Articles: emergency-services.
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Multicenter Study
Assessing substance abuse treatment need: a statewide hospital emergency department study.
Health care providers in hospital emergency departments rarely take substance abuse histories or assess associated treatment need. This study compares documentation of psychoactive drug-related diagnoses for adult ED patients in medical records with treatment need assessed through self-report, toxicologic screening, and Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV), criteria. ⋯ EDs can be important venues for detecting persons in need of substance abuse treatment.
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Multicenter Study
Descriptive epidemiology of adult critical care transfers from the emergency department.
To describe the nature, frequency, and characteristics of adult critical care transfers originating from the emergency department (ED). ⋯ Trauma is the most common reason for transfer of the critically ill adult from the ED. A significant number of patients are transferred, however, with medical and surgical conditions and for non-clinical reasons. There continues to be problems with the quality of care that these patients receive. Emergency medicine clinicians must be actively involved in the development of regional critical care systems as a significant proportion of all critically ill adults transferred originate from the ED.
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European heart journal · May 2003
Multicenter StudyDevelopment and prospective validation of a risk stratification system for patients with syncope in the emergency department: the OESIL risk score.
Aim of the present study was the development and the subsequent validation of a simple risk classification system for patients presenting with syncope to the emergency departments. ⋯ Clinical and electrocardiographic data available at presentation to the emergency department can be used for the risk stratification of patients with syncope. The OESIL risk score may represent a simple prognostication tool that could be usefully employed for the triage and management of patients with syncope in emergency departments.
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Multicenter Study
National audit of emergency department child protection procedures.
To assess the compliance with national guidelines on child protection procedures and provision of paediatric services in major English emergency departments. ⋯ Many nationally agreed recommendations are being met, but there is a need for improved training, increased numbers of specialised staff, and improved communication between professionals. There is considerable variation in practice between departments.
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Multicenter Study Comparative Study
Patient satisfaction and quality of care in walk-in clinics, family practices and emergency departments: the Ontario Walk-In Clinic Study.
Although walk-in clinics are an increasingly common feature of Ontario's health care system, the quality of care they provide is the subject of continuing debate. In this study we examined differences in patient satisfaction and quality of care for common acute conditions in walk-in clinics, family practices and emergency departments. ⋯ Satisfaction with waiting time was highest among family practice patients. Both family practices and walk-in clinics were perceived more positively than emergency departments on all 3 dimensions of satisfaction. Overall quality-of-care scores were higher in walk-in clinics and emergency departments than in family practices.