Volume 23, Issue 3, Pages 97– 168 (2024)

Do tools aimed at avoiding hospital admission operate at different mortality thresholds?A systematic review

Objective: To determine whether front-door discharge decision tools operate at different mortality thresholds.Methods: Three databases  searched, for studies testing, deriving or validating front-door risk prediction tools or discharge decision aids, with  defined discharge ‘cut-off’, reporting mortality or readmission rates. Studies supporting tools’ inclusion in national guidelines were also included.Results: Twenty-four studies were included, frequently for...

Please subscribe to see more.
Subscribe
Already a member? Log in here

Do tools aimed at avoiding hospital admission operate at different mortality thresholds?A systematic review Read More

Additional value of geriatric parameters to Quick Sepsis Related Organ Failure Assessment score for predicting clinical deterioration in older emergency department patients with a suspected infection: post-hoc analysis of a prospective observational study

Aim: To investigate the additional value of geriatric parameters such as physical impairment to the quick Sequential Organ Failure Assessment (qSOFA) tool for predicting clinical deterioration in older ED patients with a suspected infection and to validate the final prediction model.Methods: Post-hoc multivariable regression analysis from a prospective observational cohort study of adult patients visiting...

Please subscribe to see more.
Subscribe
Already a member? Log in here

Additional value of geriatric parameters to Quick Sepsis Related Organ Failure Assessment score for predicting clinical deterioration in older emergency department patients with a suspected infection: post-hoc analysis of a prospective observational study Read More

Emergency physicians’ experiences with defensive medicine and their motives for acting defensively – an interview study

Background: Defensive medicine (DM) has been increasingly studied in recent years. This study aims to investigate the understanding of DM and the motives for practicing DM among emergency physicians.Methods: Focus group interviews.Results: Themes identified: The understanding of DM, DM is a matter of self-confidence, DM or tests to ensure diagnosis and patient flow, DM due...

Please subscribe to see more.
Subscribe
Already a member? Log in here

Emergency physicians’ experiences with defensive medicine and their motives for acting defensively – an interview study Read More

A Retrospective Comparison of Emergency Department Throughput Before and After Instituting a Waiting Room Evaluation Process

Background: The COVID-19 pandemic has strained the healthcare system with emergency department (ED) boarding and workforce shortages. This prompted the need for strategies to evaluate and treat patients while they waited for an ED room.Objectives: The objective is to describe a waiting room evaluation process and ED throughput in the setting of ED staffing shortages...

Please subscribe to see more.
Subscribe
Already a member? Log in here

A Retrospective Comparison of Emergency Department Throughput Before and After Instituting a Waiting Room Evaluation Process Read More

Should respiratory rate be measured on admission over a few seconds by a smartphone application or over 15 minutes by a piezoelectric device? A prospective observational pilot study of acutely ill medical patients admitted to alow-resource Ugandan hospital

Background: the optimal period over which respiratory rate should be measured is uncertain.Setting: medical ward of low resource Ugandan hospital,Methods: comparison of the first respiratory rates measured on admission over seconds using a smartphone application with measurements over 15 minutes using a piezoelectric device.Results: There was a poor correlation between respiratory rates measured by the...

Please subscribe to see more.
Subscribe
Already a member? Log in here

Should respiratory rate be measured on admission over a few seconds by a smartphone application or over 15 minutes by a piezoelectric device? A prospective observational pilot study of acutely ill medical patients admitted to alow-resource Ugandan hospital Read More

Research in Acute Medicine. The results of a national survey of Society for Acute Medicine members

Background: Medical research improves patient outcomes, patient satisfaction, staff morale and retention. It is unclear what research opportunities and training staff in acute medicine had.Methods: The Society for Acute Medicine supported a survey to assess current research activity, training and perceived opportunities and barriers.Results: 292 responses were received from diverse professional backgrounds. Few respondents had...

Please subscribe to see more.
Subscribe
Already a member? Log in here

Research in Acute Medicine. The results of a national survey of Society for Acute Medicine members Read More

Evaluating acute medical service performance against assessment time metrics: the Society for Acute Medicine Benchmarking Audit 2023 (SAMBA23)

Performance within acute medicine services is impacted by ongoing pressures on acute care services. Data from the Society for Acute Medicine Benchmarking Audit 2023 (SAMBA23), was used to assess performance of acute medicine services compared to key clinical quality indicators, comparing performance by initial assessment location. Data was analysed for 8213 unplanned attendances across 161...

Please subscribe to see more.
Subscribe
Already a member? Log in here

Evaluating acute medical service performance against assessment time metrics: the Society for Acute Medicine Benchmarking Audit 2023 (SAMBA23) Read More

Shopping Basket
Scroll to Top