Articles: hospital-emergency-service.
-
Randomized Controlled Trial Clinical Trial
Predictors of medical service utilization among individuals with co-occurring HIV infection and substance abuse disorders.
This study examined factors affecting medical service use among HIV-infected persons with a substance abuse disorder. The sample comprised 190 participants enrolled in a randomized trial of a case management intervention. Participants were interviewed about their backgrounds, housing status, income, alcohol and drug use problems, health status and depressive symptoms at study entry. ⋯ Homelessness was associated with higher utilization of emergency department and inpatient services; drug use severity was associated with higher inpatient and ambulatory care service use; and alcohol use severity was associated with greater use of emergency medical services. Homelessness and substance abuse exacerbate the health care needs of HIV-infected persons and result in increased use of emergency department and inpatient services. Interventions are needed that target HIV-infected persons with substance abuse disorders, particularly those that increase entry and retention in outpatient health care and thus decrease reliance on acute hospital-based services.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Ultrasound image quality comparison between an inexpensive handheld emergency department (ED) ultrasound machine and a large mobile ED ultrasound system.
Questions have been raised regarding image quality (IQ) provided by portable ultrasound (US) machines. ⋯ A statistically significant difference was seen between GE 400 and SonoSite in IQ and RES, but not DET.
-
Randomized Controlled Trial Clinical Trial
The safety and effectiveness of minor injuries telemedicine.
To determine the safety of minor injuries telemedicine compared with on-site specialist care, current practice, and a robust gold standard, and to assess the clinical effectiveness of this new technique. ⋯ Minor injuries telemedicine is safe and clinically effective, providing care that is equivalent to specialist on-site assessment and the current practice of treatment by a general practitioner. There is no evidence that telemedicine provides superior care, and there are a number of process issues that may impede successful implementation of this new technique.
-
Randomized Controlled Trial Clinical Trial
A randomized, clinical trial of a home safety intervention based in an emergency department setting.
To assess the effectiveness of an emergency department (ED)-based home safety intervention on caregivers' behaviors and practices related to home safety. ⋯ This educational and device disbursement intervention was effective in improving the home safety practices of caregivers of young children. Moreover, the ED was used effectively to disseminate home injury prevention information.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Ongoing visual analog score display improves Emergency Department pain care.
The study purpose was to test two methods of pain assessment and display: ongoing (11 times over 2 h) visual analog scale (VAS) determination with data tabulation in the ED chart (Tabulation group), and similar VAS assessments with display of the information at the head of the ED bed (Graph group). A Control group had initial and 2-h VAS ascertainments charted (not graphed). ⋯ Tabulation group results were intermediate to those of Control and Graph patients. The data support further investigation of VAS display as a means of improving ED pain assessment.