Emergencias
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To design and validate a clinical simulation method for training nurses to use the Emergency Severity Index (ESI) for triage. ⋯ This study supports the relevance of clinical simulations for training nurses to implement structured triage, and in particular to use the ESI. We can state that this study opens the door to further research into whether the reliability of triage can be improved by using this approach, specifically whether it can facilitate better interobserver agreement.
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To determine differences in certain variables reflecting clinical practice in a group of emergency physicians with varying levels of experience and to explore whether differences are associated with experience. ⋯ The practice of emergency physicians with more accumulated experience shows slight but significant differences from the practice of less experienced physicians.
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To determine whether the Identification of Seniors at Risk (ISAR) score predicts short-term adverse outcomes in elderly patients discharged from a short-stay unit. ⋯ An ISAR score of 3 or higher is able to identify elderly individuals at high risk of an adverse outcome within 30 days of discharge from a short-stay unit.
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To determine whether the presence of nasal flaring is a clinical sign of severity and a predictor of hospital mortality in emergency patients with dyspnea. ⋯ In patients requiring emergency care for dyspnea, nasal flaring is a clinical sign of severity and a predictor of mortality.
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To determine the opinion of hospital emergency department staff on their involvement in the process of organ and tissue procurement and on aspects that might improve their participation. ⋯ The attitudes of hospital emergency department staff to organ and tissue donation are very positive, as suggested by their opinion that their own involvement in the process is the most important factor to target for improvement. These emergency physicians and nurses would like relevant protocols and training in the organ donation process.