Open Access. Powered by Scholars. Published by Universities.®
Articles 1 - 5 of 5
Full-Text Articles in Medicine and Health Sciences
Improving Interdepartmental Care Collaboration For Pregnant Patients, Michelle Anne Ott
Improving Interdepartmental Care Collaboration For Pregnant Patients, Michelle Anne Ott
Walden Dissertations and Doctoral Studies
Communication is vital to improve patient care outcomes, especially with high acuity patients. Pregnant patients differ from other patient populations because their care involves 2 entities: the patient (mother-to-be) and her unborn fetus. There has been a noted gap in communication and care collaboration between the emergency department (ED) and obstetric (OB) teams at the project site, resulting in delays for patients and lack of appropriate maternal/fetal assessment and contributing negatively to patients' experiences. Using transitions theory and the Rosswurm and Larrabee model, a clinical practice guideline (CPG) inclusive of an obstetrically focused algorithm was developed and presented for use …
Characteristics Of Young People Seen In The Emergency Department For Assault-Related Injuries, Robyn Coons
Characteristics Of Young People Seen In The Emergency Department For Assault-Related Injuries, Robyn Coons
Walden Dissertations and Doctoral Studies
Violence is among the most serious threats to the health and safety of young people between the ages of 10 and 24 in the United States. The purpose of this cross-sectional quantitative study using secondary data from the CDC's 2015 National Hospital Ambulatory Medical Care Survey (NHAMCS) data set was to examine the characteristics (age, sex, race and ethnicity, insurance or payer source, and housing status) of young people between the ages of 10 and 24 who seek medical care for assault-related injuries through the emergency department (ED). The social ecological model was used to examine the complex interplay between …
Impact Of Queueing Theory On Capacity Management In The Emergency Department, Nina Bush
Impact Of Queueing Theory On Capacity Management In The Emergency Department, Nina Bush
Walden Dissertations and Doctoral Studies
Hospital systems in the United States are facing a dilemma regarding capacity management in the emergency department (ED) and the inpatient care setting. The average wait time in EDs across the United States exceeds 98 minutes, which is also the point at which patients begin to abandon healthcare treatment. The purpose of this quantitative study was to examine the use of queueing theory in capacity management on length-of-stay (LOS) rates, left-without-being-seen (LWBS) rates, and boarding rates in the ED and inpatient setting. The boarding rates represent the rate in which patients were roomed in the ED but required inpatient care. …
An Evidence-Based Clinical Guideline To Improve Pediatric Asthma Outcomes, Andrew Wesolowski
An Evidence-Based Clinical Guideline To Improve Pediatric Asthma Outcomes, Andrew Wesolowski
Walden Dissertations and Doctoral Studies
Asthma is a disease that compromises the airways of the respiratory system, and is a prominent reason for hospitalization and emergency care needs. Over 6.1 million children are estimated to suffer from asthma. Asthmatic patients at an urban pediatric hospital emergency department (ED) were found to have higher revisit rates than the national average for large urban hospitals. The lack of a clinical guideline for educating families in patient care management at home could have contributed to readmission rates. The purpose of this project was to develop an evidence-based pediatric asthma education clinical guideline to aide healthcare providers with discharge …
The Association Between Behavior Disorders And Return Visit To The Emergency Department, Destiney Fraguada
The Association Between Behavior Disorders And Return Visit To The Emergency Department, Destiney Fraguada
Walden Dissertations and Doctoral Studies
Presently, extensive research supporting the overcrowding of emergency departments (EDs) and behavior disorder patients presenting to EDs are prevalent. There exists a knowledge gap between specific behavior disorders diagnoses associated to repeated visits to the ED. The purpose of this quantitative study was to address whether a relationship exists between patients with psychotic and/or substance abuse disorders and the repeated ED visits within 72 hours. The Andersen Behavioral framework model and the secondary data were used in the study. The cross-sectional archival data from the 2016 National Ambulatory Medical Care Survey was analyzed by using cross-tabulation with the 2 test …