• Effect op opnametijd van introductie zorgroutes om klinische zorg te sturen

    Bibliotheek (Redactie Bibliotheek) dinsdag 7 juli 2009, 10:21
    • Doorgeklikt: 658 keer |
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    Sloan J, Chatterjee K, Sloan T, Holland G, Waters M, Ewins D, et al. Effect of a pathway bundle on length of stay. Emerg Med J 2009 Jul;26(7):479-83

    Pathways to guide clinical care are well accepted and used in many emergency departments. We wanted to introduce a number ("bundle") over a short space of time and involve the whole patient stay in the pathway. It was hypothesised that a more efficient process would result with an overall reduction in length of stay (LoS). METHODS: A "bundle" of 14 evidence-based pathways of care was introduced into a medium-sized district general hospital (DGH) in late 2006/early 2007. These pathways covered emergency department care and acute medical care for a period of up to 48 h. A total of 8184 acute emergency admission episodes were audited, 3852 in the 8 months before introduction of the new pathways and 4332 in the 8 months after their introduction.

    Tags:    length of stay time-management

  • Efficientie van alcoholscreening door de receptionist op de SEH

    Bibliotheek (Redactie Bibliotheek) woensdag 17 juni 2009, 19:27
    • Doorgeklikt: 680 keer |
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    Patton R, Shute J, Hinchley G, Ranzetta L. Efficacy of alcohol screening in the accident and emergency department managed by reception staff: a pilot study. Emerg Med J 2009 Jun;26(6):424-5

    Hazardous levels of alcohol consumption are associated with presentations to the accident and emergency department. Although screening and brief interventions are effective at reducing levels of hazardous drinking, a low number of departments has implemented such a strategy. Time constraints upon clinical staff have been cited as one reason for this inertia. This pilot study demonstrates that self-completion of screening materials is possible before a patient is seen by clinical staff.

    Tags:    spoedeisende hulp time-management vragenlijst alcoholscreening

  • Associatie tussen deur-tot-ballon tijd en mortaliteit in patienten met een hartinfarct

    Bibliotheek (Redactie Bibliotheek) dinsdag 19 mei 2009, 09:51
    • Doorgeklikt: 774 keer |
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    Rathore SS, Curtis JP, Chen J, Wang Y, Nallamothu BK, Epstein AJ, et al. Association of door-to-balloon time and mortality in patients admitted to hospital with ST elevation myocardial infarction: national cohort study. BMJ 2009;338:b1807.

    Objective: To evaluate the association between door-to-balloon time and mortality in hospital in patients undergoing primary percutaneous coronary intervention for ST elevation myocardial infarction to assess the incremental mortality benefit of reductions in door-to-balloon times of less than 90 minutes.
    Design: Prospective cohort study of patients enrolled in the American College of Cardiology National Cardiovascular Data Registry, 2005-6.

    Tags:    time-management prospectief mortaliteit hartinfarct cardiologie

  • Drukte vertraagd behandeling op de spoedeisende hulp

    Bibliotheek (Redactie Bibliotheek) dinsdag 5 mei 2009, 09:24
    • Doorgeklikt: 666 keer |
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    McCarthy ML, Zeger SL, Ding R, Levin SR, Desmond JS, Lee J, et al. Crowding Delays Treatment and Lengthens Emergency Department Length of Stay, Even Among High-Acuity Patients. Ann Emerg Med 2009 May 5.

    STUDY OBJECTIVE: We determine the effect of crowding on emergency department (ED) waiting room, treatment, and boarding times across multiple sites and acuity groups. METHODS: This was a retrospective cohort study that included ED visit and inpatient medicine occupancy data for a 1-year period at 4 EDs. We measured crowding at 30-minute intervals throughout each patient's ED stay. We estimated the effect of crowding on waiting room time, treatment time, and boarding time separately, using discrete-time survival analysis with time-dependent crowding measures (ie, number waiting, number being treated, number boarding, and inpatient medicine occupancy rate), controlling for patient demographic and clinical characteristics.

    Tags:    wachttijd time-management

  • Relatie tussen leeftijd patient en moment van bezoek aan SEH

    Bibliotheek (Redactie Bibliotheek) donderdag 1 januari 2009, 16:48
    • Doorgeklikt: 411 keer |
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    Downing A, Wilson R. Temporal and demographic variations in attendance at accident and emergency departments. Emerg Med J 2002 Nov;19(6):531-5.

    DOELSTELLINGEN: weinig is beschreven van de demografische en tijdelijke variaties in de patiëntenopkomst op de spoedeisende hulp afdeling, ondanks het belang van deze informatie in de planning van de diensten. Het doel van deze paper is om de variaties in aanwezigheidspatronen in de West Midlands regio van de NHS te verkennen

    Tags:    wachttijden time-management