bibliotherapy as a Non-pharmaceutical Intervention to Enhance Mental Health in Response to the COVID-19 Pandemic: A Mixed-Methods Systematic Review and Bioethical Meta-Analysis

2021 ◽  
Vol 9 ◽  
Author(s):  
Daniela Monroy-Fraustro ◽  
Isaac Maldonado-Castellanos ◽  
Mónica Aboites-Molina ◽  
Susana Rodríguez ◽  
Perla Sueiras ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Problems ◽  
Positive Impact ◽  
Meta Analysis ◽  
Quality Criteria ◽  
Health Problems ◽  
Clinical Settings ◽  
Road Map ◽  
Road Maps

Background: A non-pharmaceutical treatment offered as psychological support is bibliotherapy, which can be described as the process of reading, reflecting, and discussing literature to further a cognitive shift. The coronavirus disease 2019 (COVID-19) pandemic demands a response to prevent a peak in the prevalence of mental health problems and to avoid the collapse of mental health services, which are scarce and inaccessible due to the pandemic. Thus, this study aimed to review articles on the effectiveness of bibliotherapy on different mental health problems.Methods: A systematic review was conducted to examine relevant studies that assess the effectiveness of bibliotherapy in different clinical settings as a treatment capable of enhancing a sense of purpose and its surrounding values. To achieve this, a systematic review, including a bioethical meta-analysis, was performed. A variant of the PICO (Participants, Intervention, Comparison, and Outcome) model was used for the search strategy, and the systematic review was conducted in three databases: PubMed, Bireme, and OVID. Inclusion criteria were relevant studies that included the keywords, excluding documents with irrelevant topics, studies on subjects 15 years or younger, and in languages besides Spanish or English. Starting with 707 studies, after three rounds of different quality criteria, 13 articles were selected for analysis, including a hermeneutic analysis, which was followed by a fourth and final recovery round assessing bibliotherapy articles concerning healthcare workers.Results: Our findings showed that through bibliotherapy, patients developed several capacities, including the re-signification of their own activities through a new outlook of their moral horizon. There are no research road maps serving as guides to conduct research on the use of bibliotherapy to enhance mental health. Additionally, values such as autonomy and justice were closely linked with positive results in bibliotherapy. This implies that bibliotherapy has the potential to have a positive impact in different settings.Conclusions: Our contribution is to offer a road map that presents state-of-the-art bibliotherapy research, which will assist institutions and healthcare professionals to plan clinical and specific interventions with positive outcomes.

scholarly journals Mental health disorders among students from rural areas three months after returning to school: a cross-sectional study among Polish students (12-13 y.o.)

2022 ◽  
Author(s):  
Piotr Długosz
Keyword(s):  
Mental Health ◽  
Rural Areas ◽  
Large Scale ◽  
Negative Impact ◽  
Positive Impact ◽  
High Stress ◽  
Mental Health Disorders ◽  
Mental Condition ◽  
Health Disorders ◽  
Returning To School

Abstract: Background: All over the world, the negative impact of the Covid-19 pandemic on children and adolescents’ mental health is observed. The conducted research aims to verify whether returning to schools, to the education inside the classroom in the company of their peers, improved or undermined the students’ mental health. Metods: The study was carried out on a sample of students inhabiting rural areas in a borderland region. The research sample was collected using purposive sampling and consisted of 552 respondents from 7th and 8th grades of primary school. An auditorium questionnaire was used to gather the research material. Results: Three months after returning to school, the students are in a bad mental condition. 61% of the respondents are satisfied with their lives, 52% of the respondents show symptoms of depression measured with the WHO-5 index, whereas 85% of them have average and high stress levels as measured with the PSSC scale. Higher levels of mental disorders was observed among females, the students inhabiting villages and evaluating their financial status as worse. Conclusions: Returning to schools failed to have a positive impact on the students’ mental health. Disorders occurring at a large scale will have a negative influence on the students’ performance and hinder their re-adaptation to school. Educational authorities shall immediately provide the students with support and monitor the situation in the next months.

scholarly journals Prognostic Genomic Tissue-Based Biomarkers in the Treatment of Localized Prostate Cancer

2022 ◽  
Vol 12 (1) ◽  
pp. 65
Author(s):  
Gianluca Ingrosso ◽  
Emanuele Alì ◽  
Simona Marani ◽  
Simonetta Saldi ◽  
Rita Bellavita ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Decision Making ◽  
Clinical Decision Making ◽  
Positive Impact ◽  
Wide Spectrum ◽  
Locally Advanced ◽  
Treatment Strategies ◽  
Quality Criteria ◽  
Localized Prostate Cancer ◽  
Decision Making Process

In localized prostate cancer clinicopathologic variables have been used to develop prognostic nomograms quantifying the probability of locally advanced disease, of pelvic lymph node and distant metastasis at diagnosis or the probability of recurrence after radical treatment of the primary tumor. These tools although essential in daily clinical practice for the management of such a heterogeneous disease, which can be cured with a wide spectrum of treatment strategies (i.e., active surveillance, RP and radiation therapy), do not allow the precise distinction of an indolent instead of an aggressive disease. In recent years, several prognostic biomarkers have been tested, combined with the currently available clinicopathologic prognostic tools, in order to improve the decision-making process. In the following article, we reviewed the literature of the last 10 years and gave an overview report on commercially available tissue-based biomarkers and more specifically on mRNA-based gene expression classifiers. To date, these genomic tests have been widely investigated, demonstrating rigorous quality criteria including reproducibility, linearity, analytical accuracy, precision, and a positive impact in the clinical decision-making process. Albeit data published in literature, the systematic use of these tests in prostate cancer is currently not recommended due to insufficient evidence.

Color coding of spatial frequencies: quality criteria, illustrations

1986 ◽  
Vol 17 (2) ◽  
pp. 81-90
Author(s):  
L Dettwiller ◽  
Ph de Maleprade ◽  
P Chavel ◽  
R Mercier
Keyword(s):  
Quality Criteria ◽  
Color Coding ◽  
Spatial Frequencies

Examination of Quality of Life in Workplace Environments

2022 ◽  
pp. 1161-1174
Author(s):  
Lesley Clack
Keyword(s):  
Quality Of Life ◽  
Occupational Stress ◽  
Workplace Violence ◽  
Healthcare Workers ◽  
Healthcare Professionals ◽  
Positive Impact ◽  
High Stress ◽  
Healthcare Organizations ◽  
Increased Risk

Healthcare organizations are commonly known to be high-stress environments due to the life-or-death nature of the work. Thus, examining the quality of life in healthcare professionals is of significance to the field. Quality of life is a common measurement in healthcare, typically in determining the effectiveness of treatment on patients. But, quality of life in healthcare workers is often overlooked. A review of the literature was conducted regarding factors that impact quality of life of workers in healthcare environments. The areas of occupational stress, burnout, and workplace violence were explored in depth in order to understand the potential negative consequences of each on quality of life in healthcare professionals. In comparison to other industries, healthcare professionals are at an increased risk for occupational stress, burnout, and workplace violence. Effectively managing these areas could have a positive impact on quality of life in healthcare workers.

Sign in / Sign up

Export Citation Format

Share Document