Relevant bibliographies by topics / Emergency department

Academic literature on the topic 'Emergency department'

Author: Grafiati
Published: 4 June 2021
Last updated: 20 April 2024

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Journal articles on the topic "Emergency department"

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&NA;. "EMERGENCY DEPARTMENT." Nursing 27, no. 6 (June 1997): 14–16. http://dx.doi.org/10.1097/00152193-199706000-00010.

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PYTLEWSKI, JANE, and SHARON KEMERER. "Emergency Department." Nursing Management (Springhouse) 16, no. 7 (July 1985): 35. http://dx.doi.org/10.1097/00006247-198507000-00006.

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Anderson, Jill. "Emergency department." Journal of Emergency Nursing 24, no. 1 (February 1998): 110. http://dx.doi.org/10.1016/s0099-1767(98)90195-7.

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Fatovich, Daniel, and Ian Jacobs. "Emergency department telephone advice: a survey of Australian emergency departments." Emergency Medicine 10, no. 2 (August 26, 2009): 117–21. http://dx.doi.org/10.1111/j.1442-2026.1998.tb00668.x.

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Collinson, S. "When is an emergency department not an emergency department?" BMJ 325, no. 7369 (October 19, 2002): 901. http://dx.doi.org/10.1136/bmj.325.7369.901.

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Gabayan, Gelareh Z., Stephen F. Derose, Vicki Y. Chiu, Sau C. Yiu, Catherine A. Sarkisian, Jason P. Jones, and Benjamin C. Sun. "Emergency Department Crowding and Outcomes After Emergency Department Discharge." Annals of Emergency Medicine 66, no. 5 (November 2015): 483–92. http://dx.doi.org/10.1016/j.annemergmed.2015.04.009.

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Jennings, L., S. Lane, C. Bogdon, T. Warner, R. Ward, and K. Brady. "176 Emergency Department Utilization after Emergency Department-Initiated Buprenorphine." Annals of Emergency Medicine 74, no. 4 (October 2019): S69—S70. http://dx.doi.org/10.1016/j.annemergmed.2019.08.182.

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Eldeen, Asma, Fawzia Elhassan Ali, and Ikhlas Ahmed. "Developing Factors Affecting Reduced Waiting Time for Patients in the Emergency Department." Academic Journal of Research and Scientific Publishing 5, no. 52 (August 5, 2023): 05–26. http://dx.doi.org/10.52132/ajrsp.e.2023.52.1.

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Hospital emergency departments play the largest role in receiving critical cases of patients in various medical specialties. This study contributed to the theoretical understanding of the work of the emergency department by building a theoretical framework for the work of the emergency department. This framework depends on the basic factors that help reduce waiting time for patients in the emergency department. The emergency departments must include qualified medical personnel in all specialties and a sufficient number of nurses must also be available. The emergency departments must be designed in such a way that the speed of movement between the radiology department, the laboratory, and the pharmacy. The emergency department must be equipped with all diagnostic equipment. Sophisticated and advanced. This study relied on three main factors: the medical services provided in the emergency department, medical staff, as well as medical devices and equipment. Through the development of these factors, results can be obtained that help reduce the waiting time for patients in emergency departments, which makes emergency departments one of the fastest departments in treating patients. It is expected that this study will contribute to shedding light on the factors affecting reducing the waiting time for patients in the emergency department.
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Graber, Thomas W. "Structure and function of the emergency department: matching emergency department choices to the emergency department mission." Emergency Medicine Clinics of North America 22, no. 1 (February 2004): 47–72. http://dx.doi.org/10.1016/s0733-8627(03)00118-4.

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Hansen, C. K., P. W. Hosokawa, C. McStay, and A. A. Ginde. "381 Characteristics of Unsuccessful Emergency Department Thoracotomy in US Emergency Departments." Annals of Emergency Medicine 68, no. 4 (October 2016): S145. http://dx.doi.org/10.1016/j.annemergmed.2016.08.398.

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Dissertations / Theses on the topic "Emergency department"

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Riordan, Geraldine M. "Triage in Health Department of Western Australia accident and emergency departments." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1995. https://ro.ecu.edu.au/theses/1182.

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A survey of triage systems used in Health Department of Western Australia accident and emergency departments was undertaken to examine differences in practices between departments with and without designated triage nurses (TNs). One questionnaire surveyed 93 nurses in seven departments with TNs, a similar second questionnaire surveyed 89 nurses in 16 departments without TNs, and a third questionnaire was used in a structured telephone interview of receptionists in hospitals without TNs. Data were analysed using frequencies, percentages, means, standard deviations and ranges with common themes identified for open ended questions. The study was guided by Donabedian's systems evaluation model. The structures and processes of triage within each department were examined in relation to the outcome standards recommended by the Australian Council on Healthcare Standards. The study results revealed that triage nurses were employed in all departments where patient attendances exceeded 300 per week and nursing staff coverage in the department was higher than five per day. Three departments had introduced triage on weekends only, and these departments had the lowest nurse-patient ratio of one nurse per day to 74 patients per week. The highest nurse-patient ratio was in departments with TNs (1-35). Conclusions drawn from the findings suggest that when receptionists are the first person to see patients, they triage patients using an unsatisfactory two category priority system. The average waiting time to see nursing staff is too long in departments without TNs, 7.6 minutes, as compared to 3. 7 minutes in department with TNs. Nursing staff perceived that triage systems could be improved by having only experienced staff as the triageur. The surveillance of patients entering the department is unsatisfactory as 81% of departments without TNs and 43% of departments with TNs are unable to provide nurse surveillance. The surveillance of the waiting room is similarly unsatisfactory in many departments. All triage areas are inadequate, as facilities for private conversation, hand washing and physical assessment are not always available. The majority of departments without TNs do not have a satisfactory triage priority category system in place. The average time taken by nursing staff to triage patients is an acceptable 3.2 minutes in departments with TNs, and 5.3 minutes in departments without TNs. The practice of redirecting patients away from the department could compromise patient safety as patients are redirected away from most departments by any level of staff employed in the department, without any written documentation kept or any written criteria for the redirection of these non-urgent patients. The practice of ordering investigations and treating minor problems without referring to a doctor could also compromise patient safety, as most departments do not have written policies and guidelines to cover this practice. Most departments offer an inadequate triage training program of preceptoring only. Recommendations are focused on the reviewing of existing triage practices to comply with the standards identified.
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Olsson, Thomas. "Risk Prediction at the Emergency Department." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4632.

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Hunte, Garth Stephen. "Creating safety in an emergency department." Thesis, University of British Columbia, 2010. http://hdl.handle.net/2429/27485.

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Hospital emergency departments (EDs) are complex, high-hazard sociotechnical systems with distinction as sites of the highest proportion of preventable patient harm. Patient safety is threatened by abbreviated and uneven care in an interrupted environment marked by uncertainty, multiple transitions over space and time, and mismatch between demand and resources. Recommendations for reporting systems, standardization, and ‘safety culture’ are at the forefront of local, national, and international strategies to improve patient safety. British Columbia is currently implementing a provincial electronic Patient Safety Learning System to enhance reporting and learning, and to facilitate a culture of safety. However, the concept of ‘safety culture’, while popular and political, remains problematic and theoretically underspecified. Moreover, there is lack of clear evidence about how emergency care providers conceptualize, make sense of, and learn from patient safety incidents, and limited evidence to guide an effective safety learning strategy for providers and staff in a busy ED. In this multi-perspective, multi-method, practice-based ethnographic inquiry conducted at an inner city, tertiary care ED, I explore how ED practitioners and staff create safety in patient care in their everyday practice. In this context, ‘safety’ is an emergent phenomenon of collective joint action, enacted dialogically by multiple actors, within a resilient system imbued with multiple social, cultural and political meanings. I claim that patient safety within an ED (and likely in other health care settings) is most effectively created through dialogic storying, resilience, and phronesis. I present an alternative account to the dominant “medical error” and bureaucratic “measure and manage” discourse, and propose an approach to creating safety, including an open communicative space to facilitate sharing stories and learning about patient safety incidents, a safety action team charged with systems analysis and empowered to enact change, and an inter-professional simulation learning environment to enhance dialogic sensemaking and innovation, that offers more to facilitate safety and resilience in everyday practice. I advocate for a pragmatic practice-based account of patient harm within an ongoing reflective conversation about safety and performance, and for foresight and resilience in anticipating and responding to the complexities of everyday emergency care.
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Feufel, Markus Alexander. "Bounded Rationality in the Emergency Department." Wright State University / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=wright1249241698.

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Hickey, Michael. "Organ Donation in the Emergency Department." Thesis, Université d'Ottawa / University of Ottawa, 2021. http://hdl.handle.net/10393/42328.

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Hundreds of Canadians die each year while awaiting a vital organ transplant. Consistent with several countries in the world, the demand for organs for transplantation outweighs the supply. In Canada, citizens must actively register to enlist themselves as organ donors after death occurs. The aim of this thesis was to examine and evaluate the acceptability of an emergency department-based organ donation registration strategy. Secondarily, we identified the proportion of emergency physicians, nurses and clerks who are personally registered as organ donors. We conducted three self-administered surveys as well as an a priori sub-study to evaluate the effect of a prenotification letter on postal surveys of physicians. We discovered that key stakeholders in emergency departments are engaged in organ donation and feel that the emergency department is an acceptable place to promote organ donation registration. In addition, we identified several barriers to such a potential intervention which largely revolve around time and resource limitations.
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Hutson, Hendy Dionne. "Compassion Fatigue in Emergency Department Nurses." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2984.

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Compassion fatigue (CF) is a problem seen within healthcare institutions worldwide, especially critical care units and emergency departments (EDs). The problem identified in this quality improvement (QI) project was CF, experienced by nurses in the ED. The effects of CF cross nurse-patient boundaries and negatively impact a patient's expectations of having a quality care experience. The Iowa model's evidence-based team approach was used to guide the development of the education initiative for nurses on recognizing, preventing, and identifying methods of coping with CF in the ED. The outcome products for the project included an extensive review of the literature, a curriculum plan to educate ED nurses on CF, and a pretest/posttest to validate ED nurses knowledge about CF. The content of the project was measured by 2 master's-level prepared education experts using a dichotomous scale. The format evaluated content material using total scores of 1 for content (not met) and total scores of 2 for content (met). The average score was 2, which demonstrated the objectives for the education initiative were identified and the goals were met. The content experts also conducted content validation of each of the 14 pretest/posttest items using a 4-point Likert scale ranging from 1 (not relevant) to 4 (highly relevant) that resulted in a content validation index of 1.00, showing that the test items were covered in the curriculum. Recommendations were made for item construction improvement and omission of the Iowa model from the curriculum plan and pretest/posttest. The project promotes social change through the facilitation of patient satisfaction, quality of patient care, and prevention of CF on nursing staff.
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Chapnick, Marie. "Hourly Roudning in th Emergency Department." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3593.

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The Affordable Care Act of 2010 increased the number of patients seen in a northeast, urban trauma emergency department by 34%. This created a problem as it occurred simultaneously with a nursing shortage. Consequently, patient satisfaction scores fell below the national average benchmark. The rate patients left the emergency department without being seen was 2.6% higher than the national average and patient fall rates increased by 20%. A review of the literature to search for solutions led to the support of an hourly rounding project and an educational workshop promoting proactive nurse behaviors as a way to address the quality and safety gap. The goal of this scholarly project was to develop this evidence based, theory supported project and to conduct a formative and summative evaluation by an expert review panel in order to achieve consensus before implementation. An executive team was formed and led through the process of development of a detailed hourly rounding protocol and workshop, which will be implemented at the facility at a later time. A 10 member expert panel was formed. The panel members consented to participate in an explanatory session, to review all project materials, and to complete an anonymous 20 question survey tool. The panel also consented to review any changes made to materials as part of a summative evaluation. Descriptive analysis of the formative data demonstrated a 90% overall agreement that the workshop was comprehensive and covered key concepts within 5 categories. Minor requested revisions were made in response to formative results. The summmative review demonstrated 100% consensus on the revisions. This project will bring about social change by engaging nurses in proactively caring for patients in a safe and efficient manner.
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Lawrence, Michelle Candice. "Compassion Fatigue in Emergency Department Nurses." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7815.

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Compassion fatigue (CF) is defined as a sudden onset of the inability to experience feelings or compassion for others that is triggered by a nurse's inability to separate his/her feelings of stress and anxiety associated with caring for patients who have suffered from a traumatic event. The practice problem addressed in this doctoral project was the lack of knowledge of emergency department nurses (EDNs) related to CF in the work setting, resulting in a negative impact on a nurse's ability to provide quality care to patients. The purpose of the project was to present an educational program on how to recognize, prevent, and manage CF. Framed within Stamm's theoretical model of compassion satisfaction and CF, the project was guided by the steps within the Walden University Manual for Staff Education Project and the practice question addressed whether the literature would support an evidence-based educational program on CF for EDNs. The evaluation/validation for the project included an evaluation of the curriculum by the three content experts (in which learning objectives were deemed met), content validation of the pre-/post-test items by the content experts (all test items were deemed relevant to the learning objectives, with the validity index scale analysis at 1.00), and finally, a paired t test to determine knowledge gained from pre- to post-test that resulted in a significant (p < 0.0001) improvement in knowledge. A potential positive social change resulting from the project is a healthy work environment where EDNs understand and reduce their risks for CF, which may ultimately promote optimal patient care and improved health outcomes.
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Gunnarsdóttir, Oddný. "Users of a hospital emergency department : Diagnoses and mortality of those discharged home from the emergency department." Thesis, Nordic School of Public Health NHV, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3323.

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Objectives – To ascertain the annual number of users who were discharged home after visits to the emergency department, grouped by age, gender and number of visits during the calendar year, and to assess whether an increasing number of visits to the department predicted a higher mortality. Methods – This is a retrospective cohort study, at the emergency department of Landspitali University Hospital, Reykjavik capital city area, Iceland. During the years of 1995 to 2001 19259 users visited the emergency department, and were discharged home and they were follow-up for cause specific mortality through a national registry. Standardised mortality ratio, with expected number based on national mortality rates was calculated and hazard ratios according to number of visits per calendar year using time dependent multivariate regression analysis were computed. Results – The annual increase of visits to the emergency department among the patients discharged home was seven to 14 per cent per age group during the period 1995 to 2001, with a highest increase among older men. The most common discharge diagnosis was the category Symptoms, signs and abnormal clinical and laboratory findings not elsewhere classified. When emergency department users were compared with the general population, the standardised mortality ratio was 1.81 for men and 1.93 for women. Among those attending the emergency department two times, and three or more times in a calendar year, the mortality rate was higher than among those coming only once in a year. The causes of death which led to the highest mortality among frequent users of the emergency department were neoplasm, ischemic heart diseases, and the category external causes, particularly drug intoxication, suicides and probable suicides. Conclusions – The mortality of users of the emergency department who had been discharged home turned out to be higher than that of the general population. Frequent users of the emergency department had a higher mortality than those visiting the department no more than once in a year. Since the emergency department serves general medicine and surgery patients, not injuries, the high mortality due to drug intoxication, suicide and probable suicide is notable. Further studies are needed into the diagnosis at discharge of those frequently using emergency departments, in an attempt to understand and possibly prevent this mortality

ISBN 91-7997-128-8

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Han, Chin-Yen. "Emergency department nurses' experience of implementing discharge planning for emergency department patients in Taiwan : a phenomenographic study." Thesis, Queensland University of Technology, 2008. https://eprints.qut.edu.au/17003/1/Chin-Yen_Han_Thesis.pdf.

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During recent reforms to the Taiwanese health care system, discharge planning for hospital patients has become an issue of great concern as a result of shorter hospital stays, increased health care costs and a greater emphasis on community care. There are around five million patients visiting in emergency departments (ED) per year in Taiwan with up to 85% of these, 4,250,000 emergency patients, discharged directly from the emergency department. This significant number of ED visits highlights the need to implement discharge planning in the ED. ED nurses are not only responsible for providing appropriate assessments of a patient's future care needs but also for implementing effective discharge planning as a legal obligation; discharge planning is also a patient's right in Taiwan. For ED nurses to function effectively in the role of discharge planner, it is important that they have a comprehensive understanding of implementing discharge planning. To date, no published research focuses on nurses' experience of implementing discharge planning in the ED in Taiwan. This study is the first step in identifying the experience and understanding of nurses in implementing discharge planning in the ED in Taiwan and may have implications worldwide. The purpose of this study was to identify and describe the experience and understanding of the qualitatively different ways in which ED nurses’ experience of implementing discharge planning for emergency patients in Taiwan. In order to identify and describe the experience of implementing discharge planning, the qualitative approach of a phenomenography was chosen. Thirty-two ED nurses in Taiwan who matched the participant selection criteria were asked to describe their experience and understanding of the implementation of discharge planning in the ED. Semi-structured interviews were audio-taped and later transcribed verbatim. The data analysis process focused on identifying and describing ways ED nurses’ experience and understanding of implementing discharge planning in the ED. There were two major outcomes of this study: six categories of description and an outcome space. These six categories of description revealed the experience and understanding of implementing discharge planning in the ED. An outcome space portraying the logical relations between the categories of description was identified. The six categories of description were implementing discharge planning as ‘getting rid of my patients’; implementing discharge planning as completing routines; implementing discharge planning as being involved in patient education; implementing discharge planning as professional accountability; implementing discharge planning as autonomous practice; implementing discharge planning as demonstrating professional nursing care in ED. The outcome space mapped the three levels of hierarchical relationship between these six categories of description. The referential meaning of implementing discharge planning was the commitment to providing discharge services in the ED. The results of this research contribute to describing the nurses’ experience in the implementation of the discharge planning process in the emergency nursing field, in order to provide accurate and effective care to patients discharged from the ED. This study also highlights key insights into the provision of discharge services both in Taiwan and World-wide.
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Books on the topic "Emergency department"

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Steve, Mills, and Whitwell Kerrie, eds. Emergency department. Tunbridge Wells, Kent: Ticktock, 2006.

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Thomas, Stephen H., ed. Emergency Department Analgesia. Cambridge: Cambridge University Press, 2008. http://dx.doi.org/10.1017/cbo9780511544835.

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M, Riggs Leonard, ed. Emergency department design. Dallas, Tex: American College of Emergency Physicians, 1993.

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Shiber, Joseph R., and Scott D. Weingart, eds. Emergency Department Critical Care. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-28794-8.

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McBrien, Marianne. The emergency department technician. Orange, CA: Career Pub., 1995.

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Emergency department triage handbook. Gaithersburg, Md: Aspen Publishers, 1992.

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Kayden, Stephanie, Philip D. Anderson, Robert Freitas, and Elke Platz, eds. Emergency Department Leadership and Management. Cambridge: Cambridge University Press, 2014. http://dx.doi.org/10.1017/cbo9781139030557.

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San Francisco (Calif.). Mayor's Office of Emergency Services. Guidelines for department emergency plans. San Francisco, CA: The Office, 2001.

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Association, Casualty Surgeons, ed. Accident & emergency department handbook 1987. Erith (Erith Business Centre High Street, Erith Kent): MediaPublishing, 1987.

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R, Armitt Carolyn, Gadd Cathy, and Bache John B, eds. Handbook of emergency department procedures. 2nd ed. Edinburgh: Mosby, 2003.

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Book chapters on the topic "Emergency department"

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Cooley, Laura A., Daniel G. Bausch, Marija Stojkovic, Waldemar Hosch, Thomas Junghanss, Marija Stojkovic, Waldemar Hosch, et al. "Emergency Department." In Encyclopedia of Intensive Care Medicine, 838. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-00418-6_1522.

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Garg, Ajay. "Emergency Department." In Monitoring Tools for Setting up The Hospital Project, 21–55. Singapore: Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-99-6663-9_2.

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Smith, Jason. "Emergency Department Management." In Ballistic Trauma, 87–94. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-61364-2_9.

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Eagleton, Austin, and Carlos V. R. Brown. "Emergency Department Thoracotomy." In Penetrating Trauma, 75–83. Berlin, Heidelberg: Springer Berlin Heidelberg, 2016. http://dx.doi.org/10.1007/978-3-662-49859-0_11.

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Holmes, Jeffrey A., and Sean Collins. "Emergency Department Presentation." In Short Stay Management of Chest Pain, 67–78. Totowa, NJ: Humana Press, 2009. http://dx.doi.org/10.1007/978-1-60327-948-2_5.

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Brown, Carlos V. R., and D. J. Green. "Emergency Department Thoracotomy." In Penetrating Trauma, 75–84. Berlin, Heidelberg: Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/978-3-642-20453-1_11.

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Cooley, Laura A., Daniel G. Bausch, Marija Stojkovic, Waldemar Hosch, Thomas Junghanss, Marija Stojkovic, Waldemar Hosch, et al. "Emergency Department Thoracotomy." In Encyclopedia of Intensive Care Medicine, 838. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-00418-6_1523.

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Purcell, Laura. "Emergency Department Studies." In Contemporary Pediatric and Adolescent Sports Medicine, 17–32. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-18141-7_2.

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Smith, Jason. "Emergency Department Management." In Ryan's Ballistic Trauma, 221–29. London: Springer London, 2011. http://dx.doi.org/10.1007/978-1-84882-124-8_17.

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Menaker, Jay. "Emergency Department Thoracotomy." In The Shock Trauma Manual of Operative Techniques, 49–69. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-27596-9_3.

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Conference papers on the topic "Emergency department"

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Barad, Miryam, Talma Hadas, Rony Ackerman Yarom, and Hadar Weisman. "Emergency department crowding." In 2014 IEEE Emerging Technology and Factory Automation (ETFA). IEEE, 2014. http://dx.doi.org/10.1109/etfa.2014.7005055.

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Macdonald, S. J., I. Karkam, N. Al-Shiwarri, R. J. Chowdhary, E. M. Escalante, and A. Afandi. "Emergency department process improvement." In s and Information Engineering Design Symposium. IEEE, 2005. http://dx.doi.org/10.1109/sieds.2005.193266.

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Jihene, Jlassi, Abederrahman El Mhamedi, and Habib Chabchoub. "Simulationmodel of Emergency Department." In 2007 International Conference on Service Systems and Service Management. IEEE, 2007. http://dx.doi.org/10.1109/icsssm.2007.4280152.

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Maietta, Pierpaolo. "COPD Care Bundle in Emergency Department Observation Unit Reduces Emergency Department Revisits." In ERS International Congress 2023 abstracts. European Respiratory Society, 2023. http://dx.doi.org/10.1183/13993003.congress-2023.pa3582.

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Kolb, Erik M. W., Taesik Lee, and Jordan Peck. "Effect of coupling between emergency department and inpatient unit on the overcrowding in emergency departmetn." In 2007 Winter Simulation Conference. IEEE, 2007. http://dx.doi.org/10.1109/wsc.2007.4419777.

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Glaa, B., S. Hammadi, and C. Tahon. "Modeling the emergency path handling And Emergency Department Simulation." In 2006 IEEE International Conference on Systems, Man and Cybernetics. IEEE, 2006. http://dx.doi.org/10.1109/icsmc.2006.384869.

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Jlassi, Jihene, and Abderrahman El Mhamedi. "Performance of Emergency Department: Case study." In 2019 International Colloquium on Logistics and Supply Chain Management (LOGISTIQUA). IEEE, 2019. http://dx.doi.org/10.1109/logistiqua.2019.8907260.

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Benco, Nikolina, Alen Švigir, Iva Topalušić, Katarina Vulin, and Zdenka Pleša Premilovac. "334 Syncope in pediatric emergency department." In 10th Europaediatrics Congress, Zagreb, Croatia, 7–9 October 2021. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2021. http://dx.doi.org/10.1136/archdischild-2021-europaediatrics.334.

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Xiao, Junchao, Leon J. Osterweil, and Qing Wang. "Dynamic scheduling of emergency department resources." In the ACM international conference. New York, New York, USA: ACM Press, 2010. http://dx.doi.org/10.1145/1882992.1883088.

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Facchin, Paola, Elena Rizzato, and Giorgio Romanin-Jacur. "Emergency department generalized flexible simulation model." In 2010 IEEE Workshop on Health Care Management (WHCM). IEEE, 2010. http://dx.doi.org/10.1109/whcm.2010.5441240.

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Reports on the topic "Emergency department"

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Blanchard, A., K. Bell, J. Kelly, and J. Hudson. Fire Department Emergency Response. Office of Scientific and Technical Information (OSTI), September 1997. http://dx.doi.org/10.2172/664586.

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Wingert, Tracy A. Perceptions of Emergency Department Physicians Toward Collaborative Practice With Nurse Practitioners in an Emergency Department Setting. Fort Belvoir, VA: Defense Technical Information Center, April 1998. http://dx.doi.org/10.21236/ad1012079.

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3

Allen, Lindsay, Janet Cummings, and Jason Hockenberry. Urgent Care Centers and the Demand for Non-Emergent Emergency Department Visits. Cambridge, MA: National Bureau of Economic Research, January 2019. http://dx.doi.org/10.3386/w25428.

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Ciapponi, Agustín. Does physician-led triage reduce emergency department overcrowding? SUPPORT, 2016. http://dx.doi.org/10.30846/1610112.

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Emergency department overcrowding is a serious problem facing healthcare systems worldwide that can lead to delays in time-sensitive diagnostic and treatment decisions and poor health outcomes. Triage systems are used to decide who needs urgent care and who can wait, sorting patients according to urgency or type of service required. They employ systems to prioritise or assign patients to treatment categories in order to assist in their management.
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Chan, David, and Yiqun Chen. The Productivity of Professions: Evidence from the Emergency Department. Cambridge, MA: National Bureau of Economic Research, October 2022. http://dx.doi.org/10.3386/w30608.

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6

Newman-Toker, David E., Susan M. Peterson, Shervin Badihian, Ahmed Hassoon, Najlla Nassery, Donna Parizadeh, Lisa M. Wilson, et al. Diagnostic Errors in the Emergency Department: A Systematic Review. Agency for Healthcare Research and Quality (AHRQ), December 2022. http://dx.doi.org/10.23970/ahrqepccer258.

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Objectives. Diagnostic errors are a known patient safety concern across all clinical settings, including the emergency department (ED). We conducted a systematic review to determine the most frequent diseases and clinical presentations associated with diagnostic errors (and resulting harms) in the ED, measure error and harm frequency, as well as assess causal factors. Methods. We searched PubMed®, Cumulative Index to Nursing and Allied Health Literature (CINAHL®), and Embase® from January 2000 through September 2021. We included research studies and targeted grey literature reporting diagnostic errors or misdiagnosis-related harms in EDs in the United States or other developed countries with ED care deemed comparable by a technical expert panel. We applied standard definitions for diagnostic errors, misdiagnosis-related harms (adverse events), and serious harms (permanent disability or death). Preventability was determined by original study authors or differences in harms across groups. Two reviewers independently screened search results for eligibility; serially extracted data regarding common diseases, error/harm rates, and causes/risk factors; and independently assessed risk of bias of included studies. We synthesized results for each question and extrapolated U.S. estimates. We present 95 percent confidence intervals (CIs) or plausible range (PR) bounds, as appropriate. Results. We identified 19,127 citations and included 279 studies. The top 15 clinical conditions associated with serious misdiagnosis-related harms (accounting for 68% [95% CI 66 to 71] of serious harms) were (1) stroke, (2) myocardial infarction, (3) aortic aneurysm and dissection, (4) spinal cord compression and injury, (5) venous thromboembolism, (6/7 – tie) meningitis and encephalitis, (6/7 – tie) sepsis, (8) lung cancer, (9) traumatic brain injury and traumatic intracranial hemorrhage, (10) arterial thromboembolism, (11) spinal and intracranial abscess, (12) cardiac arrhythmia, (13) pneumonia, (14) gastrointestinal perforation and rupture, and (15) intestinal obstruction. Average disease-specific error rates ranged from 1.5 percent (myocardial infarction) to 56 percent (spinal abscess), with additional variation by clinical presentation (e.g., missed stroke average 17%, but 4% for weakness and 40% for dizziness/vertigo). There was also wide, superimposed variation by hospital (e.g., missed myocardial infarction 0% to 29% across hospitals within a single study). An estimated 5.7 percent (95% CI 4.4 to 7.1) of all ED visits had at least one diagnostic error. Estimated preventable adverse event rates were as follows: any harm severity (2.0%, 95% CI 1.0 to 3.6), any serious harms (0.3%, PR 0.1 to 0.7), and deaths (0.2%, PR 0.1 to 0.4). While most disease-specific error rates derived from mainly U.S.-based studies, overall error and harm rates were derived from three prospective studies conducted outside the United States (in Canada, Spain, and Switzerland, with combined n=1,758). If overall rates are generalizable to all U.S. ED visits (130 million, 95% CI 116 to 144), this would translate to 7.4 million (PR 5.1 to 10.2) ED diagnostic errors annually; 2.6 million (PR 1.1 to 5.2) diagnostic adverse events with preventable harms; and 371,000 (PR 142,000 to 909,000) serious misdiagnosis-related harms, including more than 100,000 permanent, high-severity disabilities and 250,000 deaths. Although errors were often multifactorial, 89 percent (95% CI 88 to 90) of diagnostic error malpractice claims involved failures of clinical decision-making or judgment, regardless of the underlying disease present. Key process failures were errors in diagnostic assessment, test ordering, and test interpretation. Most often these were attributed to inadequate knowledge, skills, or reasoning, particularly in “atypical” or otherwise subtle case presentations. Limitations included use of malpractice claims and incident reports for distribution of diseases leading to serious harms, reliance on a small number of non-U.S. studies for overall (disease-agnostic) diagnostic error and harm rates, and methodologic variability across studies in measuring disease-specific rates, determining preventability, and assessing causal factors. Conclusions. Although estimated ED error rates are low (and comparable to those found in other clinical settings), the number of patients potentially impacted is large. Not all diagnostic errors or harms are preventable, but wide variability in diagnostic error rates across diseases, symptoms, and hospitals suggests improvement is possible. With 130 million U.S. ED visits, estimated rates for diagnostic error (5.7%), misdiagnosis-related harms (2.0%), and serious misdiagnosis-related harms (0.3%) could translate to more than 7 million errors, 2.5 million harms, and 350,000 patients suffering potentially preventable permanent disability or death. Over two-thirds of serious harms are attributable to just 15 diseases and linked to cognitive errors, particularly in cases with “atypical” manifestations. Scalable solutions to enhance bedside diagnostic processes are needed, and these should target the most commonly misdiagnosed clinical presentations of key diseases causing serious harms. New studies should confirm overall rates are representative of current U.S.-based ED practice and focus on identified evidence gaps (errors among common diseases with lower-severity harms, pediatric ED errors and harms, dynamic systems factors such as overcrowding, and false positives). Policy changes to consider based on this review include: (1) standardizing measurement and research results reporting to maximize comparability of measures of diagnostic error and misdiagnosis-related harms; (2) creating a National Diagnostic Performance Dashboard to track performance; and (3) using multiple policy levers (e.g., research funding, public accountability, payment reforms) to facilitate the rapid development and deployment of solutions to address this critically important patient safety concern.
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Alexander, Strashny, Christopher Cairns Christopher, and Jill Ashman J. Emergency Department Visits With Suicidal Ideation: United States, 2016–2020. National Center for Health Statistics (U.S.), April 2023. http://dx.doi.org/10.15620/cdc:125704.

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This report uses data from the 2016–2020 National Hospital Ambulatory Medical Care Survey to present the annual average emergency department visit rate per 10,000 people for patients with suicidal ideation.
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Cairns, Christopher, Jill Ashman., and J. M. king. Emergency Department Visit Rates by Selected Characteristics: United States, 2020. National Center for Health Statistics (U.S.), November 2022. http://dx.doi.org/10.15620/cdc:121837.

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This report presents characteristics of emergency department visits, including those with mentions of COVID-19, by age group, sex, race and ethnicity, and insurance using data from the 2020 National Hospital Ambulatory Medical Care Survey.
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Mutter, Michael. Emergency Department Real Time Location System Patient and Equipment Tracking. Fort Belvoir, VA: Defense Technical Information Center, September 2012. http://dx.doi.org/10.21236/ada573372.

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Mutter, Michael. Emergency Department Real Time Location System Patient and Equipment Tracking. Fort Belvoir, VA: Defense Technical Information Center, October 2013. http://dx.doi.org/10.21236/ada605020.

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