scholarly journals Development of performance indicators for systems of urgent and emergency care in the Republic of Ireland: Systematic review and consensus development exercise

2018 ◽  
Vol 1 ◽  
pp. 6 ◽  
Author(s):  
Siobhan Boyle ◽  
Rebecca Dennehy ◽  
Orla Healy ◽  
John Browne
Keyword(s):  
Systematic Review ◽  
Emergency Care ◽  
Performance Indicators ◽  
Urgent Care ◽  
Nominal Group ◽  
Consensus Development ◽  
Republic Of Ireland ◽  
Full Text Review ◽  
Care Systems ◽  
The Republic

Objectives: To develop a set of performance indicators to monitor the performance of emergency and urgent care systems in the Republic of Ireland. Design: This study comprised of an update of a previously performed systematic review and a formal consensus development exercise. Results: Initial literature searches yielded 2339 article titles.  After further searches, sixty items were identified for full-text review. Following this review, fifty-seven were excluded. Three articles were identified for inclusion in the systematic review. These papers produced 42 unique indicators for consideration during the consensus development exercise. In total, 17 indicators had a median of greater than 7 following the meeting and met our pre-specified criterion for acceptable consensus. Discussion: Using this systematic review and nominal group consensus development exercise, we have identified a set of 17 indicators, which a consensus of different experts regard as potentially good measures of the performance of urgent and emergency care systems in Ireland.

scholarly journals Development of performance indicators for systems of urgent and emergency care in the Republic of Ireland. Update of a systematic review and consensus development exercise

2019 ◽  
Vol 1 ◽  
pp. 6 ◽  
Author(s):  
Siobhan Boyle ◽  
Rebecca Dennehy ◽  
Orla Healy ◽  
John Browne
Keyword(s):  
Systematic Review ◽  
Emergency Care ◽  
Performance Indicators ◽  
Online Survey ◽  
Urgent Care ◽  
Nominal Group ◽  
Consensus Development ◽  
Republic Of Ireland ◽  
Care Systems ◽  
The Republic

Objectives: To develop a set of performance indicators to monitor the performance of emergency and urgent care systems in the Republic of Ireland. Design: This study comprised of an update of a previously performed systematic review and a formal consensus development exercise. The literature search was conducted in PubMed and covered the period 2008 to 2014. The results of the review were used to inform a consensus group of 17 national experts on urgent and emergency care in Ireland. The consensus development exercise comprised an online survey followed by a face-to-face nominal group technique meeting. During this meeting participants had the opportunity to revise their preferences for different indicators after listening to the views of other group members. A final online survey was then used to confirm the preferences of participants. Results: Initial literature searches yielded 2339 article titles.  After further searches, sixty items were identified for full-text review. Following this review, fifty-seven were excluded. Three articles were identified for inclusion in the systematic review. These papers produced 42 unique indicators for consideration during the consensus development exercise. In total, 17 indicators had a median of greater than 7 following the meeting and met our pre-specified criterion for acceptable consensus. Discussion: Using this systematic review and nominal group consensus development exercise, we have identified a set of 17 indicators, which a consensus of different experts regard as potentially good measures of the performance of urgent and emergency care systems in Ireland. Pragmatic implications are discussed with reference to three subsequently performed original studies which used some of the indicators

scholarly journals Measuring health equity in emergency care using routinely collected data: a systematic review

2020 ◽  
Author(s):  
Kevin Morisod ◽  
Xhyljeta Luta ◽  
Joachim Marti ◽  
Jacques Spycher ◽  
Mary Malebranche ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care System ◽  
Administrative Data ◽  
Emergency Care ◽  
Health Care Systems ◽  
Health Care Equity ◽  
Care Systems ◽  
Ed Visits ◽  
Care System

Abstract Abstract Background : Achieving equity in health care remains a challenge for health care systems worldwide and marked inequities in access and quality of care persist. The performance assessment of health care systems is often limited to quality and efficiency indicators. Identifying indicators of health care equity is an important first step in integrating the concept of equity into assessments of health care system performance. Because emergency care serves as the interface between ambulatory and inpatient care, it is arguably an opportune setting in which to begin this process. Methods: We conducted a systematic review of administrative data-derived health care equity indicators and their association with socio-economic determinants of health (SEDH) in emergency care settings. Following PRISMA-Equity reporting guidelines, Ovid MEDLINE, EMBASE, PUBMED and Web of Science were searched for relevant studies. The outcomes of interest were indicators of health care equity and the associated SEDH they examine. Results: Among 29 studies identified, 14 equity indicators were identified and grouped into four categories that reflect the patient emergency care pathway. Total emergency department (ED) visits and ambulatory care sensitive condition-related ED visits were the two most frequently used equity indicators. The studies analysed equity based on seven SEDH: social deprivation, income, education level, social class, insurance coverage, health literacy and financial and non-financial barriers. Despite some conflicting results, all identified SEDH are associated with inequalities in access to and use of emergency care. Conclusion: The use of administrative data-derived indicators in combination with identified SEDH could improve the measurement of health care equity in emergency care settings across health care systems worldwide. Using a combination of indicators is likely to lead to a more comprehensive, well-rounded measurement of health care equity than using any one indicator in isolation. Though studies analysed focused on emergency care settings, it seems possible to extrapolate these indicators to measure equity in other areas of the health care system. Further studies elucidating root causes of health inequities in and outside the health care system are needed. .

scholarly journals Epidemiology of diabetes and complications among adults in the Republic of Ireland 1998-2015: a systematic review and meta-analysis

2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Marsha L. Tracey ◽  
Michael Gilmartin ◽  
Kate O’Neill ◽  
Anthony P. Fitzgerald ◽  
Sheena M. McHugh ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Republic Of Ireland ◽  
The Republic

Some Influences on Regional Variation in Frequency of Prescription of Electroconvulsive Therapy

1988 ◽  
Vol 152 (2) ◽  
pp. 196-200 ◽  
Author(s):  
R. H. Latey ◽  
T. J. Fahy
Keyword(s):  
Electroconvulsive Therapy ◽  
Health Care Systems ◽  
Psychiatric Admission ◽  
Non Profit ◽  
Republic Of Ireland ◽  
Private Care ◽  
Admission Rates ◽  
Hospital Variation ◽  
Care Systems ◽  
The Republic

A Republic of Ireland national survey of electroconvulsive therapy (ECT) showed wide inter-hospital variation in ECT rates. Psychiatric admission rates, professional attitudes, and patient turnover were found to predict these rates. No significant association was found between ECT rates and public/private care or other socio-economic factors. A limited examination of British admission data revealed a similar set of correlations, suggesting that the findings may apply in non-profit health-care systems outside the Republic of Ireland.

A systematic review and thematic synthesis of research on school leadership in the Republic of Ireland

2019 ◽  
Vol 57 (6) ◽  
pp. 675-689 ◽  
Author(s):  
Gavin Murphy
Keyword(s):  
Systematic Review ◽  
School Leadership ◽  
Future Directions ◽  
Content Type ◽  
Republic Of Ireland ◽  
Thematic Synthesis ◽  
The Republic ◽  
Secondary School Leadership ◽  
Leadership Research ◽  
Practical Implications

Purpose The purpose of this paper is to review and generate themes evident in research on primary and post-primary (secondary) school leadership in the Republic of Ireland (Ireland) from 2008 to 2018. Design/methodology/approach This paper follows the steps of a systematic review and thematic synthesis. Findings Following the review, six themes are identified and described, summarising the most current school leadership research in Ireland. Practical implications Potential future directions of research are identified. Originality/value No review of research on school leadership in Ireland is currently available and this is timely given the policy context’s recent focus on school leadership. The steps taken to conduct the review are clearly outlined.

scholarly journals Handover of Critical Patients in Urgent Care and Emergency Settings: A Systematic Review of Validated Assessment Tools

2021 ◽  
Vol 10 (24) ◽  
pp. 5736
Author(s):  
Ruth Tortosa-Alted ◽  
Estrella Martínez-Segura ◽  
Marta Berenguer-Poblet ◽  
Sílvia Reverté-Villarroya
Keyword(s):  
Systematic Review ◽  
Psychometric Properties ◽  
Emergency Care ◽  
Assessment Tool ◽  
Assessment Tools ◽  
Urgent Care ◽  
Healthcare Team ◽  
Evaluation Tools ◽  
Cosmin Checklist ◽  
Critical Patients

The emergency handover of critical patients is used to describe the moment when responsibility for the care of a patient is transferred from one critical patient care healthcare team to another, requiring the accurate delivery of information. However, the literature provides few validated assessment tools for the transfer of critical patients in urgent care and emergency settings. To identify the available evaluation tools that assess the handover of critical patients in urgent and emergency care settings in addition to evaluations of their psychometric properties, a systematic review was carried out using PubMed, Scopus, Cinahl, Web of Science (WoS), and PsycINFO, in accordance with PRISMA guidelines. The quality of the studies was assessed using the COSMIN checklist. Finally, eight articles were identified, of which only three included validated tools for evaluating the handover of critical patients in emergency care. Content validity, construct validity, and internal consistency were the most studied psychometric properties. Three studies evaluated error and reliability, criterion validity, hypothesis testing, and sensitivity. None of them considered cross-cultural adaptation or the translation process. This systematic psychometric review shows the existing ambiguities in the handover of critically ill patients and the scarcity of validated evaluation tools. For all of these reasons, we consider it necessary to further investigate urgent care and emergency handover settings through the design and validation of an assessment tool.

scholarly journals Healthcare in transition in the Republic of Armenia: the evolution of emergency medical systems and directions forward

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Sharon Chekijian ◽  
Nune Truzyan ◽  
Taguhi Stepanyan ◽  
Alexander Bazarchyan
Keyword(s):  
International Development ◽  
Emergency Care ◽  
Age Groups ◽  
Current Drive ◽  
Medical Systems ◽  
Differential Growth ◽  
Heart Attacks ◽  
International Agencies ◽  
Care Systems ◽  
The Republic

AbstractArmenia, an ex-Soviet Republic in transition since independence in 1991, has made remarkable strides in development. The crisis of prioritization that has plagued many post-Soviet republics in transition has meant differential growth in varied sectors in Armenia. Emergency systems is one of the sectors which is neglected in the current drive to modernize. The legacy of the Soviet Semashko system has left a void in specialized care including emergency care. This manuscript is a descriptive overview of the current state of emergency care in Armenia using in-depth key informant interviews and review of published and unpublished internal United States Agency for International Development (USAID) and Ministry of Health (MOH) documents as well as data from the Yerevan Municipal Ambulance Service and international agencies. The Republic of Artsakh is briefly discussed.The development of emergency care systems is an extremely efficient way to provide care across many different conditions in many age groups. Conditions such as traumatic injuries, heart attacks, cardiac arrest, stroke, and respiratory failure are very time-dependent. Armenia has a decent emergency infrastructure in place and has the benefit of an educated and skilled physician workforce. The missing piece of the puzzle appears to be investment in graduate and post-graduate education in emergency care and development of hospital-based emergency care for stabilization of stroke, myocardial infarction, trauma, and sepsis as well as other acute conditions.

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