Utility of a Triage Risk Screening Tool to Predict Health Care Outcomes in Older Emergency Department Patients

2002 ◽  
Vol 9 (5) ◽  
pp. 385-385 ◽  
Author(s):  
S. W Meldon
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Screening Tool ◽  
Risk Screening ◽  
Health Care Outcomes ◽  
Care Outcomes ◽  
Emergency Department Patients

scholarly journals Implementation of Stroke Dysphagia Screening in the Emergency Department

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Stephanie K. Daniels ◽  
Jane A. Anderson ◽  
Nancy J. Petersen
Keyword(s):  
Emergency Department ◽  
Process Improvement ◽  
Screening Tool ◽  
Patient Contact ◽  
Health Care Outcomes ◽  
Improvement Plan ◽  
Care Outcomes ◽  
Suspected Stroke ◽  
Swallowing Screening

Early detection of dysphagia is critical in stroke as it improves health care outcomes. Administering a swallowing screening tool (SST) in the emergency department (ED) appears most logical as it is the first point of patient contact. However, feasibility of an ED nurse-administered SST, particularly one involving trial water swallow administration, is unknown. The aims of this pilot study were to (1) implement an SST with a water swallow component in the ED and track nurses’ adherence, (2) identify barriers and facilitators to administering the SST through interviews, and (3) develop and implement a process improvement plan to address barriers. Two hundred seventy-eight individuals with stroke symptoms were screened from October 2009 to June 2010. The percentage of patients screened increased from 22.6 in October 2009 to a high of 80.8 in March 2010, followed by a decrease to 61.9% in June (Cochran-Armitage testz=-5.1042, P<0.0001). The odds of being screened were 4.0 times higher after implementation compared to two months before implementation. Results suggest that it is feasible for ED nurses to administer an SST with a water swallow component. Findings should facilitate improved quality of care for patients with suspected stroke and improve multidisciplinary collaboration in swallowing screening.

Development of a Homelessness Risk Screening Tool for Emergency Department Patients

2021 ◽  
Author(s):  
Kelly M. Doran ◽  
Eileen Johns ◽  
Sara Zuiderveen ◽  
Marybeth Shinn ◽  
Kinsey Dinan ◽  
...  
Keyword(s):  
Emergency Department ◽  
Screening Tool ◽  
Risk Screening ◽  
Emergency Department Patients

Identifying trajectories of change to improve understanding of integrated health care outcomes on PTSD symptoms post disaster.

2017 ◽  
Vol 35 (2) ◽  
pp. 155-166 ◽  
Author(s):  
Howard J. Osofsky ◽  
Carl F. Weems ◽  
Tonya Cross Hansel ◽  
Anthony H. Speier ◽  
Joy D. Osofsky ◽  
...  
Keyword(s):  
Health Care ◽  
Integrated Health Care ◽  
Ptsd Symptoms ◽  
Health Care Outcomes ◽  
Integrated Health ◽  
Care Outcomes ◽  
Trajectories Of Change ◽  
Post Disaster

On-screen computer reminders: effects on professional practice and health care outcomes

1998 ◽  
Author(s):  
Richard Gordon ◽  
Jeremy Grimshaw ◽  
Martin Eccles ◽  
Rachel Rowe ◽  
Jeremy Wyatt
Keyword(s):  
Health Care ◽  
Professional Practice ◽  
Health Care Outcomes ◽  
Care Outcomes ◽  
Computer Reminders

scholarly journals A systematic review examining the clinical and health-care outcomes for congenital heart disease patients using home monitoring programmes

2021 ◽  
pp. 1357633X2098405
Author(s):  
Rachel Crawford ◽  
Ciara Hughes ◽  
Sonyia McFadden ◽  
Jacqui Crawford
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Case Series ◽  
Home Monitoring ◽  
Risk Of Bias ◽  
Health Care Outcomes ◽  
Care Outcomes

Objectives This review aimed to present the clinical and health-care outcomes for patients with congenital heart disease (CHD) who use home monitoring technologies. Methods Five databases were systematically searched from inception to November 2020 for quantitative studies in this area. Data were extracted using a pre-formatted data-collection table which included information on participants, interventions, outcome measures and results. Risk of bias was determined using the Cochrane Risk of Bias 2 tool for randomised controlled trials (RCTs), the Newcastle–Ottawa Quality Assessment Scale for cohort studies and the Institute of Health Economics quality appraisal checklist for case-series studies. Data synthesis: Twenty-two studies were included in this systematic review, which included four RCTs, 12 cohort studies and six case-series studies. Seventeen studies reported on mortality rates, with 59% reporting that home monitoring programmes were associated with either a significant reduction or trend for lower mortality and 12% reporting that mortality trended higher. Fourteen studies reported on unplanned readmissions/health-care resource use, with 29% of studies reporting that this outcome was significantly decreased or trended lower with home monitoring and 21% reported an increase. Impact on treatment was reported in 15 studies, with 67% of studies finding that either treatment was undertaken significantly earlier or significantly more interventions were undertaken in the home monitoring groups. Conclusion The use of home monitoring programmes may be beneficial in reducing mortality, enabling earlier and more timely detection and treatment of CHD complication. However, currently, this evidence is limited due to weakness in study designs.

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