Articles: emergency-services.
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Multicenter Study Comparative Study
Effect of a patient's sex on the timing of thrombolytic therapy.
We sought to determine whether a patient's sex independently influences the interval from emergency department arrival to the initiation of thrombolytic therapy in acute myocardial infarction (AMI). ⋯ We infer that a patient's sex may play a significant role in the observed delay in treatment for women. Our data, coupled with previously published work, strongly suggest a systematic negative effect for women in their interaction with the health care system during AMI. We suggest that variables other than systems issues affect the time elapsed before thrombolytic therapy.
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Hosp Health Serv Adm · Jan 1996
Multicenter StudyKeys to patient satisfaction in the emergency department: results of a multiple facility study.
Patient satisfaction is a significant issue for emergency departments. The special nature of the emergency encounter calls for a sound understanding of the factors that influence patient satisfaction. ⋯ We find that demographic variables such as age and sex do not significantly influence the decision to recommend. Nursing/staff items, physician issues, and waiting time are the key factors that drive satisfaction with emergency departments.
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Multicenter Study Clinical Trial
Current emergency department management of stroke in Houston, Texas.
This study describes emergency department (ED) management of stroke in Houston, Tex, in 1992 to identify delays and deficiencies in recognition and management of stroke patients in various hospital subtypes and to quantitate the impact of a rapid response stroke team. ⋯ Transport, initial evaluation, and ED care of acute stroke patients are currently slow and often inexpert in all types of hospitals. A stroke team can speed initial ED management.
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This paper gives an overview of research which analysed the nurse's role in the UK trauma team. A prospective study was carried out of 100 trauma patients in 6 UK Accident and Emergency (A & E) departments. ⋯ In comparison, departments with teams secured the airway and obtained intravenous access in 100% of the cases observed. The results highlighted that a structured organised team, with predetermined roles and responsibilities for both nursing and medical staff, has a direct bearing on patient outcome.
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Multicenter Study Comparative Study
Review of the composition and use of trauma teams within the Trent Region.
The aim of the study was to find the existence, composition and working policies of trauma teams within the Trent Region. Data were obtained by postal survey. Despite many reports indicating a need for a unified multidisciplinary approach to trauma management, this study found that this approach was absent in many hospitals.