Development and validity of the Korea psychiatric triage algorithm

Abstract Background Psychiatric triage algorithm can improve the quality of care by providing a systematic method for classifying the severity of patients experiencing psychiatric crisis in the emergency room and by determining the optimal time frame for intervention. The aim of the present study was to test the professional validity and clinical validity of a psychiatric triage algorithm developed for use in South Korea.Methods The initial algorithm was developed through systematic literature review. Its validity was then verified by 10 experts. Based on results of expert validity, the algorithm was modified and the final algorithm was developed.Results Its clinical validity was then verified by 30 emergency room nurses who had used triage. Four questions of expert validity results with a CVI of 0.8 or less were revised to reflect expert opinion. The clinical validity of the final modified algorithm was 2.9 ~ 3.47.Conclusion The use of highly validity psychiatric triage algorithm by ER (Emergency Room) nurses not only can improve the quality of care, but also can improve patient outcomes and experience.

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Impact of Heart Failure Focused Follow-Up Care at the “Heart Success Clinic” on 30-Day Readmission Rates in Patients with Congestive Heart Failure

Journal of Cardiology Research Review & Reports ◽

10.47363/jcrrr/2020(1)103 ◽

2020 ◽

pp. 1-3

Author(s):

Deepti Bhandare ◽

Keyword(s):

Heart Failure ◽

Patient Outcomes ◽

Readmission Rate ◽

The United States ◽

Hospital Data ◽

Readmission Rates ◽

Medication Reviews ◽

Improve Patient

Nearly 6.2 million people in the United states are affected by heart failure, it is predicted that this number will rise to 8.5 million by 2030 Significant effort has been made to prevent heart failure and its exacerbations. The Hospital Readmission Reduction Program (HRRP), a Medicaare based program, was established to link payment to quality of care. Payment is reduced to hospitals when patients are readmitted within 30 days for heart failure The “Heart Success Clinic” is an outpatient clinic started to improve patient outcomes and reduce readmission rates. Patients are provided with heart failure focused visits which includes detailed medication reviews, diet modification, weight loss, disease education, etc. During the six months prior to the opening of the clinic, the readmission rate was 15.27% at AdventHealth Sebring hospital which is a community-based hospital. Data was collected on the patients who attended the “Heart Success Clinic” for six months. Zero patients from the clinic were readmitted, bringing the readmission rate down from 15.27% to 0%. This pilot study gives promising initial results. Further studies can be conducted over a longer period time as to gather more patients. Overall, the study demonstrates that there is value in providing heart failure focused follow up visits in improving patient outcomes and readmission rates.

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Addressing the Scottish burden of wounds through the Lens of Profound Knowledge

British Journal of Nursing ◽

10.12968/bjon.2021.30.sup20.s34 ◽

2021 ◽

Vol 30 (Sup20) ◽

pp. S34-S40

Author(s):

Jenni MacDonald

Keyword(s):

Patient Outcomes ◽

Wound Care ◽

Cost Effective ◽

Theory Of Knowledge ◽

Care Needs ◽

Profound Knowledge ◽

The Cost ◽

Improve Patient ◽

Growing Population

The prevalence of wounds and the cost of treating them are increasing year on year. Improving the quality of wound care will improve patient outcomes and is a financial necessity. The Lens of Profound Knowledge is a tool that can be used to support quality improvement and identify where action is needed. It allows exploration of an organisation through four aspects—appreciate the system, understanding variation, psychology, and theory of knowledge—and working on all four aspects simultaneously is believed to increase the likelihood of achieving improvement. Improvements at and between all levels—microsystem (such as frontline services), mesosystem (health boards) and macrosystem (NHS Scotland)—would reduce variation in practice and prove to be both clinically and cost-effective. Given the rapidly growing population of people with unhealed wounds, wound care needs to be valued at all system levels and be adequately resourced.

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A novel application of the lotus petal flap in high-risk perineal urethrostomy: principles and outcomes

Australasian Journal of Plastic Surgery ◽

10.34239/ajops.v1n1.17 ◽

2018 ◽

Vol 1 (1) ◽

pp. 135-139

Author(s):

Daniel J Reilly ◽

Eric K Sham ◽

Justin BL Chee ◽

Ajay Chauhan

Keyword(s):

High Risk ◽

Patient Outcomes ◽

Ileal Conduit ◽

Soft Tissue Coverage ◽

Skin Flaps ◽

Flexible Cystoscopy ◽

Urethral Strictures ◽

Lotus Petal Flap

Introduction: Perineal urethrostomy is a valuable technique in the management of complex anterior urethral strictures, as well as following penectomy or urethrectomy. Traditional techniques that employ perineal or scrotal skin flaps have documented failure rates of up to 30%. Current techniques for salvage have only modest success, leaving patients few options other than permanent suprapubic catheter or cystectomy and ileal conduit formation.Results: We present a new method of perineal urethrostomy using perforator-based lotus petal flaps in cases which were high risk or unsuitable for traditional perineal urethrostomy techniques, or where traditional strategies had failed. All patients demonstrated continent voiding at a minimum of 22 months follow-up, with patency confirmed by flexible cystoscopy. No complications were encountered.Conclusion: Utilisation of lotus petal flaps in high-risk cases of perineal urethrostomy will lead to significant improvements in patient outcomes. The availability of larger amounts of soft tissue coverage will obviate the need for compromise on either resection of involved urethra, or calibre and inset of urethrostomy. This will subsequently minimise the rates of failure, reduce the requirement for urinary diversion procedures and lead to improved quality of life.

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Alcohol-Related Problems in the Emergency Room of an Indian General Hospital

Australian & New Zealand Journal of Psychiatry ◽

10.3109/00048678909062146 ◽

1989 ◽

Vol 23 (2) ◽

pp. 274-278 ◽

Cited By ~ 6

Author(s):

Adityanjee ◽

D. Mohan ◽

N. N. Wig

Keyword(s):

Emergency Room ◽

General Hospital ◽

Outpatient Treatment ◽

Psychiatric Illness ◽

Not Given ◽

Psychiatric Emergencies ◽

Case Load ◽

Alcohol Related Problems

Alcohol-related problems made up 17.6% of the case load of psychiatric emergencies in an Indian general hospital. The police brought three-quarters of them, 45% for quarrels, street-fights and under influence of alcohol and 20% for minor offences like abusing in public. A psychiatric illness was definitely present in 40% of the cases. Only 10% of the patients with alcohol-related problems were referred for outpatient treatment, Eighty-five percent were not given any follow-up advice because the patients said they needed no help.

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Patient-reported outcomes in clinical practice

Hematology ◽

10.1182/asheducation-2015.1.501 ◽

2015 ◽

Vol 2015 (1) ◽

pp. 501-506 ◽

Cited By ~ 31

Author(s):

Sarah Dobrozsi ◽

Julie Panepinto

Keyword(s):

Clinical Practice ◽

Patient Outcomes ◽

Patient Reported Outcomes ◽

Clinical Care ◽

Patient Reported Outcome ◽

Physician Communication ◽

Valuable Data ◽

Patient Reported ◽

Improve Patient

Abstract Patient-reported outcome (PRO) measurement plays an increasingly important role in health care and understanding health outcomes. PROs are any report of a patient's health status that comes directly from the patient, and can measure patient symptoms, patient function, and quality-of-life. PROs have been used successfully to assess impairment in a clinical setting. Use of PROs to systematically quantify the patient experience provides valuable data to assist with clinical care; however, initiating use of PROs in clinical practice can be daunting. Here we provide suggestions for implementation of PROs and examples of opportunities to use PROs to tailor individual patient therapy to improve patient outcomes, patient–physician communication, and the quality of care for hematology/oncology patients.

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Ulcerative colitis

InnovAiT Education and inspiration for general practice ◽

10.1177/1755738019856030 ◽

2019 ◽

Vol 12 (9) ◽

pp. 501-506

Author(s):

Charlie Andrews

Keyword(s):

Quality Of Life ◽

Ulcerative Colitis ◽

Primary Care ◽

Patient Outcomes ◽

Colon And Rectum ◽

Inflammatory Bowel ◽

Primary Care Clinicians ◽

Improve Patient ◽

Prompt Diagnosis

Ulcerative colitis is a form of inflammatory bowel disease. It is a chronic relapsing condition affecting the colon and rectum and can cause a variety of symptoms, the commonest of which is bloody diarrhoea. Prompt diagnosis, as well as flare identification and management by primary care clinicians can improve patient outcomes such as disease progression and effects on quality of life.

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A Nurse-Driven Peripherally Inserted Central CatheterTeam Exhibits Excellence Through Teamwork

Journal of the Association for Vascular Access ◽

10.2309/11-3-9 ◽

2006 ◽

Vol 11 (3) ◽

pp. 135-143 ◽

Cited By ~ 7

Author(s):

Renee Ean ◽

Jane Kirmse ◽

Jennifer Roslien ◽

Kate Dickerson ◽

Elizabeth Grimes ◽

...

Keyword(s):

Organizational Performance ◽

Patient Outcomes ◽

Collaborative Research ◽

National Level ◽

Success Rates ◽

Staff Time ◽

The Past ◽

Placement Success ◽

Improve Patient

Abstract Studies have demonstrated that a dedicated peripherally inserted central catheter (PICC) team can reduce costs, lead to efficient use of staff time, improve patient outcomes, and improve organizational performance. A dedicated, nurse-driven PICC team at the authors' facility has demonstrated excellence through teamwork. Over the past three years, the PICC team has made significant strides in the quality of service provided to patients. The goals of the team consisted of (1) improving PICC-placement success rates; (2) developing an electronic database to track patient outcomes; (3) constructing protocols and guidelines to improve efficiency, appropriate use of PICC lines, and patient safety; and (4) pursuing collaborative research projects, publications, and presentations at the local and national level.

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A novel application of the lotus petal flap in high-risk perineal urethrostomy: principles and outcomes

Australasian Journal of Plastic Surgery ◽

10.34239/ajops.v1i1.17 ◽

2018 ◽

Vol 1 (1) ◽

pp. 137-141 ◽

Cited By ~ 1

Author(s):

Daniel J Reilly ◽

Eric K Sham ◽

Justin BL Chee ◽

Ajay Chauhan

Keyword(s):

High Risk ◽

Patient Outcomes ◽

Ileal Conduit ◽

Soft Tissue Coverage ◽

Skin Flaps ◽

Flexible Cystoscopy ◽

Urethral Strictures ◽

Lotus Petal Flap

Introduction: Perineal urethrostomy is a valuable technique in the management of complex anterior urethral strictures, as well as following penectomy or urethrectomy. Traditional techniques that employ perineal or scrotal skin flaps have documented failure rates of up to 30%. Current techniques for salvage have only modest success, leaving patients few options other than permanent suprapubic catheter or cystectomy and ileal conduit formation.Results: We present a new method of perineal urethrostomy using perforator-based lotus petal flaps in cases which were high risk or unsuitable for traditional perineal urethrostomy techniques, or where traditional strategies had failed. All patients demonstrated continent voiding at a minimum of 22 months follow-up, with patency confirmed by flexible cystoscopy. No complications were encountered.Conclusion: Utilisation of lotus petal flaps in high-risk cases of perineal urethrostomy will lead to significant improvements in patient outcomes. The availability of larger amounts of soft tissue coverage will obviate the need for compromise on either resection of involved urethra, or calibre and inset of urethrostomy. This will subsequently minimise the rates of failure, reduce the requirement for urinary diversion procedures and lead to improved quality of life.

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Heart Failure: Novel and Emerging Therapies

Canadian Journal of General Internal Medicine ◽

10.22374/cjgim.v15isp1.419 ◽

2020 ◽

Vol 15 (SP1) ◽

pp. 22-26

Author(s):

Shiva Nandiwada ◽

Justin Ezekowitz ◽

Nawaf Al-Majed

Keyword(s):

Heart Failure ◽

Patient Outcomes ◽

Poor Prognosis ◽

Large Scale ◽

Novel Therapies ◽

Efficacy And Safety ◽

Emerging Therapies ◽

Interventional Therapies ◽

Improve Patient

Heart failure (HF) is increasing in prevalence and continues to have poor prognosis despite using up-to-date guideline-directed medical treatment and device intervention. There is a dire need for new therapies that can improve patient outcomes. New recently tested medical and interventional therapies have proven effective in reducing the morbidity, mortality and improving the quality of life for patients with HF and these therapies are discussed in details in this review. Ongoing large scale clinical trials are underway to determine the efficacy and safety of novel therapies of HF. Development of these medical and interventional therapies are improving our understanding of HF and paving the way to better clinical outcomes.

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