Emergency medicine journal : EMJ
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Multicenter Study
Reliability and validity of the Manchester Triage System in a general emergency department patient population in the Netherlands: results of a simulation study.
To assess the reliability and validity of the Manchester Triage System (MTS) in a general emergency department patient population. ⋯ Inter-rater reliability is "moderate" to "substantial" and test-retest reliability is high. The reliability of the MTS is not influenced by nurses' work experience. Undertriage mainly occurs in the MTS categories orange and yellow. The MTS is more sensitive for children who need immediate or urgent care than for other patients in the emergency department.
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Multicenter Study Comparative Study
Emergency department staffing in England and Wales, April 2007.
To determine medical and nursing staffing levels in emergency departments in England and Wales. ⋯ There is great variability in staffing numbers in similar-sized departments, and most departments are understaffed in comparison with the recommendations of the British Association for Emergency Medicine to achieve the 4 h target at the 90% level.
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Multicenter Study
Debriefing after failed paediatric resuscitation: a survey of current UK practice.
Debriefing is a form of psychological "first aid" with origins in the military. It moved into the spotlight in 1983, when Mitchell described the technique of critical incident stress debriefing. To date little work has been carried out relating to the effectiveness of debriefing hospital staff after critical incidents. The aim of this study was to survey current UK practice in order to develop some "best practice" guidelines. ⋯ Little is currently known about the benefits of debriefing hospital staff after critical incidents such as failed resuscitation. Debriefing is, however, widely practised and the results of this study have been used to formulate some best practice guidelines while awaiting evidence from further studies.
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Multicenter Study Comparative Study
Incidence and causes of critical incidents in emergency departments: a comparison and root cause analysis.
To investigate the incidence of critical incidents in UK emergency departments (EDs) and to compare the root causes of such incidents between different EDs. ⋯ Critical incidents occur frequently in EDs. There are significant differences, as well as common themes, in the causes of these critical incidents between different EDs.
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Multicenter Study
A state-wide survey of medical emergency management in dental practices: incidence of emergencies and training experience.
Only a few data exist about the occurrence of emergencies in dental practice and the training experience of dental practice teams in life support. This study evaluates the incidence of emergencies in dental practices, the attitude of dentists towards emergency management and their training experience. ⋯ Medical emergencies are not rare in dental practice, although most of them are not life-threatening. Improvement of competence in emergency management should include repeated participation in life support courses, standardisation of courses and offering courses designed to meet the needs of dentists.