Articles: emergency-department.
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Letter Randomized Controlled Trial
Pilot prospective study of therapeutic hypothermia for treatment of post-cardiac arrest patients.
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Abstract Aboriginal and Torres Strait Islander people experience challenges when accessing health care from the Emergency Department. The aim of this project was to identify the perceived barriers and enablers to accessing health care at one Victorian Emergency Department for the local Aboriginal and Torres Strait Islander community. ⋯ Three themes emerged organisational process, staff interactions and strategies for improvement. Information from this study will assist hospital and Emergency Department executives and practitioners to collaborate with the Aboriginal and Torres Strait Islander community in developing and implementing policy and practice changes that enable Aboriginal patients to be identified and receive culturally appropriate care.
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Systems theory suggests that there should be relatively high correlations among quality measures within an organization. This was an examination of hospital performance across three types of quality measures included in Medicare's Hospital Inpatient Value-Based Purchasing (HVBP) program: emergency department (ED)-related clinical process measures, inpatient clinical process measures, and patient experience measures. The purpose of this analysis was to determine whether hospital achievement and improvement on the ED quality measures represent a distinct domain of quality. ⋯ Little consistency was found in achievement or improvement across the three quality domains, suggesting that the ED performance represents a distinct domain of quality. Implications include the following: 1) there are broad opportunities for hospitals to improve, 2) patients may not experience consistent quality levels throughout their hospital visit, 3) quality improvement interventions may need to be tailored specifically to the department, and 4) consumers and policy-makers may not be able to draw conclusions on overall facility quality based on information about one domain.