Wright State University
University of St. Augustine for Health Sciences
Grand Strand Medical Center
University of Chicago
Rappahannock Community College
Medical University of Innsbruck, Austria
The Initial Psychometric Evaluation Of A New Emergency Department Patient-Reported Experience Measure (Ed Prem),
2023
School of Nursing and Midwifery, Griffith University
The Initial Psychometric Evaluation Of A New Emergency Department Patient-Reported Experience Measure (Ed Prem), Claudia Bull, Julia Crilly, Sharon Latimer, Emma Hall, Brigid M. Gillespie
Patient Experience Journal
Patient-reported experience measures (PREMs) are critical to evaluating the person-centeredness, safety, and quality of healthcare services internationally. The aim of this study was to describe the initial psychometric evaluation of a new Emergency Department (ED) PREM. Adult patients presenting to the ED of a tertiary hospital in southeast Queensland, Australia during January 2022 were recruited in-person. Participants selected their preferred ED PREM mode of administration from online, telephone, or postal, and had 14 days from recruitment to complete the survey. Item reduction, structural validity, discriminant validity, and internal consistency reliability were assessed. A sample of 349 (68.4%) was achieved. Item …
Sindrom Respons Inflamasi Sistemik,
2023
Departemen Klinik Ilmu Bedah Fakultas Kedokteran Universitas Indonesia
Sindrom Respons Inflamasi Sistemik, Yefta Moenadjat
Department of Surgery Teaching Materials and Monographs
Materi perkuliahan memuat uraian respons inflamasi pascatrauma yang berkembang menjadi sindrom respons inflamasi sistemik, berakhir dengan kegagalan organ multipel ditinjau dari aspek biomolekuler.
Buku ini merupakan bagian pertama dari seri inflamasi yang disusun dalam bentuk digital dan dipublikasi menurut konsep lisensi Commons Attribution-NonCommercial 4.0 International License untuk tujuan diseminasi.
Previous Health Care Experiences’ Influence On Health Care Perceptions Among Residents In Six Homeless Shelters In Seattle, Washington, July–October 2021,
2023
Centers for Disease Control and Prevention
Previous Health Care Experiences’ Influence On Health Care Perceptions Among Residents In Six Homeless Shelters In Seattle, Washington, July–October 2021, Ashley A. Meehan, Sarah N. Cox, Nicholas B. Thuo, Julia H. Rogers, Amy C. Link, Miguel A. Martinez, Natalie K. Lo, Brian J. Manns, Melissa A. Rolfes, Eric J. Chow, Helen Y. Chu, Emily Mosites, Morhaf Al Achkar
Journal of Patient-Centered Research and Reviews
Purpose: The study purpose was to learn and describe 1) where homeless shelter residents receive health care, 2) what contributes to positive or negative health care experiences among shelter residents, and 3) shelter resident perceptions toward health care.
Methods: Semi-structured interviews (SSIs) utilizing purposive sampling and focus group discussions (FGDs) utilizing convenience sampling were conducted at 6 homeless shelters in Seattle-King County, Washington, during July–October 2021. All residents (age ≥ 18) were eligible to participate. SSIs were conducted with 25 residents, and 8 FGDs were held. Thematic analysis was conducted using Dedoose.
Results: Participants received health care …
A Clinical Review Of Antibiotic Therapy Versus Appendectomy For Treatment Of Acute Uncomplicated Appendicitis,
2023
Southern Illinois University, Carbondale
A Clinical Review Of Antibiotic Therapy Versus Appendectomy For Treatment Of Acute Uncomplicated Appendicitis, Taylor Mcclard
SIU Journal of Medical Science Scholarly Works
Purpose: The purpose of this manuscript is to review the efficacy of antibiotic therapy in the treatment of acute uncomplicated appendicitis versus standard appendectomy.
Method: A PubMed literature search was conducted with keywords of acute appendicitis, antibiotics, and appendectomy. The publication date was limited to the last five years. Sample size less than 100 people, patient population less than five years of age, and articles examining only acute complicated appendicitis were excluded. Pertinent articles reviewing the efficacy of antibiotics compared to appendectomy serve as the basis for this clinical review.
Results: Antibiotic therapy alone could be a …
Association Between Sars-Cov-2 Variants And Frequency Of Acute Symptoms: Analysis Of A Multi-Institutional Prospective Cohort Study-December 20, 2020-June 20, 2022.,
2023
Thomas Jefferson University
Association Between Sars-Cov-2 Variants And Frequency Of Acute Symptoms: Analysis Of A Multi-Institutional Prospective Cohort Study-December 20, 2020-June 20, 2022., Ralph C, Wang, Michael Gottlieb, Juan Carlos C. Montoy, Robert M. Rodriguez, Huihui Yu, Erica S. Spatz, Christopher W. Chandler, Joann G. Elmore, Paavali A. Hannikainen, Anna Marie Chang, Mandy Hill, Ryan M. Huebinger, Ahamed H. Idris, Katherine Koo, Shu-Xia Li, Samuel Mcdonald, Graham Nichol, Kelli N. O'Laughlin, Ian D. Plumb, Michelle Santangelo, Sharon Saydah, Kari A. Stephens, Arjun K. Venkatesh, Robert A. Weinstein
Department of Emergency Medicine Faculty Papers
Background: While prior work examining severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants of concern focused on hospitalization and death, less is known about differences in clinical presentation. We compared the prevalence of acute symptoms across pre-Delta, Delta, and Omicron.
Methods: We conducted an analysis of the Innovative Support for Patients with SARS-CoV-2 Infections Registry (INSPIRE), a cohort study enrolling symptomatic SARS-CoV-2-positive participants. We determined the association between the pre-Delta, Delta, and Omicron time periods and the prevalence of 21 coronavirus disease 2019 (COVID-19) acute symptoms.
Results: We enrolled 4113 participants from December 2020 to June 2022. Pre-Delta vs Delta …
Implementation Of A Patient Care Specialist Role To Enhance The Patient Experience In A Pediatric Emergency Department,
2023
Jacksonville State University
Implementation Of A Patient Care Specialist Role To Enhance The Patient Experience In A Pediatric Emergency Department, Jillian Brodeur
Doctor of Nursing Practice Projects
Background: Patient-centered care (PCC) has been an emerging trend in healthcare for the past two decades (Walsh et al., 2022). PCC and the patient experience have become essential measures of the quality of care provided and are linked to reimbursement dollars and improved patient outcomes (Rapport et al., 2019).
Purpose: The purpose of the Doctor of Nursing Practice (DNP) project was to improve the patient experience in the Emergency Department (ED) of a metropolitan hospital. The DNP project focused on the benefit of a patient advocate in the ED to improve the patient experience. The project sought to improve …
Patient Experience After Geriatric Emergency Medicine Assessment,
2023
Department of Emergency Medicine, Beaumont Health System
Patient Experience After Geriatric Emergency Medicine Assessment, Jessica Kuxhause, Natalie Liogas, Sarah Keene, Rebecca Fisher, Lauren Cameron Comasco
Journal of Geriatric Emergency Medicine
Study Objectives
The geriatric population is increasing in size and expected to represent 20% of the United States population by 2030 per US census data estimates, with expectant increase in geriatric emergency department (ED) visits.1 Prior research has demonstrated older adults evaluated in the ED are more likely to have an increased length of stay, more diagnostic tests, and higher overall costs than their younger counterparts, but despite consuming greater resources and staff time, older adults are still more likely to be dissatisfied with their treatment outcomes and less likely to feel that their presenting complaint has been resolved. …
Geriatric Emergency Medicine Fellowship Journal Club: Screening For High-Risk Alcohol Use Among Older Adults In The Emergency Department,
2023
University of British Columbia
Geriatric Emergency Medicine Fellowship Journal Club: Screening For High-Risk Alcohol Use Among Older Adults In The Emergency Department, Kira Gossack-Keenan
Journal of Geriatric Emergency Medicine
Alcohol use in older adults is a growing and under-recognized issue. Older adults are at higher risk of alcohol-related complications due to underlying comorbidities, frailty, and polypharmacy. High-risk alcohol use and alcohol use disorder (AUD) are often missed among older patients. We present two recent studies on screening older patients for alcohol use. Older adults have unique needs and require a specialized approach to screening.
Shared Disposition Decision Making In The Emergency Department For Persons Living With Dementia,
2023
Durham VA Medical Center / Duke University
Shared Disposition Decision Making In The Emergency Department For Persons Living With Dementia, Justine Seidenfeld, Fernanda Bellolio, Anita Vashi, Courtney Van Houtven, Susan Hastings
Journal of Geriatric Emergency Medicine
N/A
Top 10 Things To Know About Falls In Older Adults,
2023
Harvard Affiliated Emergency Medicine Residency
Top 10 Things To Know About Falls In Older Adults, Alexander W. Zirulnik, Shan Liu
Journal of Geriatric Emergency Medicine
No abstract provided.
End-Of-Life Care In The Trauma Bay: Six Key Points,
2023
Western NSW Local Health District / Charles Sturt University
End-Of-Life Care In The Trauma Bay: Six Key Points, Louis Christie Dr
Journal of Geriatric Emergency Medicine
The dominant culture across North America, Europe and Australia has been characterized by workers in hospice and palliative care as ‘death denying’ or ‘death phobic’. The last two decades have seen a significant increase in the number of trauma patients with complex background co-morbidities due to advanced age. Effective end-of-life care in trauma requires physicians to begin careful, balanced and sensitive conversations encompassing goals of care and expectation-setting, in the trauma bay. These pointers will help the reader communicate the principles of these clinical decisions clearly to patients and their families.
Current Best Practice In Pelvic And Hip Fracture Management In The Older Adult Population,
2023
University of Sydney, NSW , Australia
Current Best Practice In Pelvic And Hip Fracture Management In The Older Adult Population, Anthony P. Joseph
Journal of Geriatric Emergency Medicine
Fractures of the pelvis and hip are a relatively frequent occurrence in the older population. Pelvic fractures in older patients usually occur after a fall from standing height. CT scan is the investigation of choice. There are several classifications available which are useful in risk stratification and predicting surgical treatment. Haemorrhage is a major complication and can usually be treated by interventional radiology. An Orthopedic opinion should be sought promptly, and surgical stabilisation (if indicated) should be completed as early as possible to enable early mobilisation and the avoidance of complications such as deep vein thrombosis or pneumonia.
Hip fractures …
Older Person Fracture Presentation And Management Including Tips For Pain Management,
2023
University of Newcastle, Australia
Older Person Fracture Presentation And Management Including Tips For Pain Management, Timothy D W Arnold
Journal of Geriatric Emergency Medicine
Fractures in older adults occur in patients who commonly carry chronic, complex multi-system disease. Nuanced management for these injuries is required in this patient group to reduce mortality, morbidity and improve outcomes.
Abc's Of Geriatric Trauma,
2023
University of Chicago
Abc's Of Geriatric Trauma, Teresita Hogan
Journal of Geriatric Emergency Medicine
The ABC's approach to geriatric trauma alerts clinicians to specific important factors in emergency evaluation of an injured older adult.
Geriatric Trauma Triage - The Scope Of The Problem,
2023
University of Melbourne
Geriatric Trauma Triage - The Scope Of The Problem, Mya Cubitt, Rachel Key
Journal of Geriatric Emergency Medicine
n/a
Head Injury In Older Adults: To Scan Or Not To Scan? Ten Tips To Make The Best Decision,
2023
Faculté de médecine familiale et de médecine d'urgence, Université de Sherbrooke
Head Injury In Older Adults: To Scan Or Not To Scan? Ten Tips To Make The Best Decision, Audrey-Anne Brousseau, Éric Mercier
Journal of Geriatric Emergency Medicine
Ground-level falls are a leading cause of emergency department (ED) visits by older adults. In addition to understanding the cause of the fall, the assessment of potential fall-induced injuries such as traumatic intracranial hemorrhage, can be highly challenging for emergency clinicians. Premorbid conditions, medications and concomitant injuries can all interfere with the physical examination and impact the prevalence of signs traditionally associated with traumatic brain injury (TBI). When it comes to the decision to potentially investigate for a traumatic intracranial hemorrhage with a brain imaging such as a head computed tomography (CT), many potential predictors and factors will be considered. …
What Regenerative Agriculture Can Teach Medical Students About Human Health,
2023
Thomas Jefferson University
What Regenerative Agriculture Can Teach Medical Students About Human Health, David Ebbott, Dimitrios Papanagnou
Department of Emergency Medicine Faculty Papers
No abstract provided.
Evaluation Of Discharge Antibiotic Prescribing For Community Acquired Pneumonia At A Pediatric Emergency Department,
2023
St Christopher's Hospital for Children
Evaluation Of Discharge Antibiotic Prescribing For Community Acquired Pneumonia At A Pediatric Emergency Department, Priya Vyas, Catherine Cheng, Janet Chen, Jean Marie Rinnan, Emily Souder
St. Chris Research Day
No abstract provided.
Telehealth Clinical Appropriateness And Quality,
2023
Thomas Jefferson University
Telehealth Clinical Appropriateness And Quality, Lulu Wang, Anthony Fabiano, Arjun K. Venkatesh, Nick Patel, Judd E. Hollander
Department of Emergency Medicine Faculty Papers
Contrary to common perception, telehealth is not simply a substitute for in-person care. With an array of modalities—live audio–video, asynchronous patient communication, and remote patient monitoring, to name a few—telehealth creates entirely new avenues of care delivery (Table 1). Although our current care model is reactive—relying on episodic visits to an office or hospital—telehealth allows us to be proactive, filling in the gaps to provide a continuum of care. Widespread uptake of telehealth has created fertile ground for long-overdue health system reform. In this study, we describe essential next steps: redefine telehealth clinical appropriateness, evolve payment models, provide necessary training, …
Ethical Considerations Of Clinical Research In Emergency Care Settings: A Review,
2023
University of Connecticut
Ethical Considerations Of Clinical Research In Emergency Care Settings: A Review, Adith Velavan
Honors Scholar Theses
Emergency and acute care settings are some of the most volatile and high intensity areas of any healthcare operation. Better understanding of systems and treatments in these spaces are critical to improving outcomes for the high risk patients that are treated there. Clinical research serves as a cornerstone of modern medical research, and is critical to the further improvement of clinical care in these settings. This thesis serves to explore the ethicality of such research given the constraints of emergency medicine settings. Not only does this thesis provide a strong foundation regarding the history and current practices of clinical research, …
