scholarly journals Emergency Department Organization, Patient Assessment and Management Processes in COVID-19 Pandemic

2020 ◽  
Author(s):  
Ozge Duman Atilla ◽  
Turgay Yılmaz Kılıç
Keyword(s):  
Emergency Department ◽  
Patient Assessment ◽  
Management Processes ◽  
Department Organization

scholarly journals Challenges of Using Instant Communication Technology in the Emergency Department during the COVID-19 Pandemic: A Focus Group Study

2021 ◽  
Vol 18 (23) ◽  
pp. 12463
Author(s):  
Yuh-Shin Kuo ◽  
Chien-Hsin Lu ◽  
Po-Wei Chiu ◽  
Hung-Chieh Chang ◽  
Yu-Yuan Lin ◽  
...  
Keyword(s):  
Emergency Department ◽  
Focus Group ◽  
Communication Technology ◽  
User Satisfaction ◽  
Patient Evaluation ◽  
Patient Privacy ◽  
Patient Assessment ◽  
Focus Group Study ◽  
Patient Acceptability ◽  
Instant Communication

A record outbreak of community-spread COVID-19 started on 10 May 2021, in Taiwan. In response to the COVID-19 pandemic, care facilities have adopted various protocols using instant communication technology (ICT) to provide remote yet timely healthcare while ensuring staff safety. The challenges of patient evaluation in the emergency department (ED) using ICT are seldom discussed in the literature. The objective of this study was to investigate the factors influencing the utility of ICT for patient assessment in emergency settings during the pandemic. The patient flow protocol and the ED layout were modified and regionalized into different areas according to the patient’s risk of COVID-19 infection. Nine iPads were stationed in different zones to aid in virtual patient assessment and communication between medical personnel. A focus group study was performed to assess and analyze the utility of the ICT module in the ED. Eight emergency physicians participated in the study. Of them, four (50%) had been directly involved in the development of the ICT module in the study hospital. Three main themes that influenced the application of the ICT module were identified: setting, hardware, and software. The setting theme included six factors: patient evaluation, subspecialty consultation, patient privacy and comfortableness, sanitation, cost, and patient acceptability. The hardware theme included six factors: internet connection, power, quality of image and voice, public or personal mode, portable or fixed mode, and maintenance. The software theme included six factors: platform choices, security, ICT accounts, interview modes, video/voice recording, and time limitation. Future studies should focus on quantifying module feasibility, user satisfaction, and protocol adjustment for different settings.

scholarly journals Correlation of Attending and Patient Assessment of Resident Communication Skills in the Emergency Department

2021 ◽  
Author(s):  
Jason J. Lewis ◽  
Lakshman Balaji ◽  
Anne V. Grossestreuer ◽  
Edward Ullman ◽  
Carlo Rosen ◽  
...  
Keyword(s):  
Emergency Department ◽  
Communication Skills ◽  
Patient Assessment

scholarly journals Validation of a 5-item tool to measure patient assessment of clinician compassion in the emergency department

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Praveen Sabapathi ◽  
Michael B. Roberts ◽  
Brian M. Fuller ◽  
Michael A. Puskarich ◽  
Christopher W. Jones ◽  
...  
Keyword(s):  
Emergency Department ◽  
Factor Analysis ◽  
Patient Satisfaction ◽  
Confirmatory Factor Analysis ◽  
Test Reliability ◽  
Patient Assessment ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Reliable Tool ◽  
Confirmatory Factor

Abstract Background To test if the 5-item compassion measure (a tool previously validated in the outpatient setting to measure patient assessment of clinician compassion) is a valid and reliable tool to quantify a distinct construct (i.e. clinical compassion) among patients evaluated in the emergency department (ED). Methods Cross-sectional study conducted in three academic emergency departments in the U.S. between November 2018 and April 2019. We enrolled adult patients who were evaluated in the EDs of the participating institutions and administered the 5-item compassion measure after completion of care in the ED. Validity testing was performed using confirmatory factor analysis. Cronbach’s alpha was used to test reliability. Convergent validity with patient assessment of overall satisfaction questions was tested using Spearman correlation coefficients and we tested if the 5-item compassion measure assessed a construct distinct from overall patient satisfaction using confirmatory factor analysis. Results We analyzed 866 patient responses. Confirmatory factor analysis found all five items loaded well on a single construct and our model was found to have good fit. Reliability was excellent (Cronbach’s alpha = 0.93) among the entire cohort. These results remained consistent on sub-analyses stratified by individual institutions. The 5-item compassion measure had moderate correlation with overall patient satisfaction (r = 0.66) and patient recommendation of the ED to friends and family (r = 0.57), but reflected a patient experience domain (i.e. compassionate care) distinctly different from patient satisfaction. Conclusions The 5-item compassion measure is a valid and reliable tool to measure patient assessment of clinical compassion in the ED.

scholarly journals Examination of staphylococcal stethoscope contamination in the emergency department (pilot) study (EXSSCITED pilot study)

CJEM ◽  
2011 ◽  
Vol 13 (04) ◽  
pp. 239-244 ◽  
Author(s):  
Patrick H.P. Tang ◽  
Andrew Worster ◽  
Jocelyn A. Srigley ◽  
Cheryl L. Main
Keyword(s):  
Emergency Department ◽  
Staphylococcus Aureus ◽  
Pilot Study ◽  
Observational Cohort Study ◽  
Patient Assessment ◽  
Coagulase Negative Staphylococci ◽  
Staff Members ◽  
Bacterial Cultures ◽  
Observational Cohort ◽  
Study Participants

ABSTRACT Introduction: The objective of this study was to determine the prevalence of Staphylococcus-contaminated stethoscopes belonging to emergency department (ED) staff and to identify the proportion of these that were Staphylococcus aureus or methicillin-resistant Staphylococcus aureus (MRSA). Methods: We conducted a prospective observational cohort study of bacterial cultures from 100 ED staff members' stethoscopes at three EDs. Study participants were asked to complete a questionnaire. Results: Fifty-four specimens grew coagulase-negative staphylococci and one grew methicillin-susceptible S. aureus. No MRSA was cultured. Only 8% of participants, all of whom were nurses, reported cleaning their stethoscope before or after each patient assessment. Alcohol-based wipes were most commonly used to clean stethoscopes. A lack of time, being too busy, and forgetfulness were the most frequently reported reasons for not cleaning the stethoscope in the ED. Conclusions: This study indicates that although stethoscope contamination rates in these EDs are high, the prevalence of S. aureus or MRSA on stethoscopes is low.

Impact of a Statewide Trauma System on Rural Emergency Department Patient Assessment Documentation

1997 ◽  
Vol 4 (4) ◽  
pp. 268-276 ◽  
Author(s):  
Jerris R. Hedges ◽  
N. Clay Mann ◽  
Richard J. Mullins ◽  
Donna Rowland ◽  
William Worrall ◽  
...  
Keyword(s):  
Emergency Department ◽  
Trauma System ◽  
Emergency Department Patient ◽  
Patient Assessment
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