Browse Items (23 total)
- Collection: VOLUME 21 ISSUE 3 NOVEMBER 2021
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Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis
Background: Increasing demand on emergency healthcare systems has prompted introduction of new healthcare
service models including the provision of GP services in or alongside emergency departments. In England this led
to a policy proposal and…
service models including the provision of GP services in or alongside emergency departments. In England this led
to a policy proposal and…
The Alternative Pre-hospital Pathway team: reducing conveyances to the emergency department through patient centered Community Emergency Medicine
Background: Internationally increasing demand for emergency care is driving innovation within emergency
services. The Alternative Pre-Hospital Pathway (APP) Team is one such Community Emergency Medicine (CEM)
initiative developed in Cork, Ireland…
services. The Alternative Pre-Hospital Pathway (APP) Team is one such Community Emergency Medicine (CEM)
initiative developed in Cork, Ireland…
Qualitative development and content validation of the “SPART” model; a focused ethnography study of observable diagnostic and therapeutic activities in the emergency medical services care process
Background: Clinical reasoning is a crucial task within the Emergency Medical Services (EMS) care process. Both
contextual and cognitive factors make the task susceptible to errors. Understanding the EMS care process’ structure
could help identify…
contextual and cognitive factors make the task susceptible to errors. Understanding the EMS care process’ structure
could help identify…
Comparison of QSOFA and sirs scores for the prediction of adverse outcomes of secondary peritonitis among patients admitted on the adult surgical ward in a tertiary teaching hospital in Uganda: a prospective cohort study
Background: SIRS and qSOFA are two ancillary scoring tools that have been used globally, inside and outside of
ICU to predict adverse outcomes of infections such as secondary peritonitis. A tertiary teaching hospital in Uganda
uses SIRS outside the…
ICU to predict adverse outcomes of infections such as secondary peritonitis. A tertiary teaching hospital in Uganda
uses SIRS outside the…
Monocyte distribution width (MDW) as a new tool for the prediction of sepsis in critically ill patients: a preliminary investigation in an intensive care unit
Background: Monocyte Distribution Width (MDW), a simple proxy marker of innate monocyte activation, can be
used for the early recognition of sepsis along with Procalcitonin. This study explored the added value of MDW as
an early predictor of…
used for the early recognition of sepsis along with Procalcitonin. This study explored the added value of MDW as
an early predictor of…
Electrocardiographic abnormalities in COVID-19 patients visiting the emergency department: a multicenter retrospective study
Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can be associated with myocardial
injury. Identification of at-risk patients and mechanisms underlying cardiac involvement in COVID-19 remains
unclear. During hospitalization…
injury. Identification of at-risk patients and mechanisms underlying cardiac involvement in COVID-19 remains
unclear. During hospitalization…
Prevention of alcohol withdrawal seizure recurrence and treatment of other alcohol withdrawal symptoms in the emergency department: a rapid review
Background: Patients who experience harms from alcohol and other substance use often seek care in the emergency
department (ED). ED visits related to alcohol withdrawal have increased across the world during the COVID-19
pandemic. ED clinicians are…
department (ED). ED visits related to alcohol withdrawal have increased across the world during the COVID-19
pandemic. ED clinicians are…
The timing of administering aspirin and nitroglycerin in patients with STEMI ECG changes alter patient outcome
Background: Both chewed aspirin and sublingual nitroglycerin are fast acting medications and reach therapeutic
levels within a few minutes. Current guidelines for managing acute coronary syndrome (ACS) do not recognize the
importance of the order…
levels within a few minutes. Current guidelines for managing acute coronary syndrome (ACS) do not recognize the
importance of the order…
Organisational determinants and consequences of diagnostic discrepancy in two large patient groups in the emergency departments: a national study of consecutive episodes between 2008 and 2016
Background: Diagnostic discrepancy (DD) is a common phenomenon in healthcare, but little is known about its
organisational determinants and consequences. Thus, the aim of the study was to evaluate this among selected
emergency department (ED)…
organisational determinants and consequences. Thus, the aim of the study was to evaluate this among selected
emergency department (ED)…
Association between prehospital arterial hypercapnia and mortality in acute heart failure: a retrospective cohort study
Background: Acute Heart Failure (AHF) is a potentially lethal pathology and is often encountered in the prehospital
setting. Although an association between prehospital arterial hypercapnia in AHF patients and admission in highdependency and…
setting. Although an association between prehospital arterial hypercapnia in AHF patients and admission in highdependency and…