scholarly journals Analysis of the patients’ with minor injuries attendance to the Emergency Department

2016 ◽  
Vol 2 ◽  
pp. 155-162
Author(s):  
Katarzyna Szwamel ◽  
Donata Kurpas
Keyword(s):  
Emergency Department ◽  
Minor Injuries

scholarly journals Short‐term outcomes in children following emergency department visits for minor injuries sustained at home

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Matthew J Molloy ◽  
Wendy Shields ◽  
Molly W Stevens ◽  
Andrea C Gielen
Keyword(s):  
Emergency Department ◽  
Pediatric Population ◽  
Pediatric Emergency ◽  
Emergency Department Visits ◽  
Short Term ◽  
Minor Injury ◽  
Minor Injuries ◽  
A Minor ◽  
The Impact ◽  
At Home

Abstract Background Minor injuries are very common in the pediatric population and often occur in the home environment. Despite its prevalence, little is known about outcomes in children following minor injury at home. Understanding the impact of these injuries on children and their families is important for treatment, prevention, and policy. The objectives of our study were (1) To describe the distribution of short-term outcomes following pediatric minor injuries sustained at home and (2) To explore the relationship of injury type and patient and household demographics with these outcomes. Methods Children (n = 102) aged 0–7 years with a minor injury sustained at home were recruited in an urban pediatric emergency department as part of the Child Housing Assessment for a Safer Environment (CHASE) observational study. Each patient had a home visit following the emergency department visit, where five parent-reported outcomes were assessed. Relationships were explored with logistic regression. Results The most common type of injury was soft tissue (57.8 %). 13.2 % of children experienced ≥ 7 days of pain, 21.6 % experienced ≥ 7 days of abnormal activity, 8.9 % missed ≥ 5 days of school, 17.8 % of families experienced ≥ 7 days of disruption, and 9.1 % of parents missed ≥ 5 days of work. Families reported a total of 120 missed school days and 120 missed work days. Children who sustained a burn had higher odds of experiencing pain (OR 6.97), abnormal activity (OR 8.01), and missing school (OR 8.71). The parents of children who sustained a burn had higher odds of missing work (OR 14.97). Conclusions Families of children suffering a minor injury at home reported prolonged pain and changes in activity as well as significant school and work loss. In this cohort, burns were more likely than other minor injuries to have these negative short-term outcomes reported and represent an important target for interventions. The impact of these injuries on missed school and disruption of parental work warrants further consideration.

Correlates of cognitive functioning in independent elderly patients discharged home from the emergency department after a minor injury

2016 ◽  
Vol 28 (8) ◽  
pp. 1313-1322 ◽  
Author(s):  
Marie-Christine Ouellet ◽  
Marie-Josée Sirois ◽  
Simon Beaulieu-Bonneau ◽  
Marie-Ève Gagné ◽  
Jacques Morin ◽  
...  
Keyword(s):  
Emergency Department ◽  
Elderly Patients ◽  
Cognitive Functioning ◽  
Significant Proportion ◽  
Minor Injury ◽  
Memory Problems ◽  
Lower Baseline ◽  
Minor Injuries ◽  
A Minor ◽  
Trajectory Of Care

ABSTRACTBackground:The objective of this study was to explore correlates of cognitive functioning of older adults visiting the emergency department (ED) after a minor injury.Methods:These results are derived from a large prospective study in three Canadian EDs. Participants were aged ≥ 65 years and independent in basic activities of daily living, visiting the ED for minor injuries and discharged home within 48 hours (those with known dementia, confusion, and delirium were excluded). They completed the Montreal Cognitive Assessment (MoCA). Potential correlates included sociodemographic and injury variables, and measures of psychological and physical health, social support, mobility, falls, and functional status.Results:Multivariate analyses revealed that male sex, age ≥ 85 years, higher depression scores, slower walking speed, and self-reported memory problems were significantly associated with lower baseline MoCA scores.Conclusions:These characteristics could help ED professionals identify patients who might need additional cognitive evaluations or follow-ups after their passage through the ED. Obtaining information on these characteristics is potentially feasible in the ED context and could help professionals alter favorably elderly's trajectory of care. Since a significant proportion of elderly patients consulting at an ED have cognitive impairment, the ED is an opportunity to prevent functional and cognitive decline.

Cumulative Incidence of Functional Decline After Minor Injuries in Previously Independent Older Canadian Individuals in the Emergency Department

2013 ◽  
Vol 61 (10) ◽  
pp. 1661-1668 ◽  
Author(s):  
Marie-Josée Sirois ◽  
Marcel Émond ◽  
Marie-Christine Ouellet ◽  
Jeffrey Perry ◽  
Raoul Daoust ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cumulative Incidence ◽  
Functional Decline ◽  
Minor Injuries

Telemedicine use in two nurse-led minor injuries units

2000 ◽  
Vol 6 (1_suppl) ◽  
pp. 43-45 ◽  
Author(s):  
S Salmon ◽  
G Brint ◽  
D Marshall ◽  
A Bradley
Keyword(s):  
Emergency Department ◽  
General Hospital ◽  
Average Duration ◽  
District General Hospital ◽  
The Other ◽  
First Year ◽  
Clinical Protocols ◽  
Accident And Emergency ◽  
Accident And Emergency Department ◽  
Minor Injuries

Telemedicine links were established between two nurse-led minor injuries units (MIUs) located in community hospitals and an accident and emergency department in a district general hospital. Telemedicine consultations were logged. During the first year of operation, telemedicine use was surprisingly constant, there being an average of 36 calls a month from one MIU and 16 from the other. Possible reasons for this include the clinical protocols under which nurses could refer patients to hospital. The average duration of teleconsultations was 3.5 min. Although the MIUs dealt with roughly similar numbers of patients, approximately 600–700 per month, the proportion for whom telemedicine was used was very different, at 5.2% and 2.3%.

scholarly journals The construction and implementation of a clinical decision-making algorithm reduces the cost of adult fracture clinic visits by up to £104,800 per year: a quality improvement study

2017 ◽  
Vol 99 (4) ◽  
pp. 280-285 ◽  
Author(s):  
P Legg ◽  
D Ramoutar ◽  
F Shivji ◽  
B Choudry ◽  
S Milner
Keyword(s):  
Decision Making ◽  
Emergency Department ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Fracture Clinic ◽  
Emergency Department Staff ◽  
Annual Cost Saving ◽  
Hospital Resources ◽  
Minor Injuries ◽  
The Cost

INTRODUCTION Inappropriate referrals to the new patient fracture clinic unnecessarily consume hospital resources and many hospitals lack clear guidelines as to what should be referred. Many of these injuries can be definitively managed by the emergency department. Our aim was to construct and disseminate a clinical decision-making algorithm to reduce the frequency of inappropriate referrals to fracture clinics at our institution, to improve the management of patients with minor injuries and save the hospital and the patient the cost of unnecessary visits. MATERIALS AND METHODS Data were prospectively collected for all new fracture clinic referrals over two separate 1-week cycles with cohorts of 94 and 74 patients, respectively. After the first cycle, the referral algorithm was disseminated both electronically (intranet) and orally (presentations to emergency department staff). The results of this intervention were examined in the second cycle, which took place 6 months after the first cycle. RESULTS The introduction of this algorithm significantly reduced inappropriate referrals by almost 20% (P = 0.0445). DISCUSSION This simple intervention highlighted a potential annual cost saving of up to £104,000. We advocate the use of this concise algorithm in improving the efficiency of the referral system to fracture clinics.

scholarly journals Testing of the ‘Always Events’ approach to improve the patient experience in the emergency department

2018 ◽  
Vol 7 (4) ◽  
pp. e000195
Author(s):  
David John Lowe ◽  
Cameron Kay ◽  
Dagshagini Taylor ◽  
Nicola Littlewood ◽  
Scott Hepburn ◽  
...  
Keyword(s):  
Emergency Department ◽  
Patient Experience ◽  
Information Provision ◽  
Free Text ◽  
Patient Feedback ◽  
Patient Questionnaires ◽  
The Face ◽  
Convenience Sampling ◽  
Minor Injuries

Maintaining quality of care and meeting patient expectations in the face of rising demand within emergency departments (ED) is a significant challenge for clinicians. This study tested the Always Events (AE) approach as a means to identify AE’s relevance to patient care in the ED and act on this to address patient concerns. The project team looked to identify aspects of care patients would like to see improved within the minor injuries stream (MIS). Following triage, patients typically have presentations that do not require admission and require a single interaction with a clinician. Interventions seeking to improve patient experience were created and impact was monitored using patient feedback using a quality improvement (QI) framework.AEs were identified via convenience sampling using a short semistructured survey questionnaire. Patients were asked ‘What should always happen in the Emergency Department?’ Communication and information provision regarding how the department worked were identified as key themes. Two interventions, an educational poster and a video campaign, were designed and implemented. Improvement was assessed via convenience sampling of patient questionnaires using a 5-point Likert scale and free-text responses.Initial patient satisfaction levels regarding information provision stood at 80%, rising to 88% after our poster intervention and 92% by the end of the video intervention. Understanding of how the ED functions was initially 83% in the baseline sample before rising to 86% following poster and video interventions. Patient questionnaires indicated that information provision directly from staff was variable throughout the study period.Implementing the AE approach in the MIS has improved patient experience. Our poster intervention had the greatest benefit regarding patient understanding of the ED and information provision. This project has also indicated that the AE method can be successfully combined with a QI tool and applied in the ED to address patient needs.

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