A Managerial View of Hospital Accident and Emergency Department - a Critical Unit of Health Care Services

2004 ◽  
Vol 2 (2) ◽  
pp. 25
Author(s):  
Mohd. Faisal Khan ◽  
Humera Khan
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Health Care Services ◽  
Care Services ◽  
Accident And Emergency ◽  
Accident And Emergency Department ◽  
Critical Unit

Emergency Department Return Prediction System using Blood Samples with LightGBM for Smart Health Care Services

2020 ◽  
pp. 1-1
Author(s):  
Younghwan Shin ◽  
Sangdo Kim ◽  
Jong-Moon Chung ◽  
Hyun Soo Chung ◽  
Sang Gil Han ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Health Care Services ◽  
Prediction System ◽  
Blood Samples ◽  
Care Services ◽  
Smart Health

Conscientious Refusals by Hospitals and Emergency Contraception

2011 ◽  
Vol 20 (1) ◽  
pp. 130-138 ◽  
Author(s):  
MARK R. WICCLAIR
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Sexual Assault ◽  
Emergency Contraception ◽  
Health Care Services ◽  
Goods And Services ◽  
Care Services ◽  
Catholic Health Care ◽  
Life Sustaining Treatment ◽  
Nutrition And Hydration

Hospitals sometimes refuse to provide goods and services or honor patients’ decisions to forgo life-sustaining treatment for reasons that appear to resemble appeals to conscience. For example, based on the Ethical and Religious Directives for Catholic Health Care Services (ERD), Catholic hospitals have refused to forgo medically provided nutrition and hydration (MPNH), and Catholic hospitals have refused to provide emergency contraception (EC) and perform abortions or sterilization procedures. I consider whether it is justified to refuse to offer EC to victims of sexual assault who present at the emergency department (ED). A preliminary question, however, is whether a hospital’s refusal to provide services can be conceptualized as conscience based.

Everyday J.

2020 ◽  
pp. 141-146
Author(s):  
Chadd K. Kraus
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Emergency Department ◽  
Hospital Admission ◽  
Health Care Services ◽  
Medical Emergency ◽  
State Laws ◽  
Admission Rates ◽  
Care Services ◽  
Ed Visits

Commonly defined as having greater than four emergency department (ED) visits in a year, patients who are frequent users of the ED make up an estimated 3.5% to 10% of all ED visits and have been reported to account for nearly a third of all ED use. Frequent ED users have higher mortality, higher hospital admission rates, and higher use of all health care services, both specialty and primary care, compared to other patients using the ED. These patients should have the autonomy to access ED evaluation and care if he or she believes he or she has a medical emergency. This principle has been codified into both federal and many state laws protecting the “prudent layperson standard.” These patients should not be coerced to not seek ED care if the person believes he or she has an emergent condition.

Frequent use of the hospital emergency department is indicative of high use of other health care services

2001 ◽  
Vol 37 (6) ◽  
pp. 561-567 ◽  
Author(s):  
Helen Hansagi ◽  
Mariann Olsson ◽  
Stefan Sjöberg ◽  
Ylva Tomson ◽  
Sara Göransson
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Health Care Services ◽  
Hospital Emergency Department ◽  
Hospital Emergency ◽  
Care Services ◽  
Frequent Use

Discharge against medical advice at the adult accident and emergency department in a tertiary hospital of a developing nation

2020 ◽  
Vol 18 (2) ◽  
pp. 88-92
Author(s):  
Henry Chinedum Ekwedigwe ◽  
◽  
Anthony Jude Edeh ◽  
Anthony Chigozie Nevo ◽  
Remigius Tochukwu Ekwunife ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Medical Advice ◽  
Health Care Provision ◽  
Financial Constraint ◽  
Care Provision ◽  
Against Medical Advice ◽  
Accident And Emergency ◽  
Accident And Emergency Department ◽  
Discharge Against Medical Advice

Introduction. The goals of health care provision include that it be accessible, acceptable, affordable and adequate. Discharge against medical advice (DAMA) is a failure of proper health care provision as there is disagreement arising from dissatisfaction with provided health care. DAMA is common in our sub-region because of many reasons; these includes ignorance, financial constraint of the patient, beliefs in unorthodox care and patients feeling that they are well when their caregivers do not think so. Aim. The objectives of this study are to determine the incidence, method of documentation of DAMA in the case notes and patients reasons for DAMA in our tertiary health institution. The A&E of any hospital in our environment attracts public criticism when there is dissatisfaction with services and DAMA when not handled well can lead to justifiable criticisms and/or litigations. Material and methods. This is a retrospective study. It was carried out at the adult accident and emergency department of Enugu state university of technology teaching hospital Enugu. Duration of the study was from January 2017 to December 2018. Results. A total of 8,152 patients were seen in the accident and emergency during this period. One hundred and seventy one (171) case notes were retrieved and reviewed for the study, DAMA rate of 2.1% was obtained. Fifty one folders (29.8%) did not have reason for the DAMA documented in them. The commonest reason for the DAMA was to seek traditional medical care with frequency of 17.5%. This was closely followed by financial constraint with 15.8%. Documentation for DAMA was done directly in the case notes. Conclusion. The incidence of DAMA from this study is similar to what is obtainable from other local studies, financial constraint on the patients and seeking alternative medical treatment were the commonest reasons for DAMA in our sub-region. Also, the documentation for the DAMA in this study was poorly done.

'Inappropriate' attendance at an accident and emergency department by adults registered in local general practices: how is it related to their use of primary care?

2002 ◽  
Vol 7 (3) ◽  
pp. 160-165 ◽  
Author(s):  
Alison Martin ◽  
Christopher Martin ◽  
Peter B Martin ◽  
Peter AB Martin ◽  
Gill Green ◽  
...  
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Conditional Logistic Regression ◽  
Service Utilisation ◽  
Out Of Hours ◽  
Care Services ◽  
Accident And Emergency ◽  
Health Centres ◽  
General Practices ◽  
Accident And Emergency Department

Objectives: To identify the relationship between 'inappropriate' attendance at an accident and emergency department (AED) by adults registered with local general practices and their use of primary care. Methods: A case-control study matched for age, sex, distance from the AED, social class and registered general practice and set in a single AED and two health centres in South Essex. The participants were a total of 452 patients over 15 years old from the two health centres classified as having attended the AED 'inappropriately' in 1997 as identified by a modified Sheffield process method, and 452 controls. The predictive variables were measures of utilisation in the year 1997, including number of contacts in primary care, referral and investigation costs. Measures of morbidity were collected as potential confounders. These included a recorded history of anxiety or depression in the year 1997, or being in receipt of repeat prescriptions in that year. Results: The rate of 'inappropriate' attendance was 16.8% {95% confidence interval (CI): 15.7-18.0}. All measures of utilisation and markers of anxiety and depression were significantly positively associated with 'inappropriate' attendance, but there was no association with markers of chronic morbidity. Only the number of general practitioner (GP) appointments ( P < 0.0001) and out-of-hours advice calls ( P < 0.0001) were independently correlated with 'inappropriate' attendance in a conditional logistic regression. 'Inappropriate' attendees had approximately twice as many GP appointments and 10 times as many out-of-hours telephone contacts with the GP. Conclusions: GP-registered, 'inappropriate' attendees at AEDs utilise primary care services more than matched controls; this pattern of service utilisation appears to be unrelated to chronic physical illness. Thus, simply providing new, directly accessible primary health care services may not significantly reduce AED use.

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