scholarly journals Evaluasi Mutu Pelayanan Kesehatan Unit Gawat Darurat

2021 ◽  
Vol 5 (1) ◽  
pp. 18-28
Author(s):  
Riska Rosita
Keyword(s):  
Emergency Room ◽  
Emergency Service ◽  
Emergency Services ◽  
District Hospital ◽  
Emergency Patient ◽  
Emergency Patients ◽  
Emergency Room Patients ◽  
Interview Methods ◽  
Average Patient

The emergency service indicator is one of the determinants of hospital quality in terms of medical, economic, and management aspects. Every hospital is required to have an emergency service facility that serves 24 hours. The general objective of this study is to calculate and analyze the emergency room service visits per triwulan at Karanganyar District Hospital. The type of research used in this research is descriptive, with observation and interview methods, through a retrospective approach. The sample in this study is the same as the population, namely the results of monthly recapitulation of emergency patient visits. The results showed that in Karanganyar District Hospital based on four indicators, the average emergency room patients tended to increase per day, the ratio of emergency patients to nurses tended to increase, the ratio of patients referred to the number of emergency patients decreased, and the average patient died in the emergency department. tends to decline. The conclusion of this study is that all indicators of emergency services at Karanganyar District Hospital are ideal. So the authors suggest that RSUD Karanganyar Regency routinely makes reports based on indicators of emergency patient visits as material for evaluating and planning the quality of the hospital.

scholarly journals Hubungan Status Kegawatdaruratan dengan Penilaian terhadap Pelayanan IGD di Rsud Ibnu Sina Kabupaten Gresik

2015 ◽  
Vol 3 (1) ◽  
pp. 80
Author(s):  
Hikmah Ridho Hardyanti ◽  
Djazuly Chalidyanto
Keyword(s):  
Human Resources ◽  
Emergency Room ◽  
Physical Condition ◽  
Emergency Services ◽  
Chi Square ◽  
Hospital Policy ◽  
Emergency Patients ◽  
Independent Variable ◽  
The Relationship

ABSTRACT The number of non-emergency patients is high from normative visit an indication of problems in the Emergency Room. The purpose of this study to analyze the relationship between the patient's assessment of the provider or hospital with emergency status. This study examines the factors that exist in hospitals, among others, policy about patients who come, the physical condition of buildings, facilities, skilled human resources. The study involved 172 patients who ever went to the Emergency Room RSUD Ibnu Sina Kabupaten Gresik in June 2014, data were taken with visit their homes to conduct interviews based on a questionnaire. The independent variable in this study is the emergency of the patient's status while the dependent variable is the policy of the patients who come, the physical condition of buildings, facilities, skilled human resources. Data were analyzed using the relationship test Chi-square (α = 0.05). The study states that the factors comprising hospital policy on patients who come, the physical condition of buildings, facilities and skilled human resources and discipline to have a relationship with the emergency of the patient's status. Variable physical condition of buildings, facilities and skilled human resources need to be considered and improved the quality of emergency services. Keywords: facilities, hospital, status of emergency, the physical condition of                    buildings

scholarly journals [Availability and use of emergency services in Tunisia:main results of a comprihensive national survey]

2001 ◽  
Vol 7 (4-5) ◽  
pp. 805-811
Author(s):  
M. K. Chahed ◽  
N. Somrani ◽  
H. Achour
Keyword(s):  
Emergency Service ◽  
Emergency Services ◽  
Health Workers ◽  
University Hospital ◽  
Emergency Rooms ◽  
Hospital Emergency ◽  
Public Emergency ◽  
Use Of Emergency Services ◽  
The University

In order to assess hospital emergency rooms, a comprehensive national epidemiological investigation was conducted in all 155 public emergency structures in Tunisia. Here we present the main results of the levels of availability and use of emergency services. Coverage of the population by services is adequate [one emergency service per 60, 000 people]. Emergency wards admit about 2, 500, 000 patients every year [a quarter of the population of the country]. The university hospital emergency services are the most heavily used [150 patients per day on average]. Emergency services are sought for medical [60%], surgical [18%], paediatric [14%] and gynaecological reasons [5%]. It would be useful to assess the quality of care delivered and the satisfaction of citizens and health workers.

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.

scholarly journals Effectiveness of dental emergency services in a community health center in Santiago, Chile.

2021 ◽  
Vol 10 (1) ◽  
pp. 1-8
Author(s):  
Camila Pinto-Grunfeld ◽  
◽  
Bernardita Garay ◽  
Diego Majluf ◽  
◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Status ◽  
Oral Health ◽  
Emergency Service ◽  
Emergency Services ◽  
Dental Treatment ◽  
Pain Level ◽  
Demographic Information ◽  
Dental Emergency

Objective: Describe the demographic characteristics of the population attending the dental emergency services in health Center Juan Petrinovic, located in Santiago, Chile, and examine the effectiveness of dental treatment given to this population. Material and Methods: Before-after study, where 45 patients were surveyed twice, first, before their dental care and then in phone call follow-up. Patients completed interviewer-administered surveys that asked about patients’ self-reported pain level, oral health-related quality of life, and demographic information. Demographic information collected included age, sex, educational level, type of health insurance, and municipal district where patients lived. Self-reported pain level was measured using a Visual Analogue Scale (VAS), and oral health quality of life was measured using the Dental Health Status Quality of Life Questionnaire (DS-QoL). Statistical descriptive analyses were performed, and statistical tests were applied to determine if the care given was effective on pain relief and increased quality of life status. Results: Most of the patients seeking care at the dental emergency service were female (67%), adults (average age 46 years), with high school education (58%), and FONASA health insurance (98%). The most common reason for using dental emergency services was pain (51%). Dental treatment given to the patients was effective in relieving pain (reduction in VAS score was 34.34 between pre and post attention) and improving their oral health status (reduction in DS-QoL score was 3.18 between pre and post attention). Conclusion: This dental emergency service was effective in reducing pain and improving the quality of life of the patient.

scholarly journals Capacity Decisions for an Emergency Service

1978 ◽  
Vol 10 (2) ◽  
pp. 121-123
Author(s):  
James W. Dunn ◽  
Gerald A. Doeksen
Keyword(s):  
Law Enforcement ◽  
Fire Protection ◽  
Emergency Service ◽  
Emergency Services ◽  
Decision Makers ◽  
Quality Of Services ◽  
Capacity Decisions ◽  
Trade Offs ◽  
The Cost

Decision makers face two opposing forces in the provision of emergency services. Their constituency wants more and better services, but financial considerations limit the quantity and quality of services provided. This classic economic confrontation requires a decision based on the trade-offs between the benefits of protection provided by additional services and the cost of providing these services. Such a decision is needed for ambulance service, fire protection, and law enforcement.

scholarly journals Elder-friendly emergency services in Brazil: necessary conditions for care

2016 ◽  
Vol 50 (4) ◽  
pp. 594-601 ◽  
Author(s):  
Mariana Timmers dos Santos ◽  
Maria Alice Dias da Silva Lima ◽  
Paula Buchs Zucatti
Keyword(s):  
Delphi Technique ◽  
Emergency Service ◽  
Emergency Services ◽  
Scientific Literature ◽  
Elderly Care ◽  
Delphi Panel ◽  
Online Questionnaire ◽  
Conducting Research ◽  
And Training

Abstract OBJECTIVE To identify and analyze the aspects necessary to provide an elder-friendly emergency service (ES) from the perspective of nurses. METHOD This is a descriptive, quantitative study using the Delphi technique in three rounds. Nurses with professional experience in the ES and/or researchers with publications and/or conducting research in the study area were selected. The first round of the Delphi panel had 72 participants, the second 49, and the third 44. An online questionnaire was used based on a review of the scientific literature with questions organized into the central dimensions of elder-friendly hospitals. A five-point Likert scale was used for each question and a 70% consensus level was established. RESULTS There were 38 aspects identified as necessary for elderly care that were organized into central dimensions. CONCLUSIONS The study's results are consistent with the findings in scientific literature and suggest indicators for quality of care and training for an elder-friendly ES.

scholarly journals A new type of addiction: Emergency service abuse

2021 ◽  
Vol 8 (2) ◽  
pp. 132-135
Author(s):  
Ensar Durmus ◽  
Fatih Guneysu
Keyword(s):  
Emergency Department ◽  
Emergency Room ◽  
Outpatient Clinic ◽  
Emergency Service ◽  
Emergency Services ◽  
Cross Sectional ◽  
Emergency Situations ◽  
Training And Research ◽  
New Type ◽  
Median Amount

Objective: Patients repeatedly applying to the emergency department have become a common problem for many hospitals. With this study, the demographic characteristics of the patients who applied to an emergency department in 12 or more times in a year, the patients' hospitalization status, and the rate of using ambulance service were retrospectively examined. Material and Methods: This study is a retrospective, descriptive, cross-sectional research article. The study was conducted in the 1300-bed Sakarya Training and Research Hospital (SEAH) adult emergency room (ER), the largest hospital in Sakarya Province, the study period was 2019. Adult patients with 12 or more emergency department applications per year were selected for the study. Results: In the SEAH adult emergency department, 220.296 patients have examined a total of 382.413 times (1.74 per person) during 2019. The applying patients' to the SEAH adult emergency room 12 times or more in a year was 808 in 2019. These patients' emergency examinations' total quantity was 14369, presenting 3.76% of all emergency examinations, 625 (77.4%) were never hospitalized. Of these patients 420 (52%) were male; the median age was 47. The emergency department examinations estimate was 17.78 (±10.98) times averagely, the median amount was 15 times, and was between 12-192. Of them, 305 (37.7%) had also applied to the psychiatry outpatient clinic at least once. A weak but notable correlation was perceived between the number of outpatient clinic admissions and emergency service admissions (p = 0.001, r = 0.245). Conclusion: Frequent users visit the ER and other polyclinics regularly. Limitations should be required on these patients using emergency services in non-emergency situations. It is essential to pay specific attention to frequent emergency room users and investigate the motivations for proceeding to the emergency room

A qualitative exploration: life after the emergency services

2016 ◽  
Vol 5 (2) ◽  
pp. 158-173 ◽  
Author(s):  
Mairéad Bracken-Scally ◽  
Sinéad McGilloway
Keyword(s):  
Interpretative Phenomenological Analysis ◽  
Emergency Service ◽  
Emergency Services ◽  
Service Work ◽  
Major Life ◽  
Content Type ◽  
Potential Impact ◽  
Qualitative Exploration ◽  
The Impact

Purpose Much has been written about the impact of emergency service work on personnel, but very little is known about the lives of personnel once they have retired. The purpose of this paper is to explore the experiences and assess the quality of life (QoL) of emergency service retirees (ESRs) and to ascertain the possible longer term effects of emergency service work. Design/methodology/approach A series of one-to-one interviews was conducted with ESRs (n=10). These were then transcribed and analysed using interpretative phenomenological analysis. Findings A number of key emergent themes and associated sub-themes were identified from the analysis including: retirement as a major life change; potential impact of working role and unique aspects of emergency service work; trauma; and health and ageing more generally. Overall, the findings highlight the unique experiences of ESRs and the potential longer term impact of emergency service work on QoL in retirement. Originality/value In an under-researched area, the findings point towards a need to improve the transition to retirement for ESRs and, in particular, to enhance available supports, information and guidance for retirees, both prior to and following retirement.

Outreach Psychiatric Emergency Service

Crisis ◽  
2020 ◽  
Vol 41 (5) ◽  
pp. 375-382
Author(s):  
Remco F. P. de Winter ◽  
Mirjam C. Hazewinkel ◽  
Roland van de Sande ◽  
Derek P. de Beurs ◽  
Marieke H. de Groot
Keyword(s):  
General Practitioner ◽  
General Hospital ◽  
Suicidal Behavior ◽  
Emergency Service ◽  
Attempted Suicide ◽  
Emergency Services ◽  
Psychiatric Emergency ◽  
Psychiatric Emergency Services ◽  
Psychiatric Emergency Service ◽  
Suicidal Patients

Abstract. Background: Outreach psychiatric emergency services play an important role in all stages of a suicidal crisis; however, empirical assessment data are scarce. This study describes characteristics of patients assessed by these services and involved in suicidal crises. Method: During a 5-year period, detailed information from psychiatric emergency service assessments was recorded; 14,705 assessments were included. Characteristics of patients with/without suicidal behavior and with/without suicide attempts were compared. Outcomes were adjusted for clustering of features within individual patients. Results: Suicidal behavior was assessed in 32.2% of patients, of whom 9.2% attempted suicide. Suicidal behavior was most commonly associated with depression or adjustment disorder and these patients were referred to the service by a general practitioner or a general hospital, whereas those who attempted suicide were less likely to be referred by a general practitioner. Those who attempted suicide were more likely to be female and have had a referral by a general hospital. Self-poisoning by medication was the most common method of attempting suicide. Limitations: Bias could be due to missed or incomplete assessments. Primary diagnoses were based on clinical observation at the time of the assessment or on the primary diagnosis previously recorded. In addition, suicidal behavior or attempted suicide might have been underestimated. Conclusions: Suicidal behavior is commonplace in assessments by psychiatric emergency services. Suicidal patients with/without a suicide attempt differed with respect to demographic features, primary diagnoses, and referring entities, but not with respect to treatment policy. About 40% of the suicidal patients with/without an attempt were admitted following assessment.

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