Emergency medicine Australasia : EMA
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Emerg Med Australas · Feb 2007
Experience in adverse events detection in an emergency department: incidence and outcome of events.
The study was performed to determine the incidence, outcome and preventability of adverse events (AE) in an ED. ⋯ In conclusion, the Quality in Australian Health Care Study methodology has been utilized to provide data on incidents and AE in an ED.
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Emerg Med Australas · Feb 2007
Multifaceted education initiative minimizes pethidine prescribing in the emergency department.
Pain management experts have recommended a diminished role for pethidine because of lack of superiority for any indication and greater potential for adverse effects compared with morphine. ⋯ Our education initiative resulted in a sustained and significant reduction in pethidine prescribing in the ED. Sustainability requires ongoing in-services for ED staff, usually as part of the orientation programme.
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(i) To describe the clinical presentation of intussusception and determine features associated with earlier diagnosis; (ii) to describe outcomes of children diagnosed with intussusception; and (iii) to determine whether time to diagnosis is associated with poorer prognosis. ⋯ The 'classic' picture of intussusception might frequently not be present in children with intussusception. Reliance on 'classic' features alone might delay diagnosis. Delayed diagnosis is associated with poorer patient outcomes. Air enema has a high success rate for reduction of intussusception.