Emergency medicine Australasia : EMA
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Emerg Med Australas · Apr 2020
Observational StudyImproving emergency department transfer for patients arriving by ambulance: A retrospective observational study.
Extended delays in the transfer of patients from ambulance to ED can compromise patient flow. The present study aimed to describe the relationship between the use of an Emergency Department Ambulance Off-Load Nurse (EDAOLN) role, ED processes of care and cost effectiveness. ⋯ With the EDAOLN role in place, slight outcome improvements in several key ambulance and ED efficiency criteria were noted. During times of ED crowding, the EDAOLN role may be one cost-effective strategy to consider.
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Emerg Med Australas · Apr 2020
Impact of the primary contact physiotherapy practitioner role on emergency department care for patients with musculoskeletal injuries in New South Wales.
To determine the impact of the emergency physiotherapy service provided through different models of care on service quality indicators, patient flow, staff and patient satisfaction. ⋯ ED implementation of the PCP model may improve patient flow and efficiency of clinical skill utilisation in a complex, high demand workplace.
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Emerg Med Australas · Apr 2020
Expectations and experiences of women presenting to emergency departments with early pregnancy bleeding.
To explore women's expectations and experiences when presenting to the ED with early pregnancy bleeding. ⋯ Early pregnancy bleeding is a distressing and anxiety-provoking experience for women attending the ED. Appropriate emotional support is critical to the holistic care for those seeking emergency care.
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EDs are noisy and the noise levels exceed regulatory recommendations. Noise distracts us during any task and can saturate our attentional demand and impair our thinking and decision-making. This is a systematic problem that is consistently ignored by accreditation bodies. ⋯ Noise is a patient safety issue, as excessive noise impairs good communication, which is essential for patient care. Good acoustic design and management is achievable, but needs to be explicitly assessed as a part of accreditation standards. This would promote wellness for both patients and staff.