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The application reliability of the South African triage score in adult emergency cases presenting to a central academic hospitalHoffman, Deidre Ann January 2014 (has links)
A research report submitted to the Faculty of Health Sciences, University of the
Witwatersrand, Johannesburg, in partial fulfilment of the requirements for the
degree of Master of Medicine (MMed) in the Division of Emergency Medicine.
Johannesburg, 2014 / Introduction: Over-triage and access-block are worldwide phenomena which
critically compromise patient care and increase morbidity and mortality. Triage is
designed to place the patient in the right place at the right time with the right
resources. We sought to determine and evaluate the application reliability of the
South African Triage Score/Scale (SATS) in adult emergency cases presenting to
a central academic hospital and to identify which factors may have influenced this.
Methods: Emergency department (ED) triage data for adult patients at a central
academic hospital in Johannesburg over a seven day period were captured
retrospectively. The investigator applied the SATS 2008 to each triage form.
Triage scores and colour banding for the trieur versus the investigator were
compared and the overall degree of triage concordance and discordance
observed.
Results: A total sample size of 1758 cases was recorded. Moderate agreement
(quadratically weighted 0.524 at 95%CI 0.450-0.598) for the overall triage
banding assignment revealed rates of concordance of 50.6%, discordance of
49.4%, over-triage of 28.5% and under-triage of 20.9%. Tuesday showed the
highest patient load with 21.3% of the weekly total. The mean daily and hourly
patient loads were 285 and 14 respectively. Time of day analysis showed a
daytime predominance of 2/3 of total presentations and a peak hour between
08h00-09h00.
Conclusions: The over-triage (28.5%) rate fell within the American College of
Surgeons Committee on Trauma’s (ACSCOT) accepted rate of 30-50%, while
under-triage (20.9%) exceeded the accepted ACSCOT levels (<10%). When the
triage score was calculated and recorded there was improved concordance, interrater
reliability and reduced over-triage. The discordance levels of over-triage
decreased and under-triage increased respectively with increasing patient acuity.
There was no significant correlation between the extent of triage concordance or
discordance and patient load.
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Emergency Department Utilization Patterns and Subsequent Prescription Drug Overdose Death: A Study of Emergency Care Recipients, New York State, 2006-2010Brady, Joanne E. January 2014 (has links)
The primary purpose of this dissertation was to understand if emergency department utilization patterns are associated with subsequent drug overdose death. Specifically, it was hypothesized that that increasing emergency department (ED) utilization (as measured by such indices as two or more visits in 72-hours, two or more visits in a 30-day period, four or more visits in a 365-day period) was associated with increasing risk of fatal unintentional drug overdose compared with patients without two or more visits in a given time frame.
Using ED data from the New York State Department of Health's (NYSDOH) Statewide Planning and Research Cooperative System (SPARCS) for the years 2006-2010 linked with unintentional fatal prescription drug overdose data from death certificates and medical examiner case files from the New York City Department of Health and Mental Hygiene (NYC DOHMH) and the NYSDOH for the years 2006-2010, a retrospective dynamic cohort of ED encounter data was conducted. In the first study, the patient population consisted of 1,755,734 New York State residents who were 18-64 years of age and had selected diagnoses on their entry visit. Extended Cox proportional hazards regression models were conducted to estimate the association of ED utilization patterns and subsequent drug overdose death. Compared to time periods in which patients had no visits within a year, patients who had 3, 4-10, or > 10 visits in a year had elevated risks of prescription drug overdose death after adjustment for demographic characteristics: 3 visits (adjusted hazard ratio (aHR 4.77, 95% CI 3.60, 6.15)), 4 - 10 (aHR 7.39, 95%CI 5.81, 9.41), and > 10 ED (aHR 18.37, 95% CI 13.38, 25.23).
ED utilization patterns are strong predictors of subsequent overdose death. Understanding the timing of overdose death in relation to ED utilization is essential to recognizing which patients to target with overdose prevention interventions. Identifying time-periods of increased risk may be used as an indicator for developing prediction tools to classify patients at increased risk for overdose.
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Factors which influence the satisfaction of care received by emergency unit patients a research report submitted in partial fulfillment ... /Thier, Lisa. January 1976 (has links)
Thesis (M.S.)--University of Michigan, 1976.
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Factors which influence the satisfaction of care received by emergency unit patients a research report submitted in partial fulfillment ... /Thier, Lisa. January 1976 (has links)
Thesis (M.S.)--University of Michigan, 1976.
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A study on prehospital emergency medical service system status in GuangzhouTan, Huiyi, 譚惠儀 January 2007 (has links)
published_or_final_version / Community Medicine / Master / Master of Public Health
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Exploration beginning the medical service industry definition-carries on by the Taiwan first 15 big hospitals searchesWu, Shino-ning 05 February 2007 (has links)
In Taiwan, since National Health Insurance was practiced in 1995, the expense reduction in medical services, made the change in people¡¦s custom of seeking medical advice. The hospitals, facing the competitive operating environment, adopted commerce administration and management model to deal with the increasing demands of patients.
However, the objects of medical services are the serious issues of human lives, but if what cared most were not medical profession and ethics but business and profits, how can we value the medical services?
In this paper, we first surveyed the references in topics of medical treatments, medical organizations and medical services and attempt to define the characteristics of medical services. Second, we analysed 15 leader hospitals in Taiwan in their missions, objectives, contributions, social services and operating status to make a better definition of modern medical services.
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Evaluation of Alternative Medicine Utilization among Employees in Technology CompanyChen, Tzu-Yun 14 February 2008 (has links)
This study aims to explore the factors which affect the technological employees¡¦ utilization of alternative medicine in Taiwan. The research modifies Aday and Anderson model to form the research framework. This reasearch focus on the relationship between predisposition factors, enabling factors , needs factors of technological employees and the utilization of alternative medicine services. 600 copies of questionnaires were conducted in July 2005 to January 2006, with 520 of them returned that makes a response rate of 86.67%.
The conclusions of this study are presented as follows:
1. A total of 274(52.7%) of technological employees have ever utilized alternative medicine, 243(46.7%) of technological employees have never utilized alternative medicine and 3(0.6%) of technological employees is the missing data.
2. On average each person has utilized 1.40 alternative medicine service visits and has spent NT$740.73.
3. The alternative medicine used most commonly by technological employees are naprapathy (17.1%), hydropathy (13.6%), feet massage (10.0%), massage (9.7%) and acupuncture (8.9%).
4. Technological employees¡¦ age, occupation, the position of occupation, income, the methods of acquiring alternative medicine, residence,the recommendations of family or friends,and perceived physical health are the factors to affect the utilization of alternative medicine. Technological employees¡¦ religion of Buddhism is the factors to affect the number of visits of alternative medicine. Technological employees¡¦gender of womem and other methods of acquiring alternative medicine are the factors to affect the expenditure of alternative medicine.
The suggestions of this study are that Department of Health may help the public to acquire accurate information concerning alternative medicine and plan for having the health insurance coverage of alternative medicine.In addition, hospitals or the alternative medicine providers may increase promotion of alternative medicine, marketing for alternative medicine services bases on the major findings from this study.
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Consultation pattern of non-urgent patients of Accident & Emergency DepartmentLeung, Chi-hang, Vincent. January 2005 (has links)
Thesis (M. Med. Sc.)--University of Hong Kong, 2005. / Also available in print.
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A model for nationwide patient trackingQuinn, Nicole M. January 2009 (has links) (PDF)
Thesis (M.A. in Security Studies (Homeland Security and Defense))--Naval Postgraduate School, September 2009. / Thesis Advisor(s): Richter, Anke ; Bergin, Richard. "September 2009." Description based on title screen as viewed on November 5, 2009. Author(s) subject terms: Patient Tracking, Public Health, Emergency Medical Services, Patient Movement, Evacuation, Public Health Preparedness. Includes bibliographical references (p. 139-140). Also available in print.
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Development of a model for primary care nursing in one type of emergency unitSward, Kathleen Mann, January 1975 (has links)
Thesis--Columbia University. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 157-165).
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