scholarly journals EMERGENCY DEPARTMENT OCCUPANCY ASSESSMENT IN LITHUANIA

2017 ◽  
Vol 39 (4) ◽  
pp. 537-551
Author(s):  
Gintautas Virketis ◽  
Vinsas Janušonis
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Intensive Care ◽  
Patient Care ◽  
Waiting Time ◽  
Negative Consequences ◽  
Number Of Patients ◽  
Quality Of Patient Care ◽  
Patient Health

Emergency department (ED) occupancy can cause many negative consequences for the quality of patient care. The purpose was to find out the reasons for the increased occupancy of the ED, to determine the appropriate criteria for the assessment of ED occupancy and the limits of waiting queues or waiting time. The heads and managers of Lithuanian in-patient health care institutions and ambulance services, in-patient reanimation and intensive care units and emergency departments were interviewed. The reasons for the increased waiting time of the ED and the appropriate criteria for the assessment of ED occupancy were determined: "the number of patients waiting in the queue" and “the estimated waiting time before doctor examination”.

STUDY OF DERMATOLOGICAL EMERGENCIES AT A TERTIARY HEALTH CARE INSTITUTION

2021 ◽  
pp. 12-14
Author(s):  
V. Lakshmi Sarojini ◽  
T. Sahitya ◽  
Ch. Sowjanya
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Intensive Care ◽  
Multidisciplinary Approach ◽  
Morbidity Rate ◽  
Drug Reactions ◽  
Institutional Level ◽  
Study Centre ◽  
Set Up

Introduction:- Dermatological emergencies represent 8-20% of the emergencies presenting to emergency department. There are varying etiologies for these emergencies from neonatal age to adults . Aims and objectives:- To improve awareness of the need for intensive medical care with a multidisciplinary approach by a team of specialist doctors (physicians , intensivists, paediatricians etc., ) along with dermatologists thus to decline the fatality & morbidity rate in dermatological emergencies . Methodology:- All cases presenting to DVL OP , Casuality , intensive care units of the study centre requiring emergency dermatological consultation were included . The results are analysed for age , sex wise distribution and total number of cases as per etiology and outcome of the disease. Results:- Out of the 158 cases studied over a period of 9 months , 88 were males and 70 were females, among which 35 were children. True dermatological emergencies were 46 , other 112 required dermatological consultation on emergency basis . The main etiological factors are infections(34) , drug reactions (27) , vesiculobullous dermatoses(17) etc. Mortality seen in 4 cases . Conclusion:- During the study we learnt that multidisciplinary approach improves the quality of management and nal outcome. Gaining prociency at an institutional level which has a DICU set up with multidisciplinary approach will enable upcoming dermatologists to establish a hospital set up which can manage dermatological emergencies condently instead of limiting to clinical setup.

scholarly journals Rationing of Nursing Care in Intensive Care Units

2020 ◽  
Vol 17 (19) ◽  
pp. 6944
Author(s):  
Agnieszka Młynarska ◽  
Anna Krawuczka ◽  
Ewelina Kolarczyk ◽  
Izabella Uchmanowicz
Keyword(s):  
Job Satisfaction ◽  
Intensive Care ◽  
Patient Care ◽  
Intensive Care Units ◽  
Nursing Care ◽  
Sociodemographic Factors ◽  
Quality Of Patient Care ◽  
Wide Range ◽  
Experienced Fatigue

The nursing practice refers to a wide range of tasks and responsibilities. In a situation where there is a problem of limited resources, nurses are forced to ration the patient’s care—that is, minimize and skip some tasks. The main purpose of this work was to assess the rationing level of nursing care among staff in the intensive care units. Methods: The research included 150 anaesthesiological nurses in the Silesian Region in Poland. The research was conducted from July to October 2019 using the standardized Perceived Implicit Rationing of Nursing Care (PRINCA) questionnaire on rationing nursing care, assessing the quality of patient care, and job satisfaction. The Modified Fatigue Impact Scale (MFIS) standardized questionnaire was used to assess the level of fatigue of respondents in the physical, cognitive, and psychosocial spheres. Results: Sociodemographic factors, such as gender, age, place of residence, education, seniority, and type of employment were not found to affect the rationing level of nursing care in the intensive care unit. The average quality of patient care was 6.05/10 points, while the average job satisfaction rating was 7.13/10 points. Analysis of the MFIS questionnaire showed that respondents experienced fatigue between “rare” and “sometimes”, and nursing staff fatigue was the main factor for rationing care. Conclusions: The higher the level of fatigue, the greater the rationing of care and the less satisfaction from work.

scholarly journals Improving Quality of Patient Care in an Emergency Department

2008 ◽  
Vol 130 (4) ◽  
pp. 573-577 ◽  
Author(s):  
Chelsea Sheppard ◽  
Nicole Franks ◽  
Frederick Nolte ◽  
Corinne Fantz
Keyword(s):  
Emergency Department ◽  
Patient Care ◽  
Quality Of Patient Care

scholarly journals Quality of Patient Care in Hospital Administration: A Review

2021 ◽  
pp. 1-7
Author(s):  
Hamed Salem S. Albalwei ◽  
Nazim Faisal Hamed Ahmed
Keyword(s):  
Health Care ◽  
Health Services ◽  
Patient Care ◽  
Health Care Quality ◽  
Hospital Management ◽  
Care Quality ◽  
Current Evidence ◽  
Quality Of Patient Care ◽  
Quality Of Health Services

Patients in need of healthcare expect high quality personalized care, which is also the primary goal of service providers. The main objective of our study was to synthesize the current evidence on the quality of patient care in hospital management. Methods: MEDLINE, Embase, CINAHL, PsycInfo, and ASSIA were searched from 2000 to April 2021, and reference lists of included studies were searched. The included studies describe the current evidence for the quality of patient care in hospital management. No software was used to analyze the data. The data are extracted on the basis of a specific form containing (Name of the author, year of publication, country, method and results). Results and Conclusions: Communicating a better understanding of health care quality is an important preliminary step towards health care quality research and initiatives. Without clear meaning, quality improvement can be sporadic or ineffective. Competent authorities should consider shaping the curriculum to provide training for future professionals to increase patient satisfaction. Improving the quality of health services requires strong leadership from national governments, targeted local support and action at the health facility level. At all levels, there is a need to engage and empower the communities served by the health system. Improving the quality of health services requires special attention to the creation and learning of knowledge. Lessons on the delivery of quality care should be systematically documented, documented and shared within and across countries. 

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