Abstract：
:The purpose of this facility-level case report was to describe our facility's leadership process of applying the Donabedian model to structure an early response to the coronavirus disease pandemic relative to emergency care. Using the Donabedian model as a guide, both structure and process changes were implemented to maintain high-quality clinical outcomes as well as ED staff safety and engagement. Rapid changes to the model of care, both architecturally and through the expansion of universal precautions through personal protective equipment, created the foundation for what was to follow. Clinical, service quality, and staff safety outcomes were evaluated to demonstrate that the collaborative changes that follow a known process improvement model can be used to address the coronavirus disease pandemic. Further study is needed to compare the outcomes of this facility-level case study with those of others to evaluate the success of the measures outlined.
journal_name
J Emerg Nursjournal_title
Journal of emergency nursingauthors
Binder C,Torres RE,Elwell Ddoi
10.1016/j.jen.2020.10.008subject
Has Abstractpub_date
2020-12-11 00:00:00eissn
0099-1767issn
1527-2966pii
S0099-1767(20)30371-8pub_type
杂志文章abstract：UNLABELLED:Indwelling urinary catheters (IUCs) are placed frequently in older adults in the emergency department (ED). Though often a critical intervention, IUCs carry significant risks. Our objective was to examine current knowledge, attitudes, and practice of emergency nurses and other providers regarding IUC placeme...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2015.02.013
更新日期：2015-09-01 00:00:00
abstract：INTRODUCTION:This comparative correlational study investigated families who use the emergency department for childhood asthma to identify determinants of follow-up care. The primary hypothesis was: families who obtain follow-up care differ in predisposing, enabling, and need characteristics from families who do not obt...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2008.09.008
更新日期：2009-09-01 00:00:00
abstract：PROBLEM:Nursing burnout and high levels of nursing turnover contribute to negative work environments, diminished patient care, and increased health care costs. There is a gap in literature regarding cost-effective, easily implemented interventions to address burnout and turnover. The purpose of this project was to dete...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2019.03.004
更新日期：2019-07-01 00:00:00
abstract：:We have saved a minimum of $17,064 in personnel salaries of a patient representative (based on minimum wage and no paid benefits) during the past year. Although our liaison program was initially started as a cost-saving measure, the benefits of the program cannot be measured in monetary terms. Although this venture wa...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/s0099-1767(95)80006-9
更新日期：1995-02-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to assess the need for home health care referral screening for elderly patients after ED discharge. The specific research question addressed was: Is there a need for home care referral screenings for elderly patients discharged from the emergency department? DESIGN:A nonexperime...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/s0099-1767(98)90014-9
更新日期：1998-04-01 00:00:00
abstract：INTRODUCTION:New Zealand has an ethnically diverse population and continues to host immigrants from different countries. The present study aimed to examine the factors associated with ED use among new Asian immigrants in New Zealand. METHODS:A secondary analysis of 2016-2017 New Zealand Health Survey database. Univari...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2020.07.011
更新日期：2021-01-01 00:00:00
abstract：OBJECTIVE:The primary purpose of this study was to compare the rate of hemolysis in blood samples obtained by an i.v. catheter versus the rate in samples obtained by venipuncture (Vacutainer tubes and needles; Becton Dickinson Vacutainer Systems, Franklin Lakes, N.J.). Subsequently, variance in i.v. catheter diameter w...
journal_title：Journal of emergency nursing
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0099-1767(96)80213-3
更新日期：1996-12-01 00:00:00
abstract：:Agitated patients may come to the emergency department because of flares of a psychiatric illness, drug withdrawal, or reaction to a medical condition or trauma. Pharmacologic agents such as lorazepam may offer benefits to these patients, regardless of the cause of their symptoms. It is important to be familiar with t...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：
更新日期：1993-10-01 00:00:00
abstract：INTRODUCTION:The purpose of this study was to describe characteristics, insights, and decision making of expert emergency nurses practicing in a triage environment. METHODS:A qualitative, descriptive study design was used. A purposive sample of 10 expert nurses from 2 midwestern emergency departments was recruited for...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1067/men.2002.127513
更新日期：2002-10-01 00:00:00
abstract：:Teddy bear/doll clinics continue to offer a feasible, effective opportunity to reach the community's children and their health information needs. Many thanks to Sunny B. Lee, RN, BS (Swedish Covenant Hospital, Chicago), and Kathy Powell, RN, PhD, and Barb Pierce, RN, MS (Children's Hospital, Birmingham). ...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/s0099-1767(97)90060-x
更新日期：1997-02-01 00:00:00
abstract：INTRODUCTION:Contracting the human immunodeficiency virus (HIV) is a genuine concern for sexually assaulted patients. Emergency departments are a place where sexually assaulted patients seek care, including treatment to prevent HIV. Prompt administration of nonoccupational postexposure prophylaxis is essential because ...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2017.10.014
更新日期：2018-03-01 00:00:00
abstract：INTRODUCTION:Infection is a frequent complication experienced by many children with cancer, with potentially life-threatening consequences that may result in hospitalization, prolonged length of stay, and increased mortality. The need for prompt assessment and early intervention for infection is widely recognized by ED...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2013.01.014
更新日期：2013-05-01 00:00:00
abstract：INTRODUCTION:For children with autism spectrum disorder (ASD) and sensory-processing disorder (SPD), an unexpected visit to the emergency department can be an overwhelming experience that creates intensifying behaviors and an unsafe clinical interaction for the child, nurses, and providers. Although resources exist to ...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2018.12.002
更新日期：2019-07-01 00:00:00
abstract：INTRODUCTION:This quality-improvement project aimed to evaluate the effectiveness of implementing multidisciplinary education and deploying utilization tools aimed at reducing the inappropriate insertion of indwelling urinary catheters (IUCs) in the emergency department. Literature supports the use of decision support ...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2012.07.022
更新日期：2014-05-01 00:00:00
abstract：:Our DMAT pulled together with the energy, flexibility, and adaptability necessary to make things work. Sally Coan expressed it best, saying, "I was with a group of people who would do anything [that was] needed." Dedication and trust within the DMAT helped create lasting friendships. The islanders were appreciative an...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：
更新日期：1991-06-01 00:00:00
abstract：:This descriptive study was conducted among 130 families in Milas, Turkey, who have children ages 0 to 14 years. Among the 130 families, a total of 53 children (40.8%) experienced a burn event. Twenty-seven subjects (51%) had treated the burn with inappropriate remedies including yogurt, toothpaste, tomato paste, ice, ...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2009.12.018
更新日期：2010-03-01 00:00:00
abstract：INTRODUCTION:Today the proportion of acute patients entering the health care system through emergency departments continues to grow, the number of uninsured patients relying primarily on treatment in the emergency department is increasing, and patients' average acuities are rising. At the same time, support resources a...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2009.11.027
更新日期：2010-09-01 00:00:00
abstract：:The rise in ED utilization among older adults is a nursing concern, because emergency nurses are uniquely positioned to have a positive impact on the care of older adults. Symptoms have been associated with ED utilization; however, it remains unclear whether symptoms are the primary reason for ED utilization. The purp...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2016.10.001
更新日期：2017-01-01 00:00:00
abstract：:The human body cannot change its preprogramming to meet the demands of working the night shift for a period of years. The effects are devastating to women and have been proven to shorten their life expectancy. Although the human body cannot change to meet society's demands of nighttime employment, society can change i...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/s0099-1767(97)90277-4
更新日期：1997-12-01 00:00:00
abstract：:Trauma nurse experts often are included on the professional teams who survey hospitals for trauma center designation. Evaluation of trauma nursing care includes interviews with staff and review of policies, procedures, and other documents. Medical records are reviewed to validate the verbal reports and examine complia...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：
更新日期：1989-09-01 00:00:00
abstract：PROBLEM:A 7.2% increase in patient volume from 130,700 to 140,800 in 2012 prompted St Joseph's Regional Medical Center Emergency Department to review existing triage processes to decrease turnaround time. "Pivot triage" is a new, efficient intake process that entails use of 4 rather than 8 determinants to identify acui...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2015.07.014
更新日期：2016-09-01 00:00:00
abstract：:This clinical policy focuses on critical issues concerning the management of adult patients presenting to the emergency department (ED) with acute symptomatic carbon monoxide (CO) poisoning. The subcommittee reviewed the medical literature relevant to the questions posed. The critical questions are: Should hyperbaric ...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2008.02.009
更新日期：2008-04-01 00:00:00
abstract：:TAC and half-strength TAC appear to be highly effective and convenient local anesthetic agents that offer an advantage over injected lidocaine in acceptance by children. The use of TAC is not without risk (cocaine toxicity, theft, and abuse). The decision of whether to use TAC is usually made by the physicians in the ...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：
更新日期：1994-06-01 00:00:00
abstract：UNLABELLED:Caring is a universal phenomenon. However, as a result of higher patient acuity and staff shortages within the chaotic ED environment, caring behaviors may be in peril. The purpose of this study was to gain insight into the meaning of caring from the perspective of emergency nurses. Exploring nurses' perspec...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2015.12.003
更新日期：2016-05-01 00:00:00
abstract：:HBO is the definitive treatment for carbon monoxide poisoning, air or gas embolism, and decompression sickness. It is an important adjunct to other treatment modalities in the management of patients with cyanide poisoning, exceptional blood loss (anemia), crush injury, and gas gangrene. In addition, HBO has many inves...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：
更新日期：1989-05-01 00:00:00
abstract：:The illicit manufacturing and use of methamphetamine continues to be a significant and growing problem in the United States. Children are often found in homes where this activity is occurring and are affected by it on many levels. This article will provide background information on the manufacturing of methamphetamine...
journal_title：Journal of emergency nursing
pub_type： 杂志文章,评审
doi：10.1016/j.jen.2006.12.003
更新日期：2007-02-01 00:00:00
abstract：INTRODUCTION:The breath-actuated nebulizer (BAN) and the handheld nebulizer (HHN) are 2 nebulizers used in the ED of Cooper University Hospital. The purpose of this study was to compare the nebulizers to identify which device resulted in a resolution of symptoms with fewer treatments. The primary hypothesis was that ad...
journal_title：Journal of emergency nursing
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jen.2012.10.006
更新日期：2014-03-01 00:00:00
abstract：:Herbal therapies are very safe, and side effects are uncommon. Side effects requiring ED treatment are rare and would most likely involve an allergic reaction or toxic effect from improper administration of the herb. However, a working knowledge of possible side effects of herbal therapies can be helpful in those rare...
journal_title：Journal of emergency nursing
pub_type： 杂志文章,评审
doi：10.1016/s0099-1767(98)70037-6
更新日期：1998-12-01 00:00:00
abstract：INTRODUCTION:Patient satisfaction, an important measurable outcome, allows nurses to assess what can be improved in nursing practice. The purpose of this study is to compare expectations of patients and nurses using 3 nursing care attributes: 1) friendliness, courtesy, and respectfulness; 2) comfort measures; and 3) de...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2013.02.010
更新日期：2014-07-01 00:00:00
abstract：INTRODUCTION:Pediatric emergency nurses who are directly involved in clinical care are in key positions to identify the needs and concerns of patients and their families. The 2010 Institute of Medicine report on the future of nursing supports the active participation of nurses in the design and implementation of soluti...
journal_title：Journal of emergency nursing
pub_type： 杂志文章
doi：10.1016/j.jen.2019.07.014
更新日期：2019-11-01 00:00:00
