scholarly journals Improving emergency department patient-doctor conversation through an artificial intelligence symptom-taking tool: a mixed-methods pilot observational study. (Preprint)

10.2196/28199 ◽  
2021 ◽  
Author(s):  
Justus Scheder-Bieschin ◽  
Bibiana Blümke ◽  
Erwin de Buijzer ◽  
Fabienne Cotte ◽  
Fabian Echterdiek ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Emergency Department ◽  
Mixed Methods ◽  
Observational Study ◽  
Emergency Department Patient

scholarly journals Categorical Risk Perception Drives Variability in Antibiotic Prescribing in the Emergency Department: A Mixed Methods Observational Study

2017 ◽  
Vol 32 (10) ◽  
pp. 1083-1089 ◽  
Author(s):  
Eili Y. Klein ◽  
Elena M. Martinez ◽  
Larissa May ◽  
Mustapha Saheed ◽  
Valerie Reyna ◽  
...  
Keyword(s):  
Emergency Department ◽  
Mixed Methods ◽  
Risk Perception ◽  
Observational Study ◽  
Antibiotic Prescribing

scholarly journals Correction to: Validation of the modified Skåne emergency department assessment of patient load (mSEAL) model for emergency department crowding and comparison with international models; an observational study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jens Wretborn ◽  
Håkan Starkenberg ◽  
Thoralph Ruge ◽  
Daniel B. Wilhelms ◽  
Ulf Ekelund
Keyword(s):  
Emergency Department ◽  
Observational Study ◽  
Emergency Department Crowding ◽  
Patient Load

An amendment to this paper has been published and can be accessed via the original article.

scholarly journals Paediatric attendances of the emergency department in a major Irish tertiary referral centre before and after expansion of free GP care to children under 6: a retrospective observational study

2021 ◽  
Vol 5 (1) ◽  
pp. e000862
Author(s):  
Irina Korotchikova ◽  
Sukainah Al Khalaf ◽  
Ewa Sheridan ◽  
Rory O'Brien ◽  
Colin P Bradley ◽  
...  
Keyword(s):  
Emergency Department ◽  
Health Service ◽  
Observational Study ◽  
Referral Centre ◽  
Tertiary Referral ◽  
Tertiary Referral Centre ◽  
Period 2 ◽  
Time Period ◽  
Before And After ◽  
Gp Care

ObjectivesTo examine the characteristics of paediatric attendances to the emergency department (ED) in Cork University Hospital (CUH) before and after the expansion of free general practitioner (GP) care to children under the age of 6 years.DesignThis is a retrospective observational study that used a large administrative dataset.SettingThe study was conducted in major Irish tertiary referral centre that serves a total population of over 1.1 million. It is a public hospital, owned and managed by the health service executive.ParticipantsChildren aged 0–15 years who attended CUH ED during the study period of 6 years (2012–2018) were included in this study (n=76 831).InterventionsFree GP care was expanded to all children aged 0–5 years in July 2015.Main outcome measuresPaediatric attendances to CUH ED were examined before (Time Period 1: July 2012–June 2015) and after (Time Period 2: July 2015–June 2018) the expansion of free GP care to children under 6. Changes in GP referral rates and inpatient hospital admissions were investigated.ResultsPaediatric presentations to CUH ED increased from 35 819 during the Time Period 1 to 41 012 during the Time Period 2 (14.5%). The proportion of the CUH ED attendances through GP referrals by children under 6 increased by over 8% in the Time Period 2 (from 10 148 to 14 028). Although the number of all children who attended CUH ED and were admitted to hospital increased in Time Period 2 (from 8704 to 9320); the proportion of children in the 0–5 years group who attended the CUH ED through GP referral and were subsequently admitted to hospital, decreased by over 3%.ConclusionThe expansion of free GP care has upstream health service utilisation implications, such as increased attendances at ED, and should be considered and costed by policy-makers.

Emergency department visits for dental problems among adults with private dental insurance: A national observational study

2021 ◽  
Vol 44 ◽  
pp. 166-170
Author(s):  
Troy B. Amen ◽  
Inkyu Kim ◽  
Gregory Peters ◽  
Alba Gutiérrez-Sacristán ◽  
Nathan Palmer ◽  
...  
Keyword(s):  
Emergency Department ◽  
Observational Study ◽  
Emergency Department Visits ◽  
Dental Insurance

scholarly journals Doctors documenting: an ethnographic and informatics approach to understanding attending physician documentation in the pediatric emergency department

2020 ◽  
Author(s):  
Sarah D Fouquet ◽  
Laura Fitzmaurice ◽  
Y Raymond Chan ◽  
Evan M Palmer
Keyword(s):  
Emergency Department ◽  
Mixed Methods ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Pediatric Emergency ◽  
Second Phase ◽  
Pediatric Emergency Department ◽  
Mixed Methods Approach ◽  
Time And Motion ◽  
Attending Physician

Abstract Objective The pediatric emergency department is a highly complex and evolving environment. Despite the fact that physicians spend a majority of their time on documentation, little research has examined the role of documentation in provider workflow. The aim of this study is to examine the task of attending physician documentation workflow using a mixed-methods approach including focused ethnography, informatics, and the Systems Engineering Initiative for Patient Safety (SEIPS) model as a theoretical framework. Materials and Methods In a 2-part study, we conducted a hierarchical task analysis of patient flow, followed by a survey of documenting ED providers. The second phase of the study included focused ethnographic observations of ED attendings which included measuring interruptions, time and motion, documentation locations, and qualitative field notes. This was followed by analysis of documentation data from the electronic medical record system. Results Overall attending physicians reported low ratings of documentation satisfaction; satisfaction after each shift was associated with busyness and resident completion. Documentation occurred primarily in the provider workrooms, however strategies such as bedside documentation, dictation, and multitasking with residents were observed. Residents interrupted attendings more often but also completed more documentation actions in the electronic medical record. Discussion Our findings demonstrate that complex work processes such as documentation, cannot be measured with 1 single data point or statistical analysis but rather a combination of data gathered from observations, surveys, comments, and thematic analyses. Conclusion Utilizing a sociotechnical systems framework and a mixed-methods approach, this study provides a holistic picture of documentation workflow. This approach provides a valuable foundation not only for researchers approaching complex healthcare systems but also for hospitals who are considering implementing large health information technology projects.

Sign in / Sign up

Export Citation Format

Share Document