Emergency medicine Australasia : EMA
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Emerg Med Australas · Feb 2015
Age and admission times as predictive factors for failure of admissions to discharge-stream short-stay units.
Discharge-stream emergency short-stay units (ESSU) improve ED and hospital efficiency. Age of patients and time of hospital presentations have been shown to correlate with increasing complexity of care. We aim to determine whether an age and time cut-off could be derived to subsequently improve short-stay unit success rates. ⋯ Patients >70 years of age have higher rates of failure after admission to discharge-stream ESSU. Although in appropriately selected discharge-stream patients, no age group or time-band of presentation was associated with increased failure rate beyond the stipulated KPI.
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Emerg Med Australas · Feb 2015
Impact of formal teaching on medical documentation by interns in an emergency department in a Queensland teaching hospital.
This study's objective was to determine whether tuition in medical documentation enhanced the ability of emergency medicine interns to produce effective medical records. ⋯ The study demonstrated that documentation of clinical notes by interns can be enhanced by formal tuition.
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Emerg Med Australas · Feb 2015
Trends in access block 2011 to 2013: The Redcliffe National Emergency Access Target experience.
To evaluate the impact of the introduction of National Emergency Access Target (NEAT) on access block and long-stay patients in Redcliffe Hospital ED, and to evaluate the possibility of forward compliance with the 2014 and 2015 NEAT thresholds. ⋯ NEAT has been a driver of significant improvements in access block at our institution. We see significant issues with raising the NEAT threshold to the proposed 90% in 2015, and support recent calls for re-evaluation and modification of the target.