Abstract:
OBJECTIVES:The aim in this study was to investigate the impact of overcrowding on the Australasian Triage Score's (ATS) time to treatment target and the National Emergency Access Target (NEAT) for patients who self-present to the Emergency Department (ED) with abdominal pain. BACKGROUND:The causes and effects of ED overcrowding have been well described in the literature. It is a widespread phenomenon throughout the world and it can cause serious harm to patients and have a negative impact on access to emergency care. There is however, little research investigating the effect of overcrowding when patients self-present to the ED and experience a delay in being allocated a cubicle. METHODS:A retrospective analysis of 12-months of computerised records was carried out in order to determine if self-presenting patients with abdominal pain allocated a category 3 triage score who were required to 'queue' for a cubicle would meet ATS target and NEAT requirements. A multiple regression analysis was used to determine whether or not queuing for an ED cubicle, age and gender were predictors of meeting the ATS guidelines and NEAT requirements. RESULTS:Three hundred and five patients met the inclusion criteria and were included in the study. Of these 149 patients waited more than 15min to be allocated a cubicle while 156 did not experience any delay. A multiple regression analysis revealed that gender and age were not predictive of meeting the ATS target and NEAT requirements, while delay in allocation to a cubicle was a significant predictor of not being assessed within 30min and discharged within 4h. Furthermore, 61.2% of patients allocated to the waiting room queue for any amount of time were admitted to the ward. CONCLUSION:Queuing in the waiting room for an ED bed was a significant predictor of whether or not category three patients with abdominal pain had treatment commenced within 30min of presentation and was associated with a longer total ED length of stay.
journal_name
Int Emerg Nursjournal_title
International emergency nursingauthors
Smith B,Bouchoucha S,Watt Edoi
10.1016/j.ienj.2016.08.003subject
Has Abstractpub_date
2016-11-01 00:00:00pages
9-14eissn
1755-599Xissn
1878-013Xpii
S1755-599X(16)30081-7journal_volume
29pub_type
杂志文章abstract:BACKGROUND:There are many pressures placed on Emergency Departments (EDs) and anecdotally patients with low acuity abdominal pain can spend a long time in ED waiting for treatment. AIMS:This paper examines the practices in two EDs in Melbourne, Australia. Firstly, the characteristics of low acuity abdominal pain prese...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2008.01.006
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Early warning Score is a bedside track and trigger system used to facilitate early detection and management of deteriorating patients. Although emergency department nurses are the key to implement this task, their interaction and contribution to provide an estimate of patients' severities is still suboptimal...
journal_title:International emergency nursing
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ienj.2019.03.005
更新日期:2019-07-01 00:00:00
abstract:INTRODUCTION:Accountability in nursing practice is a concept that influences quality care, decision-making, safety standards and staff values. Therefore, understanding accountability and how it affects nursing practice could improve patient care and nurses' working conditions. AIM:The aim of this study was to find fac...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2019.05.003
更新日期:2019-09-01 00:00:00
abstract:AIM:The aim of the study was to identify the types of knowledge that Swedish Emergency Medical Service (EMS) managers considered desirable in their Ambulance Clinicians. BACKGROUND:Emergency medical service managers are responsible for organisational tasking and in this are dependent on the knowledge possessed by thei...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2017.03.007
更新日期:2017-09-01 00:00:00
abstract:INTRODUCTION:Inter-facility transport (IFT) is a dynamic process and its quality largely depends on pre-transport preparation, emergency equipment support and recognition of possible en route adverse events. This study aims to evaluate knowledge of IFT among emergency nurses of three Accident and Emergency Departments ...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2008.05.001
更新日期:2008-07-01 00:00:00
abstract:BACKGROUND:Increasing emergency department (ED) visits per capita, combined with an aging population and ongoing budgetary constraints in Canada's health care system necessitate continuous improvements to ensure that patients remain safe and continue to receive high quality care. Addressing ED nursing job satisfaction ...
journal_title:International emergency nursing
pub_type: 杂志文章,评审
doi:10.1016/j.ienj.2019.100814
更新日期:2020-03-01 00:00:00
abstract:INTRODUCTION:Road traffic injuries are among the top ten traumatic events that affect the psychosocial wellbeing and quality of life of survivors. The aim of this study was to explore the experiences of road traffic accident survivors in Ghana, a low-middle-income country in sub-Saharan Africa. METHODS:The study adopt...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2020.100935
更新日期:2020-11-01 00:00:00
abstract:INTRODUCTION:One of several quality indicators that are relevant to study is patient's satisfaction with health care in the ambulance services. Regular measurements of patient satisfaction in this field have not been carried out previously and a validated method of measurement is lacking. PURPOSE:This study aimed to m...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2010.03.002
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVES:To evaluate the impact of a nurse-led telephone support service to Residential Aged Care Facilities (RACFs) on a range of measures relating to the transfer of acutely unwell residents to the Emergency Department (ED) of a large tertiary referral hospital in New South Wales, Australia over a 9 month period. ...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2014.11.005
更新日期:2015-04-01 00:00:00
abstract::Atrial fibrillation (AF) is the most commonly seen arrhythmia and its prevalence increases with age. In the general population, rates of 1-2% are reported but in older patients, the rates increase to over 10% (in those aged 85years or older). Many older patients present to the emergency department (ED) with complaints...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2012.05.003
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND:Family witnessed resuscitation is the practice of enabling patients' family members to be present during resuscitation. Research is inconsistent as to the effectiveness or usefulness of this initiative. AIM:To evaluate the performance of two scales that assess perceptions of family witnessed resuscitation a...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2011.10.003
更新日期:2013-01-01 00:00:00
abstract:UNLABELLED:In the everyday work at emergency departments (EDs), the patients being cared for have different needs and perceived symptoms. To meet their need for emergency care, knowledge of the work is important. The aim of this study is to explore the everyday work at a Swedish ED from a practitioner's perspective. M...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2011.06.007
更新日期:2012-04-01 00:00:00
abstract:INTRODUCTION:There are a number of perceived benefits and barriers to family presence during resuscitation (FPDR) in the emergency department, and debate continues among health professionals regarding the practice of family presence. AIM:This review of the literature aims to develop an understanding of the perceived b...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2013.07.001
更新日期:2014-04-01 00:00:00
abstract::[Background] Emergency departments world-wide report service demands which exceed resource availability. Themes such as crowding, non-urgent presentations, ambulance diversion and access block have been linked to complications in care, poorer patient outcomes, increased morbidity and staff burnout. People attending th...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2016.09.003
更新日期:2016-11-01 00:00:00
abstract:INTRODUCTION:Research has demonstrated that children are at particular risk for oligoanalgesia due to assessment difficulties when they are unable to self-report. We sought to evaluate the psychometric properties of the Modified Preverbal, Early Verbal Pediatric Pain Scale (M-PEPPS) when used in an emergency department...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2011.01.003
更新日期:2011-10-01 00:00:00
abstract:INTRODUCTION:In hospitals, the places where the highest rate of violence is perpetrated are emergency departments (EDs). Evaluating patient relatives' perceptions of violence and obtaining their views about how to prevent violence incidents are important in terms of uncovering the factors that increase violent behavior...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2020.100942
更新日期:2021-01-01 00:00:00
abstract:INTRODUCTION:When faced with a patient in cardiac arrest, ambulance personnel must rapidly make complex decisions with limited information. Much of the research examining decisions to commence, continue, withhold or terminate resuscitation has used retrospective audits of registry data and clinical documentation. This ...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2017.08.002
更新日期:2018-07-01 00:00:00
abstract::In the aftermath of the Haiyan typhoon, disaster radio was used to spread information and music to the affected population. The study described survivors' experiences of being in the immediate aftermath of a natural disaster and the impact disaster radio made on recovery from the perspective of the individuals affecte...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2015.11.009
更新日期:2016-09-01 00:00:00
abstract::The number of older adults presenting to EDs following a fall continues to rise, yet falls management often ignores opportunities for secondary falls risk reduction. Advanced Nurse Practitioners (ANPs) in EDs have an important clinical leadership role in improving outcomes for this group of patients. AIM:This study d...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2020.100869
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:In 1998 in Victoria, Australia, the Nurse Practitioner (NP) model was considered with projects exploring the potential for NP implementation in emergency departments (EDs). AIMS:The aim of this study is to explore the perceived barriers to progression and sustainability of the NP role in Victoria. A survey ...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2009.09.003
更新日期:2010-07-01 00:00:00
abstract:BACKGROUND:Major trauma is a significant public health problem and a leading cause of death for several age groups. To address this issue, Major Trauma Networks were introduced in the UK from 2010, consisting of Major Trauma Centres (MTCs) and a network of linked Trauma Units (TUs). OBJECTIVE:The aim is to undertake a...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2018.03.007
更新日期:2018-09-01 00:00:00
abstract::Evidence to guide initial emergency nursing care of patients with severe traumatic brain injury (TBI) in Thailand is currently not available in a useable form. A care bundle was used to summarise an evidence-based approach to the initial emergency nursing management of patients with severe TBI and was implemented in o...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2015.04.004
更新日期:2015-10-01 00:00:00
abstract:AIM:This study investigates possible differences in the perception of quality of care at an emergency department, as related to patient background and visit characteristics. METHODS:The study uses a prospective, descriptive survey design with data collected in May 2002 from the emergency department of a Swedish univer...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2008.07.006
更新日期:2008-10-01 00:00:00
abstract:BACKGROUND:The morbidity and mortality rates from heat illness have increased due to a higher number of heatwaves. Effective urgent care of heat illness is crucial for optimizing patient outcomes. However, few studies have examined the emergency preparedness measures required for treating such patients. METHODS:From D...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2020.100957
更新日期:2021-01-01 00:00:00
abstract:UNLABELLED:Emergency department triage is a prerequisite for the rapid identification of critically ill patients and for allocation of the correct acuity level which is pivotal for medical safety. The patient's first encounter with a medical professional in the emergency department is often with the triage nurse. OBJE...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2009.10.001
更新日期:2010-01-01 00:00:00
abstract:AIM:To ascertain congruence between patients' self-report of pain intensity and nurses' assessment of their pain intensity. METHODS:This study adopted a replication methodology which aimed to ascertain congruence between patients' self-report of pain intensity and nurses' assessment of their pain intensity. Raw statis...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2007.09.003
更新日期:2008-01-01 00:00:00
abstract::The development of the Swedish ambulance service has resulted in three different competence levels in Swedish ambulance teams: specialist ambulance nurses, registered nurses and emergency medical technicians. A nursing scientific model developed by Peplau (Peplau, H., 1991. Interpersonal Relations in Nursing. Springer...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2012.10.003
更新日期:2013-10-01 00:00:00
abstract::Elder abuse is an important challenge in global societies. Detection of and intervention in elder abuse is crucial to the well-being of older people. Older people are high consumers of health care services and the consequences of elder abuse may provide a catalyst to attendance in the emergency department. This paper ...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2012.03.009
更新日期:2012-10-01 00:00:00
abstract:AIM:The aim of this study was to determine emergency department doctors' and nurses' knowledge and attitudes regarding problematic substance use and substance users. METHODS:Data were collected using an adapted survey questionnaire and the Substance Abuse Attitude Survey (SAAS). By means of convenience/opportunistic s...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2008.08.003
更新日期:2009-01-01 00:00:00
abstract:INTRODUCTION:Previous studies indicate that crowding scales may not perform well in low-volume emergency departments (EDs). In this study, face-validity of the Modified National ED OverCrowding Score (mNEDOCS) was assessed in a high-volume ED as well as in a low-volume ED. METHODS:A prospective observational cohort st...
journal_title:International emergency nursing
pub_type: 杂志文章
doi:10.1016/j.ienj.2018.05.004
更新日期:2018-11-01 00:00:00