Emergency medicine Australasia : EMA
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Emerg Med Australas · Feb 2007
Multicenter StudyImproving asthma discharge management in relation to emergency departments: The ADMIRE project.
The present paper describes the process, outcomes and lessons learned from a federally funded, multicentre action research project aimed at improving discharge practices for asthma patients who attend ED and are discharged home. Thirty-two ED participated and worked locally to improve discharge practices using previously published best-practice guidelines. Although they achieved some improvements, major barriers to best-practice discharge outside ED control were identified, including access to GP, hospital policies regarding supply of medications and access to appropriate asthma education. The ED developed some useful tools to assist with improving asthma management that have been compiled as a toolkit and are available online.
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Emerg Med Australas · Feb 2007
Experience in adverse events detection in an emergency department: nature of events.
The study was performed to determine the nature of adverse events in an ED. ⋯ In conclusion, the data demonstrate that events fall into two sets: prior events which are associated with errors of commission, drug reactions and lower preventability; and ED events which are associated with errors of omission, diagnostic issues and high preventability.
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Emerg Med Australas · Feb 2007
Comparative StudyEvidence-based implementation of adult asthma guidelines in the emergency department: a controlled trial.
To determine if an evidence-based implementation (EBI) strategy could lead to the successful implementation of guidelines for the management of adult asthma in a large rural ED. ⋯ An EBI significantly improved compliance at the study hospital with no improvement noted in the control hospital. These improvements were maintained at 12 month follow up. An EBI can lead to significant improvements in the management of asthma at a large rural referral hospital ED and might have implications for hospitals with similar roles and profiles.
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Emerg Med Australas · Feb 2007
Experience in adverse events detection in an emergency department: incidence and outcome of events.
The study was performed to determine the incidence, outcome and preventability of adverse events (AE) in an ED. ⋯ In conclusion, the Quality in Australian Health Care Study methodology has been utilized to provide data on incidents and AE in an ED.