Assessing the Impact of the Emergency Severity Index Five-Level Triage System at a County Hospital Emergency Department

The number of patients in Sido Waras Hospital Emergency Department declined since in 2013 until 2015 and the preliminary survey also showed there were complex complaints emergency department services. Therefore, the purpose of this study was to analyze the relationship between the service and the satisfaction of patients in Sido Waras Hospital Emergency Department.The concept of ESI Sido Waras Hospital Emergency Department namely provided categories of patients based on the gravity and duration of patient management.Therefore in this study to analyze the relationship with the ESI level of patient satisfaction in the Sido Waras Hospital Emergency Department. This study was a survey.Keywords : Emergency department, ESI level, patient satisfaction, service quality

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PW 0252 Assessing the impact of a new emergency triage system on head injury mortality: tikur anbessa specialized hospital emergency department, addis ababa, ethiopia

10.1136/injuryprevention-2018-safety.678 ◽

2018 ◽

Author(s):

Helena Fantaye ◽

Amanuel Abera ◽

Aklilu Azaze ◽

Pol de Vos

Keyword(s):

Emergency Department ◽

Head Injury ◽

Addis Ababa ◽

Hospital Emergency Department ◽

Hospital Emergency ◽

Triage System ◽

Injury Mortality ◽

Specialized Hospital ◽

Tikur Anbessa Specialized Hospital ◽

The Impact

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The Value of Local Heatwave Impact Assessment: A Case-Crossover Analysis of Hospital Emergency Department Presentations in Tasmania, Australia

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16193715 ◽

2019 ◽

Vol 16 (19) ◽

pp. 3715 ◽

Cited By ~ 3

Author(s):

Sharon L. Campbell ◽

Tomas A. Remenyi ◽

Grant J. Williamson ◽

Christopher J. White ◽

Fay H. Johnston

Keyword(s):

Emergency Department ◽

Capacity Planning ◽

Conditional Logistic Regression ◽

Hospital Emergency Department ◽

Hospital Emergency ◽

Case Crossover ◽

Crossover Analysis ◽

The Impact ◽

The Relationship ◽

Local Research

Heatwaves have been identified as a threat to human health, with this impact projected to rise in a warming climate. Gaps in local knowledge can potentially undermine appropriate policy and preparedness actions. Using a case-crossover methodology, we examined the impact of heatwave events on hospital emergency department (ED) presentations in the two most populous regions of Tasmania, Australia, from 2008–2016. Using conditional logistic regression, we analyzed the relationship between ED presentations and severe/extreme heatwaves for the whole population, specific demographics including age, gender and socio-economic advantage, and diagnostic conditions that are known to be impacted in high temperatures. ED presentations increased by 5% (OR 1.05, 95% CI 1.01–1.09) across the whole population, by 13% (OR 1.13, 95% CI 1.03–1.24) for children 15 years and under, and by 19% (OR 1.19, 95% CI 1.04–1.36) for children 5 years and under. A less precise association in the same direction was found for those over 65 years. For diagnostic subgroups, non-significant increases in ED presentations were observed for asthma, diabetes, hypertension, and atrial fibrillation. These findings may assist ED surge capacity planning and public health preparedness and response activities for heatwave events in Tasmania, highlighting the importance of using local research to inform local practice.

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Community-based aftercare following an emergency department presentation for attempted suicide or high risk for suicide: study protocol for a non-randomised controlled trial

BMC Public Health ◽

10.1186/s12889-019-7751-8 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Vida V. Bliokas ◽

Alex R. Hains ◽

Jonathan A. Allan ◽

Luise Lago ◽

Rebecca Sng

Keyword(s):

Emergency Department ◽

High Risk ◽

Suicide Attempt ◽

Repeated Measures ◽

Hospital Emergency Department ◽

Hospital Emergency ◽

Community Based ◽

Treatment As Usual ◽

The Impact

Abstract Background Suicide is a major public health issue worldwide. Those who have made a recent suicide attempt are at high risk for dying by suicide in the future, particularly during the period immediately following departure from a hospital emergency department. As such the transition from hospital-based care to the community is an important area of focus in the attempt to reduce suicide rates. There is a need for evaluation studies to test the effectiveness of interventions directed to this stage (termed ‘aftercare’ interventions). Methods A controlled non-randomised two group (intervention vs treatment-as-usual control) design, using an intention-to-treat model, will evaluate the effectiveness of a suicide prevention aftercare intervention providing follow-up after presentations to a hospital emergency department as a result of a suicide attempt or high risk for suicide. The intervention is a community-based service, utilising two meetings with a mental health clinician and follow-up contacts by peer workers via a combination of face-to-face and telephone for four weeks, with the option of extension to 12 weeks. Seventy-five participants of the intervention service will be recruited to the study and compared to 1265 treatment-as-usual controls. The primary hypotheses are that over 12 months, those who participate in the aftercare follow-up intervention are less likely than controls to present to a hospital emergency department for a repeat suicide attempt or because of high risk for suicide, will have fewer re-presentations during this period and will have lower all-cause mortality. As a secondary aim, the impact of the intervention on suicide risk factors for those who participate in the service will be evaluated using pre- and post-intervention repeated measures of depression, anxiety, stress, hopelessness, belongingness, burdensomeness, and psychological distress. Enrolments into the study commenced on 1 November 2017 and are anticipated to cease in November 2019. Discussion The study aims to contribute to the understanding of effective interventions for individuals who have presented to a hospital emergency department as a result of a suicide attempt or at high risk for suicide and provide evidence in relation to interventions that incorporate peer-workers. Trial registration ACTRN12618001701213. Registered on 16 October 2018. Retrospectively registered.

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