Planning for the future: Emergency department presentation patterns in Tasmania, Australia
Increased presentations to Emergency Departments (EDs) contributing to crowding, and its associated adverse outcomes, are major issues in Australia and around the world [1,2]. Unfavourable outcomes of ED crowding include prolonged length of stay in ED for both high and low acuity presentations [3], and increased in-patient mortality [4 –6]. Australia experienced a 21% increase in demand for care at public hospital EDs over the five financial years to 2013–14 [7]. The increase in ED presentations is not simply explained by the national population growth rate and aging of the population [8]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - September 5, 2017 Category: Nursing Authors: Claire Morley, Jim Stankovich, Gregory Peterson, Leigh Kinsman Source Type: research
Planning for the future: emergency department presentation patterns in Tasmania, Australia
Increased presentations to Emergency Departments (EDs) contributing to crowding, and its associated adverse outcomes, are major issues in Australia and around the world [1,2]. Unfavourable outcomes of ED crowding include prolonged length of stay in ED for both high and low acuity presentations [3], and increased in-patient mortality [4 –6]. Australia experienced a 21% increase in demand for care at public hospital EDs over the five financial years to 2013-14 [7]. The increase in ED presentations is not simply explained by the national population growth rate and ageing of the population [8]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - September 5, 2017 Category: Nursing Authors: Claire Morley, Jim Stankovich, Gregory Peterson, Leigh Kinsman Source Type: research
Editorial board
(Source: International Emergency Nursing)
Source: International Emergency Nursing - September 1, 2017 Category: Nursing Source Type: research
Every successful journal relies on its reviewers
There are several essential ingredients that go into making a journal successful- good articles, innovative research, interested readers and dedicated reviewers. Many of you may wonder how we choose these reviewers? Well, there isn ’t any mystery to it – we warmly welcome new reviewers from any relevant emergency-related care discipline. (Source: International Emergency Nursing)
Source: International Emergency Nursing - September 1, 2017 Category: Nursing Authors: Geraldine Lee, Petra Brysiewicz Source Type: research
Patient safety incidents during interhospital transport of patients: A Prospective Analysis
Based on both cost-efficiency considerations and research findings indicating improved outcomes, specialist services and medical technology resources have been centralised into high-volume specialist centres during the past decades [1 –4]. Resulting from this evolution, the need for patient transfers between hospitals has increased. This demand will likely increase, as the establishment of high-volume specialist centres is expected to surge in the near future [5]. Indications for interhospital transport are diverse; they includ e both post-primary (i.e., where the patient is still in the emergency department of the refer...
Source: International Emergency Nursing - August 23, 2017 Category: Nursing Authors: Cathelijne Lyphout, Jochen Bergs, Willem Stockman, Koen Deschilder, Christophe Duchatelet, Didier Desruelles, Koen Bronselaer Source Type: research
The accuracy of acuity scoring tools to predict 24-h mortality in traumatic brain injury patients: A guide to triage criteria
Traumatic brain injury (TBI) is the main cause of disability as well as neurologic morbidity in young adults [1]. Severe trauma is considered a serious health problem, because disability affects victims ’ roles in both family and society [2]. Notably, TBI is also associated with high socio-economic costs [3]. The first hour of trauma management is crucial for TBI patients due to the time-sensitive care required; therefore, mortality may be decreased if critically ill patients are recognized more readily and transferred promptly to trauma centres [4]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - August 22, 2017 Category: Nursing Authors: Zohre Najafi, Hossien Zakeri, Amir Mirhaghi Source Type: research
The accuracy of acuity scoring tools to predict 24-hour mortality in traumatic brain injury patients: A guide to triage criteria
Traumatic brain injury (TBI) is the main cause of disability as well as neurologic morbidity in young adults (Weber et al., 2016). Severe trauma is considered a serious health problem, because disability affects victims ’ roles in both family and society (Husson et al., 2010). Notably, TBI is also associated with high socio-economic costs (McIntyre et al., 2013). The first hour of trauma management is crucial for TBI patients due to the time-sensitive care required; therefore, mortality may be decreased if critic ally ill patients are recognized more readily and transferred promptly to trauma centres (Lichtveld et al., 2...
Source: International Emergency Nursing - August 22, 2017 Category: Nursing Authors: Zohre Najafi, Hossien Zakeri, Amir Mirhaghi Source Type: research
Developing an emergency department crowding dashboard: A design science approach
The fact that most emergency departments (EDs) are often crowded is well known amongst healthcare professionals and repeatedly described in literature [1 –4]. Emergency department (ED) crowding has been linked to negative consequences for both patients (e.g., mortality and morbidity) and caregivers (e.g., work related stress and burnout) [5]. (Source: International Emergency Nursing)
Source: International Emergency Nursing - August 10, 2017 Category: Nursing Authors: Niels Martin, Jochen Bergs, Dorien Eerdekens, Beno ît Depaire, Sandra Verelst Source Type: research
Developing an emergency department crowding dashboard: a design science approach
The fact that most emergency departments (EDs) are often crowded is well known amongst healthcare professionals and repeatedly described within the literature [2,13]; Pitts et al., 2012; Verelst et al., 2014). Emergency department (ED) crowding has been linked to negative consequences for both patients (e.g., mortality and morbidity) and caregivers (e.g., work related stress and burnout) (Johnson and Winkelman, 2011). Although the recognition of the ED crowding problem began at least a decade ago, many unanswered questions remain. (Source: International Emergency Nursing)
Source: International Emergency Nursing - August 10, 2017 Category: Nursing Authors: Niels Martin, Jochen Bergs, Dorien Eerdekens, Beno ît Depaire, Sandra Verelst Source Type: research
Grey areas: New Zealand ambulance personnel ’s experiences of challenging resuscitation decision-making
For the majority of out of hospital cardiac arrest patients, the event heralds imminent death [1]. For those with a reversible cause, prompt initiation of the aptly-named chain of survival is vital, as delays reduce the odds of return of circulation, and increase subsequent morbidity and mortality [2]. Emergency ambulance staff attending cardiac arrests are often expected to make rapid judgements in demanding circumstances, with limited available information [3]. With increasingly aged and comorbid populations, initiation of resuscitation or prolonged resuscitation efforts may not be appropriate for all patients found in c...
Source: International Emergency Nursing - August 5, 2017 Category: Nursing Authors: Natalie Elizabeth Anderson, Merryn Gott, Julia Slark Source Type: research
Grey areas: New Zealand ambulance personnel ’s experiences of challenging resuscitation decision-making
For the majority of out of hospital cardiac arrest patients, the event heralds imminent death[1]. For those with a reversible cause, prompt initiation of the aptly-named chain of survival is vital, as delays reduce the odds of return of circulation, and increase subsequent morbidity and mortality [2]. Emergency ambulance staff attending cardiac arrests are often expected to make rapid judgements in demanding circumstances, with limited available information [3]. With increasingly aged and comorbid populations, initiation of resuscitation or prolonged resuscitation efforts may not be appropriate for all patients found in ca...
Source: International Emergency Nursing - August 5, 2017 Category: Nursing Authors: Natalie Elizabeth Anderson, Merryn Gott, Julia Slark Source Type: research
The consequences of violence against nurses working in the emergency department: A qualitative study
Workplace violence (WPV) is one of the most challenging issues in healthcare organizations worldwide [1]. WPV can be defined as “An act of aggression directed toward persons at work or on duty, ranging from offensive or threatening language to homicide” [2,p. 9]. WPV is commonly understood as “any physical assault; emotional or verbal abuse; or threatening, harassing or coercive behavior in the work setting that causes physical and/or emotional harm.” [2,p. 9]. Nearly 25% of violent incidents such as physical violence, verbal abuse and sexual harassment, happen in health care systems [3] and the probability of heal...
Source: International Emergency Nursing - July 31, 2017 Category: Nursing Authors: H. Hassankhani, N. Parizad, J. Gacki-Smith, A. Rahmani, E. Mohammadi Source Type: research
The consequences of violence against nurses working in the emergency department: A qualitative study
Workplace violence (WPV) is one of the most challenging issues in healthcare organizations worldwide [1]. WPV can be defined as “An act of aggression directed toward persons at work or on duty, ranging from offensive or threatening language to homicide”[2p9]. WPV is commonly understood as “any physical assault; emotional or verbal abuse; or threatening, harassing or coercive behavior in the work setting that causes phy sical and/or emotional harm.”[2p9]. Nearly 25% of violent incidents such as physical violence, verbal abuse and sexual harassment, happen in health care systems [3] and the probability of healthcare ...
Source: International Emergency Nursing - July 31, 2017 Category: Nursing Authors: H. Hassankhani, N. Parizad, J. Gacki-Smith, A. Rahmani, E. Mohammadi Source Type: research
Case Report: A Patient With Malaria At The Emergency Department
This case describes the delayed presentation of a patient with Plasmodium Falciparum (P. Falciparum) malaria to the emergency department (ED), and subsequent nursing care. It also discusses the apportion of responsibility for a patient to arrive promptly at the ED, as clinically required, after referral by a General Practitioner (GP). Furthermore, the case discusses the relevance of the patient-physician relationship for determining responsibilities. (Source: International Emergency Nursing)
Source: International Emergency Nursing - July 28, 2017 Category: Nursing Authors: M. Christien Van Der Linden Rn Cen, Anna (Annelijn) H. Rambach, Naomi Van Der Linden Source Type: research
A tailored intervention to improving the quality of intrahospital nursing handover
Innovations in medicine, healthcare technology, and the pharmaceutical industry have led to new treatment options — even for previously incurable diseases. The implementation of these innovations resulted in decreased mortality rates for acute health problems (e.g., acute myocardial infarction or stroke) and improved life expectancy for patients with chronic diseases (e.g., diabetes mellitus or chronic obstru ctive pulmonary disease). As people tend to live longer with one or more chronic conditions, their care needs have become significantly more complex. (Source: International Emergency Nursing)
Source: International Emergency Nursing - July 12, 2017 Category: Nursing Authors: Jochen Bergs, Frank Lambrechts, Ines Mulleneers, Kim Lenaerts, Caroline Hauquier, Geert Proesmans, Sarah Creemers, Dominique Vandijck Source Type: research
