Articles: emergency-services.
-
Investigative radiology · Jan 1993
The night stalker effect: quality improvements with a dedicated night-call rotation.
The authors assessed whether a non-sleep-deprived, second-year diagnostic radiology resident assigned to an after-hours "night stalker" emergency radiology (ER) rotation in an urban university hospital has a measurable impact on the number and clinical significance of "missed" radiologic findings. ⋯ A dedicated night-shift ER coverage of a busy urban ED improves quality, appropriateness, and timeliness of patient care.
-
Prehosp Disaster Med · Jan 1993
SARA three years later. Emergency physician's knowledge, beliefs, and actions.
Investigate Emergency Physicians' knowledge about the Superfund Amendments and Reauthorization Act (SARA) Title III legislation, passed by the United States Congress in 1986, and to determine the factors contributing to their level of preparedness in dealing with patients exposed to toxic chemicals. ⋯ A procedure is needed to disseminate information about legislation which affects emergency physicians, such as SARA, and about regional planning for environmental emergencies. Dissemination should include education about the professions' role in planning for and providing care for patients exposed to toxic chemicals.
-
The authors describe a five-year continuous quality improvement program that monitors inpatient and outpatient satisfaction with emergency services offered by a multi-institutional health care system. The program provides managers with the information to develop detailed plans for service improvement and suggests ways to appraise performance and recognize personnel.
-
The authors conducted a field experiment in which emergency-room patients of a metropolitan hospital were either given or not given an expected waiting time to see a physician. Patients were then surveyed through the mail on their satisfaction and perceptions of service quality. ⋯ In addition, satisfaction was independently influenced by whether patients' prior timeliness expectations were confirmed. The authors discuss the results in terms of the concept that the situational context of the service may influence the quality dimensions that most affect consumer satisfaction.