Articles: emergency-services.
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This is the second part of a two-part article examining the federal patient anti-dumping statute, under which physicians are required to treat a hospital's emergency patients, including women in labor, and to comply with certain requirements that dictate when it is appropriate to transfer a patient. Part I discussed in detail the provisions of the statute. Part II analyzes various court interpretations of the law and its potential impact on physician liability.
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To compare a new 22-lead ECG with the 12-lead ECG for diagnosis of acute myocardial infarction (AMI). ⋯ When combined with clinical judgment, the 22-lead ECG could provide a 97.6% sensitivity for AMI diagnosis while reducing unnecessary admissions for "rule-out MI" by 69%.
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Health Care Manage Rev · Jan 1992
The urgency of care need and patient satisfaction at a hospital emergency department.
Satisfaction with the treatment and service at a hospital emergency department (ED) in a Swedish suburban area was generally high according to a questionnaire carried out among 758 patients with a 75 percent response rate. Satisfaction with the ED, however, was significantly lower among patients who were triaged nonurgent than among the immediate and urgent triage patients. This was especially true for younger patients.
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To develop a method for predicting hospital admissions for patients with decompensated chronic obstructive pulmonary disease treated in an emergency department. ⋯ A multivariate model can be used to identify patients with decompensated chronic obstructive pulmonary disease who are unlikely to need hospitalization. This model could be used to select episodes of decompensated chronic obstructive pulmonary disease for treatment at home.
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An analysis was made of 82 public hospitals surveyed by the ACHS in 1990 that had received recommendations for improvement within their Accident and Emergency service. The major areas requiring attention included quality assurance, scope of service, policy and procedure manuals, signposting and the appointment of a medical practitioner responsible for the service. The analysis also revealed that 90% of the recommendations for improvement made by ACHS surveyors at a previous survey had been fully or partially implemented upon resurvey in 1990.