The Influence of Hospital Site on Emergency Physician Press Ganey Scores

Hospitals offer snacks and drinks for sale to patients, staff and visitors. As food choice is heavily influenced by the options on offer, the present study audited the availability and purchase of snacks and drinks available in all NHS hospital sites across a large UK city. Data on the type and nutritional composition of all single-serve snacks (n=407) and drinks (n=238) available for sale in 76 hospital-based food retail units were collected. Purchasing data were obtained for products sold from a subset of food retail units over 4 weeks (6 units; 68,274 product sales). Single-serve snacks and drinks varied markedly in calorie content (snacks 18-641kcals; drinks 0-270kcals), fat content (snacks 0-39g; drinks 0-9g), sugar content (snacks 0.1g-76g; drinks 0-56g) and salt content (snacks 0.2g-2.9g; drinks 0-1.1g). Baked goods were the least healthy snack option (mean content: 383 kcals, 17g fat, 29g sugar and 0.4g salt). Most of the top selling products were crisps, confectionary, baked goods and hot drinks. Only 5/20 top selling snacks were healthy options. While healthy snacks and drinks are readily available in NHS sites, there is scope to reduce the availability of unhealthy options further and to support consumers to make healthier choices.

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Disk Battery Ingestion: A Simple User-Guide

Reviews on Recent Clinical Trials ◽

10.2174/1574887115666200603163448 ◽

2020 ◽

Vol 15 ◽

Author(s):

Carmine Petruzziello ◽

Paolo Maurizio Soave

Keyword(s):

Emergency Physician ◽

Case Reports ◽

Flow Chart ◽

Pediatric Age ◽

Stable Patient ◽

Publication Type ◽

Severe Injuries ◽

X Ray ◽

Study Population ◽

Serious Injuries

Introduction: Disk Battery Ingestion (DBI) is a cause of access to the emergency department (ED), especially in pediatric age. This problem, if not well managed, may lead to serious injuries, with several complications involving the gastrointestinal and respiratory tract. Objective: Aim of this review is to analyze the literature of the last 25 years to make a decisional flow-chart that may help the emergency physician. Methods: For this review 36 articles have been analyzed (8 articles and 28 case reports), from 1995 to 2019. Data considered from each study were: year of publication, type of study, population studied, type of battery, timing of ingestion, treatment, outcomes, complications. Results: A decisional flow-chart has been configured. X-ray should be performed as a first step in every stable patient, meanwhile CT scan should be performed in unstable patients. When the battery is still localized in the esophagus, endoscopy should be performed as soon as possible, meanwhile, when the battery is beyond the esophagus, it should be noted its diameter before taking a decision. Conclusion: The use of the flow-chart proposed may reduce the risk of consequences and severe injuries for the patients, helping the emergency physician in his decisional process.

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Hospital site selection with distance-based multi-criteria decision-making methods

International Journal of Healthcare Management ◽

10.1080/20479700.2019.1674005 ◽

2019 ◽

pp. 1-11 ◽

Cited By ~ 2

Author(s):

Esra Aytaç Adalı ◽

Ayşegül Tuş

Keyword(s):

Decision Making ◽

Site Selection ◽

Multi Criteria Decision Making ◽

Hospital Site

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Patient Suggestions to Improve Emergency Physician Empathy and Communication

Journal of Patient Experience ◽

10.1177/2374373521996981 ◽

2021 ◽

Vol 8 ◽

pp. 237437352199698

Author(s):

Sophia Aguirre ◽

Kristen M Jogerst ◽

Zachary Ginsberg ◽

Sandeep Voleti ◽

Puneet Bhullar ◽

...

Keyword(s):

Emergency Department ◽

Patient Satisfaction ◽

Emergency Physician ◽

Active Listening ◽

Patient Relationship ◽

Emergency Physicians ◽

Future Improvement ◽

Survey Responses ◽

Physician Empathy

Emergency physician empathy and communication is increasingly important and influences patient satisfaction. This study investigated if there is a need for improvement in provider empathy and communication in our emergency department and what areas could be targeted for future improvement. Patients cared for by emergency physicians with the lowest satisfaction scores were surveyed within 1 week of discharge. Patients rated their emergency provider’s empathy and communication and provided feedback on the patient–provider interaction. Compared to survey responses nationally, our providers fell between the 10th and 25th percentiles for all questions, except question 5 (making a plan of action with [the patient]) which was between the 5th and 10th percentile. Areas most frequently cited for improvement were “wanting to know why” (N = 30), “time is short” (N = 15), and “listen to the patient” (N = 13). Survey percentiles and open-ended suggestions demonstrate a need for providers to give thorough explanations, spend more time with the patient, and demonstrate active listening. These themes can be used to strengthen the provider–patient relationship.

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