Articles: emergency-department.
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Multicenter Study Observational Study
The emergency department trigger tool: Multicenter trigger query validation.
We previously described derivation and validation of the emergency department trigger tool (EDTT) for adverse event (AE) detection. As the first step in our multicenter study of the tool, we validated our computerized screen for triggers against manual review, establishing our use of this automated process for selecting records to review for AEs. ⋯ The EDTT trigger query performed very well compared to manual review. With some expected variability, trigger frequencies were similar across sites and proportions of triggered records ranged 31%-49%. This demonstrates the feasibility and generalizability of implementing the EDTT query, providing a solid foundation for testing the triggers' utility in detecting AEs.
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Multicenter Study
Prophylaxis of venous thromboembolism in hospitalized patients admitted from Spanish emergency departments: the PROTESU II study.
To estimate the prevalence of inappropriate use of prophylaxis to prevent venous thromboembolism (VTE) in patients with medical diseases admitted to hospital from the emergency department. To explore variables associated with inappropriate thromboprophylaxis. ⋯ The inappropriate use of thromboprophylaxis in Spanish emergency departments is high and associated with certain clinical characteristics.
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Multicenter Study Observational Study
Concordance between risk scales for venous thromboembolism in patients treated in emergency departments.
To evaluate agreement between risk-assessment models for venous thromboembolism (VTE) in patients hospitalized for medical conditions and to analyze variables associated with the decision to prescribe pharmacological thromboprophylaxis in hospital emergency departments (EDs). Conclusions. ⋯ There is disagreement among the recommended models for predicting risk for VTE in patients hospitalized for medical conditions. The basis for emergency physicians' clinical judgment regarding thromboprophylaxis extends beyond risk scales to include multiple risk factors for VTE and bleeding.
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Emerg Med Australas · Jun 2024
Observational StudyChoosing Wisely audit: CT KUB ordering in emergency department renal colic presentations.
Our aim was to safely reduce unnecessary CT KUBs (kidneys, ureters, bladder) in patients with renal colic. ⋯ Audit interventions can reduce unnecessary CT KUBs in renal colic.