Investigating the Effect of Using a Workshop Based On Emergency Deterioration Index Instrument on the Status of Indicators of Emergency Department

2018 ◽  
Vol 104 (1) ◽  
Author(s):  
Zohreh Parsa yekta ◽  
Vahideh Poyesh ◽  
Abdolghani Abdollahimohammad ◽  
Hamidreza Khankeh ◽  
Mehran Hesaraki
Keyword(s):  
Emergency Department ◽  
The Status

scholarly journals 2545

2017 ◽  
Vol 1 (S1) ◽  
pp. 21-22
Author(s):  
Neil Bahroos ◽  
Subhash Kumar Kolar Rajanna ◽  
Stephen B. Brown ◽  
Padma Thangaraj ◽  
David Melnick ◽  
...  
Keyword(s):  
Emergency Department ◽  
Social Services ◽  
Service Management ◽  
Identity Management ◽  
Homeless Persons ◽  
Structured Data ◽  
Healthcare Applications ◽  
Identity Matching ◽  
The Status ◽  
Data Elements

OBJECTIVES/SPECIFIC AIMS: This research project envisions the integration of Homeless Management Information System (HMIS) and UI Health Cerner electronic medical record (EMR) system with the following goals: (1) enable sharing of data about the status of the housing insecure and homeless. (2) Identify and match patient record accurately. (3) Record housing insecurity or homelessness information with structured data elements in the EMR. METHODS/STUDY POPULATION: We created a Master Person Index (MPI) of the homeless individuals from HMSI using OpenEMPI software package, which is an open source implementation of an Enterprise Master Patient Index (EMPI). An entity model was generated based on the selective data elements from HMIS database, which were relevant for the patient identity management and healthcare service management. An automated script was implemented to extract data from HMIS and load it into OpenEMPI to build the MPI. Once the MPI is setup, the Emergency Department users were able to perform patient identity matching and confirm housing insecure or homeless status of their patients by querying the index using the web-based tool. We developed structured data elements to record homelessness information, which will allow us to measure the prevalence of this risk among patients. We are also exploring the possibility to integrate the systems the using the IHE PIX/PDQ profile, which provides ways for healthcare applications to query a patient information server for a patient based on user-defined search criteria, and retrieve a patient’s information directly into the application. RESULTS/ANTICIPATED RESULTS: We implemented a MPI of homeless individuals, which would allow the emergency department users to perform patient identity matching of housing insecure or homeless patients, without undue privacy intrusions. We are confident that IHE PIX/PDQ profile is able to support the integration of healthcare and housing and homeless services systems and enable the data sharing in an efficient way. DISCUSSION/SIGNIFICANCE OF IMPACT: The project addressed the gap in the sharing of data about housing insecure or homeless persons between healthcare and housing and social services that will result in improvements in coordination of care, reduce the cycle time from recognition of risk to the referral to housing and services and improve health outcomes and residential stability. Successful completion of this integration project will give us a model that we can scale to many other communities.

scholarly journals Simulating Emergency Department Boarding Using a Difference Equation

2020 ◽  
Author(s):  
Edward G. Brown ◽  
Patricia K. Howard ◽  
Daniel Moore
Keyword(s):  
Emergency Department ◽  
Difference Equation ◽  
Random Variable ◽  
Status Quo ◽  
Time Interval ◽  
Simulation Methods ◽  
The Status ◽  
Relationship Of ◽  
The Relationship ◽  
Patient Presentation

AbstractBackgroundThis paper aims to provide a model that can be used to simulate the effect of patient presentation counts on ED boarder counts and investigate strategies that might be used for managing ED boarding levels.MethodsA boarding simulation model is constructed using a random variable and two regressions that are linked together in a difference equation. The simulation is run under varying constraints, including time interval, presentation counts, and boarder count threshold. Bootstrapping is used to run the simulation a large number of times so that mean and medians can be calculated along with confidence intervals.ResultsThe method outlined in this paper can be used to simulate the effect of presentation levels on ED boarder counts. Using these methods one can derive quantifiable estimates of time that an emergency department might meet or exceed a particular boarder count threshold.ConclusionsThese simulation methods can help an emergency department understand the dynamics of the system in the status quo of normal operations and quantify the relationship of presentation counts and throughput to the hospital. We are hopeful that others may use these methods, adapting, developing, and testing for their own institutions.

Benefits/Risks of Syrup of Ipecac

PEDIATRICS ◽  
1986 ◽  
Vol 77 (4) ◽  
pp. 551-552
Author(s):  
HOWARD C. MOFENSON ◽  
THOMAS R. CARACCIO
Keyword(s):  
Emergency Department ◽  
Death Rate ◽  
Emergency Department Visits ◽  
The Status ◽  
Ready Access ◽  
Nonprescription Drug

The status of syrup of ipecac as a nonprescription drug has helped reduce the death rate in children, ages 1 to 5 years. The drug has proven safe and effective in children in the recommended doses. To deprive parents of ready access to ipecac syrup would result in increased disability and death from poisoning and more emergency department visits.

scholarly journals To investigate and analyze the current using situation of nasointestinal tube in emergency department of 126 general hospitals in Guangdong province

2020 ◽  
pp. 16-25
Author(s):  
Xuanjie Huang ◽  
Lisi Deng ◽  
Fali Nie ◽  
Zhiming Zhang ◽  
Hao Zhou
Keyword(s):  
Emergency Department ◽  
Guangdong Province ◽  
Educational Background ◽  
General Information ◽  
Emergency Nurses ◽  
General Hospitals ◽  
The Status ◽  
Working Age ◽  
And Behavior ◽  
Nasointestinal Tube

Objective To analyze the status and cognition of nasointestinal tube in emergency department of 126 general hospitals in Guangdong province. Methods The self-designed general information questionnaire for knowledge, belief and behavior was used to investigate 602 emergency nurses of 126 general hospitals. Results 1. The cognitive score of emergency nurse on nasointestinal tube showed: The score of knowledge was (8.24 + 5.02), the qualified rate was 52.2%. the score of belief was (23.82 + 5.03), and the score of behavior was (29.77 + 18.71). Multiple linear regression results showed that，The emergency nurses' cognition of nasointestinal tube was influenced by Working age, professional ranks, level, educational background and hospital grade. （P＜0.01）2.Correlation analysis showed that the scores of attitude and behavior of nurses with different educational background, professional ranks and working age were significantly different. Conclusion Emergency nurse have a low cognition of nasointestinal tube in Guangdong Province. It is necessary to study the knowledge and technology of nasointestinal tube，make standardized operating guideline and procedure, to further improve the emergency nurses'essary to study the knowledge and technology of nasointestinal tube nificantly different.

scholarly journals One-year readmission and Emergency department presentation after an epilepsy admission in people with intellectual disability: a registry-linkage study

2019 ◽  
Vol 4 (3) ◽  
Author(s):  
Peiwen Liao ◽  
Simone Reppermund ◽  
Claire Vajdic ◽  
Julian N Trollor ◽  
Preeyaporn Srasuebkul
Keyword(s):  
Emergency Department ◽  
Intellectual Disability ◽  
Hospital Care ◽  
Hospital Admissions ◽  
Linkage Study ◽  
Index Admission ◽  
Important Indicator ◽  
The Status ◽  
The Impact

Background with rationaleAlthough hospital admissions for epilepsy are common in people with intellectual disability (ID), little is known about the quality of inpatient care and outcomes after admission. To fill this gap, this project examines readmission, an important indicator for the quality of hospital care, and emergency department (ED) presentation after epilepsy admissions in people with ID compared to those without ID. Main AimTo examine whether people with ID have a higher risk of all-cause readmissions and ED presentations after discharge from the index admission (i.e. first admission within the study period) for epilepsy than people without ID. MethodsIn this retrospective data-linkage study, several linked administrative health datasets including but not restricted to hospital admissions, emergency department presentations, disability services and mental health ambulatory care are used to define the cohort, exposure and outcome. The cohort includes patients with and without ID who were admitted to hospital for epilepsy between 2002 and 2014 in New South Wales, Australia. The readmission rates and ED presentations within 28 days, 2-3 months, 4-6 months, and 7-12 months respectively will be compared between patients with and without ID. The effect of a diagnosis of ID on the risk of readmission and ED presentation within a year following the separation from the index admission will be estimated by Poisson regression. Results and conclusionsThe demographics and comorbidity profile of participants at the index epilepsy admission will be presented. Readmission and ED presentation rates within each chunk of follow-up will be calculated by the status of ID and the incidence rate ratio will be provided to estimate the impact of ID on these outcomes. Findings will provide insight into how patients with ID and epilepsy fare in hospital care and help to guide future management of epilepsy in people with ID.

Investigating the Effect of Using a Workshop Based On Emergency Deterioration Index Instrument on the Status of Indicators of Emergency Department

2018 ◽  
Vol 104 (1) ◽  
Author(s):  
Zohreh Parsa yekta ◽  
Vahideh Poyesh ◽  
Abdolghani Abdollahimohammad ◽  
Hamidreza Khankeh ◽  
Mehran Hesaraki
Keyword(s):  
Emergency Department ◽  
The Status

scholarly journals Clinical characteristics and prognostic implications of diabetes and myocardial injury in patients admitted to the emergency room

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gil Bonet ◽  
Anna Carrasquer ◽  
Óscar M. Peiró ◽  
Raul Sanchez-Gimenez ◽  
Nisha Lal-Trehan ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Emergency Department ◽  
Myocardial Injury ◽  
Troponin I ◽  
Risk Model ◽  
Similar Proportion ◽  
Clinical Events ◽  
The Status

Abstract Background This study aimed to investigate the clinical features and prognosis of diabetes and myocardial injury in patients admitted to the emergency department. Methods We analyzed the clinical data of all consecutive patients admitted to the emergency department during the years 2012 and 2013 with at least 1 cardiac Troponin I (cTnI Ultra Siemens, Advia Centaur) determination, and were classified according to the status of diabetes mellitus (DM) and myocardial injury (MI). Clinical events were evaluated in a 4-year follow-up. Results A total of 3622 patients were classified according to the presence of DM (n = 924 (25.55%)) and MI (n = 1049 (28.96%)). The proportion of MI in patients with DM was 40% and 25% in patients without DM. Mortality during follow-up was 10.9% in non-DM patients without MI, 21.3% in DM patients without MI, 40.1% in non-DM patients with MI, and 52.8% in DM patients with MI. A competitive risk model was used to obtain the Hazard Ratio (HR) for readmission for myocardial infarction or heart failure. There was a similar proportion of readmission for myocardial infarction and heart failure at a four-year follow-up in patients with DM or MI, which was much higher when DM was associated with MI, with respect to patients without DM or MI. The HR (95% Coefficient Interval) for myocardial infarction in the DM without MI, non-DM with MI, and DM with MI groups with respect to the non-DM without MI group was 2511 (1592–3960), 2682 (1739–4138), and 5036 (3221–7876), respectively. The HR (95% CI) for the risk of readmission for heart failure in the DM without MI, non-DM with MI, and DM with MI groups with respect to the non-DM without MI group was 2663 (1825–3886), 2562 (1753–3744) and 4292 (2936–6274), respectively. Conclusions The association of DM and MI in patients treated in an Emergency Service identifies patients at very high risk of mortality and cardiovascular events.

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