scholarly journals For which reasons are newborns brought to the emergency department?

2021 ◽  
Vol 106 (106(813)) ◽  
pp. 165-176
Author(s):  
M. Heppe-Montero ◽  
E. Martínez-Sánchez ◽  
F. Olivas-Monteagudo ◽  
J.A. Quesada ◽  
F. Aleixandre-Blanquer
Keyword(s):  
Emergency Department ◽  
Emergency Room ◽  
Emergency Services ◽  
Hospital Emergency Department ◽  
Hospital Emergency ◽  
Upper Respiratory Infection ◽  
Self Employment ◽  
Younger Age ◽  
Hospital Emergency Room ◽  
Socio Demographic Factors

Objectives: Compare what sanitary and socio-demographic factors present the newborns that were attended in the hospital emergency room in regard to the newborns who don’t visit the hospital during their first month of life. Methods: A retrospective observational case-control study was performed, considering as cases those neonates who were brought to the hospital emergency department during their first month of life, matched with control of their same sex and age, born in the hospital but that hadn’t visited the emergency room. Results: 15.15% of the newborns were brought to the hospital emergency department during the year of the study. The main risk factors associated with the visits to the emergency room were: Unemployment, self-employment, and the mother’s younger age. The main reasons why the newborns were brought were: Phisiological phenomena of the newborn (17.4%), upper respiratory infection (13.4%), and colic or crying (12.8%). Conclusions: Newborns can manifest a wide variety of symptoms and signs that, due to their non-specificity, generate anxiety in their parents and can generate numerous visits to the emergency services, with a higher probability of hospitalization due to their young age and the physician’s caution, rather than due to severity of the illness.

scholarly journals Comparison of Kristjansson Respiratory Score and Wang Respiratory Score in infants with bronchiolitis in a hospital emergency department

2020 ◽  
Vol 40 (02) ◽  
pp. 145-153
Author(s):  
Frederico Ramos Pinto ◽  
Liane Correia-Costa ◽  
Inês Azevedo
Keyword(s):  
Emergency Department ◽  
Emergency Room ◽  
Internal Consistency ◽  
Health Professionals ◽  
Prospective Observational Study ◽  
Intraclass Correlation ◽  
Weighted Kappa ◽  
Hospital Emergency ◽  
Rater Reliability ◽  
Hospital Emergency Room

Objective: Several respiratory scores have been created to evaluate bronchiolitis’ severity level, but it is still not clear which is the best score. The aim of this study is to compare the Wang Respiratory Score (WRS) and the Kristjansson Respiratory Score (KRS) in the setting of an emergency room. Methods: We performed a prospective observational study with 60 infants with bronchiolitis admitted to a paediatric emergency department. For both scores, we assessed inter-rater reliability between two different health professionals (physician and physiotherapist), internal consistency, and correlation with SpO2 testing the intraclass-correlation coefficient (ICC), weighted kappa, Cronbach [Formula: see text] coefficient and Spearman tests, respectively. Results: The inter-rater reliability was higher in KRS (ICC 0.79) and the Cronbach [Formula: see text] and weighted kappa had similar values in KRS versus WRS. The correlation between the KRS/WRS and SpO2 was poor/moderate upon admission and discharge for the first observer and the second observer. Conclusions: While the internal consistency was similar in both scores, inter-rater reliability of KRS was higher than WRS, which allows us to conclude that it would have more consistent results when used to assess bronchiolitis’ level of severity by health personnel in a busy hospital emergency room.

Psychiatric Emergency Services a Decade Later

1973 ◽  
Vol 4 (3) ◽  
pp. 273-290 ◽  
Author(s):  
Howard Zonana ◽  
Jerzy E. Henisz ◽  
Michael Levine
Keyword(s):  
Emergency Room ◽  
Emergency Service ◽  
Emergency Services ◽  
Mental Health Center ◽  
Primary Treatment ◽  
Hospital Emergency ◽  
Socioeconomic Groups ◽  
The Past ◽  
Lower Socioeconomic ◽  
Hospital Emergency Room

The changes in the functioning of the psychiatric component of a general hospital emergency room were assessed over the past decade. The effect of its incorporation into a community mental health center as its emergency service was seen to exert a significant increase in its utilization. Admissions increased threefold over the ten year period and the 15–21 age group increased by twice that amount. Analysis of census and social class data showed a significant effect of distance on only the lower socioeconomic groups. Diagnostic and dispositional shifts were seen as showing an increase in utilization by less disturbed patients who use the emergency room as their primary treatment resource. The rise in the drug addictions is striking and may mask other diagnoses.

Designing Affordance-Based Procedures Using Heuristic Cognitive Work Analysis: Application to Triage in an Emergency Department

2021 ◽  
pp. 155534342110295
Author(s):  
Thierry Morineau ◽  
Mounia Djenidi-Delfour ◽  
Fabrice Arnault
Keyword(s):  
Emergency Department ◽  
Degrees Of Freedom ◽  
Qualitative Evaluation ◽  
Hospital Emergency Department ◽  
Extended Version ◽  
Cognitive Work Analysis ◽  
Hospital Emergency ◽  
Work Analysis ◽  
Cognitive Work ◽  
Analysis Application

This study describes the concept of affordance-based procedure and its implementation in a triage station in a hospital emergency department. Rather than seeking to increase operators’ adherence to procedures, an affordance-based procedure (1) aims to induce task steps using affordances that also (2) support degrees of freedom for action. The design of this procedure was guided by the application of an extended version of cognitive work analysis, named “heuristic cognitive work analysis.” This design process produced a new procedural document: a reception card. Ten months after its implementation, a qualitative evaluation with 10 triage nurses shows that the reception card is viewed as supporting coordination between the different nurses’ tasks and providing an external memory to cope with frequent interruptions during high patient inflow, even though the document is used for convenience and with unexpected and partial uses of its items. The document assessed also afforded emerging benefits, that is, acceleration of ambulance release, higher level of confidentiality, assistance for staff hand-overs. Finally, novice triage nurses are particularly sensitive to the benefits brought by this affordance-based procedure.

Sign in / Sign up

Export Citation Format

Share Document