scholarly journals Testing for the Role of Prejudice in Emergency Departments Using Bounceback Rates

2011 ◽  
Author(s):  
Shamena Anwar ◽  
Hanming Fang
Keyword(s):  
Emergency Departments

Abstract P131: What Drives Greater Assimilation of Telestroke in Emergency Departments?

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Lori Uscher-Pines ◽  
Jessica Sousa ◽  
Kori S Zachrison ◽  
Amy K Guzik ◽  
Lee H Schwamm ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Data Collection ◽  
Emergency Departments ◽  
Positive Deviance ◽  
Matrix Analysis ◽  
Structured Interviews ◽  
Leadership Support ◽  
Diversity Sampling ◽  
Ongoing Evaluation

Objective: Although many emergency departments (EDs) have telestroke capacity, it is unclear why some EDs consistently use telestroke and others do not. We compared the characteristics and practices of EDs with robust and low assimilation of telestroke. Methods: We conducted semi-structured interviews with representatives of EDs that received telestroke services from 10 different networks and had used telestroke for a minimum of two years. We used maximum diversity sampling to select EDs for inclusion and applied a positive deviance approach, comparing programs with robust and low assimilation. Data collection was informed by the Consolidated Framework for Implementation Research. For the qualitative analysis, we created site summaries and conducted a supplemental matrix analysis to identify themes. Results: Representatives from 21 EDs with telestroke, including 11 with robust assimilation and 10 with low assimilation, participated. In EDs with robust assimilation, telestroke workflow was highly protocolized, programs had the support of leadership, telestroke use and outcomes were measured, and individual providers received feedback about their telestroke use. In EDs with low assimilation, telestroke was perceived to increase complexity, and ED physicians felt telestroke did not add value or had little value beyond a telephone consult. EDs with robust assimilation identified four sets of strategies to improve assimilation: strengthening relationships between stroke experts and ED providers, improving and standardizing processes, addressing resistant providers, and expanding the goals and role of the program. Conclusion: Greater assimilation is associated with standardized workflow, leadership support, ongoing evaluation and quality improvement efforts, and mechanisms to address resistant ED providers.

scholarly journals The role of telemedicine in the management of maxillofacial trauma in emergency departments – preliminary results

2019 ◽  
Vol 120 (2) ◽  
pp. 95-98 ◽  
Author(s):  
B. Ambroise ◽  
H. Benateau ◽  
R. Garmi ◽  
K. Hauchard ◽  
R. Prevost ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Maxillofacial Trauma ◽  
Preliminary Results

scholarly journals Back to the Future: Portable Word Processors and the Electronic Health Record

2019 ◽  
Vol 34 (s1) ◽  
pp. s104-s105
Author(s):  
Alfredo Mori
Keyword(s):  
Electronic Health Record ◽  
Emergency Departments ◽  
Extreme Environments ◽  
Health Record ◽  
Physician Burnout ◽  
Software And Hardware ◽  
Electronic Health ◽  
Professional Writers ◽  
Word Processors

Introduction:The Electronic Health Record (EHR) is now the standard means for recording and maintaining medical notes in most emergency departments. The EHR is an independent cause of physician burnout, and maintenance of the EHR may occupy 30 to 50% of clinical time. There are software solutions available, but they are connected to fixed, expensive, distracting, and bright electronically powered computers. Scribes have been successfully trialed, but are also expensive and attached to computers on wheels. Portable digital word processors in the form of the AlphaSmart Neo is a redundant technology designed primarily for children with typing difficulties. It has recently enjoyed a resurgence in popularity among professional writers, journalists, and field researchers for the ultimate distraction-free writing experience. The Alphasmart Neo is cheap, nearly indestructible, intuitive, and requires almost no recharging. It is compatible with all software across Mac OS, Windows, and Linux. Notes are entered by the clinician or scribe, independently of computers, at the bedside, and uploaded to any software via USB cable.Aim:To describe the introduction and impact of the AlphaSmart Neo on the EHR in emergency departments across Australia.Methods:We will examine the role of the Alphasmart Neo in austere, low power, extreme environments with a demonstration on how to enter, maintain, and transfer an electronic health record independent of any computer or power source.Discussion:We believe the AlphaSmart Neo is an ideal, personalized, cheap, effective, and efficient hardware solution to entering notes independent of other software and hardware. It is distraction free at the patient’s bedside, resulting in better notes that the clinician enjoys writing.

The role of leader behaviors in hospital-based emergency departments’ unit performance and employee work satisfaction

2011 ◽  
Vol 72 (2) ◽  
pp. 238-246 ◽  
Author(s):  
Blossom Yen-Ju Lin ◽  
Chung-Ping C. Hsu ◽  
Chi-Wen Juan ◽  
Cheng-Chieh Lin ◽  
Hung-Jung Lin ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Work Satisfaction ◽  
Leader Behaviors ◽  
Unit Performance

Role of emergency departments in screening for obese and overweight children

2010 ◽  
Vol 13 (4) ◽  
pp. 105-110
Author(s):  
Julie Considine ◽  
Melinda Craike ◽  
DeVilliers Smit ◽  
Danielle Waddell ◽  
Helen E. Stergiou ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Overweight Children
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