The impact of operations strategies for emergency room in Taiwan
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First aid is a primary part in the medical system; however, large-scale medical centers are facing the dilemma of overcrowding. When the number of emergency patients increases over the allocation of manpower and equipment, emergency is likely to be overloaded. Such a dilemma might crowd out the resources for critical patients, seriously affect the emergency service quality, and reduce the morale of staff before the patients being safe.With system simulation, this study establishes an emergency simulation model aiming at the researched subjects to discuss the authenticity of present emergency room. Furthermore, National Emergency Department Overcrowding Scale (NEDOCS), the emergency compound standard, is utilized for evaluating the overcrowding degree in emergency rooms. Two strategies, proposed for improving the overcrowded emergency rooms receiving emergency patients, are also evaluated the effects on the overcrowding degree with NEDOCS. The outcomes show that the proposed strategies could actually improve the overcrowding in emergency rooms.Keywords:
Overcrowding
Meeting Abstracts1 May 1972Effectiveness of Emergency Room Care.Robert H. Brook, M.D., Morris H. Berg, B.A., Philip A. Schechter, B.A.Robert H. Brook, M.D.Search for more papers by this author, Morris H. Berg, B.A.Search for more papers by this author, Philip A. Schechter, B.A.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-76-5-855_1 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptUrban emergency rooms are being required to care for an increasing number of patients with non-emergency conditions. Little is known about their capability to respond to this demand. This study evaluated the care received by 166 consecutive patients with subacute or chronic gastrointestinal symptoms. These patients were seen in the Johns Hopkins Hospital Emergency Room, Baltimore, Md., and were referred for either barium enema, upper gastrointestinal series, or an oral cholecystogram. Using data obtained from a chart review and patient interview, the adequacy of the process of medical care and change in functional capacity during the 4 months after the... This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: Robert H. Brook, M.D.; Morris H. Berg, B.A.; Philip A. Schechter, B.A.Affiliations: Baltimore, Md. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 May 1972Volume 76, Issue 5 Page: 855-855 Keywords Charts Emergency department ePublished: 1 December 2008 Issue Published: 1 May 1972 PDF downloadLoading ...
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Overcrowding
Crisis Management
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College warns of ‘worrying signs’ as four-hour targets begin to slip
Overcrowding
Emergency nursing
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Hospital emergency center undertake a variety of acute disease,acute trauma and poisoning emergency work,the daily emergency task is heavy.The informatization construction is urgent matter to improve the emergency center management and treatment level.According to the characteristics of the design and development of emergency information system to achieve clinic system management,it is very important to reduce medical errors,improve the work efficiency of medical staff and improve nursing record quality of emergency medical service.
Informatization
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Objective To apply emergency management path to improve the qualities of first aid care and the level of emergency operation care.Methods Through the investigation and analysis of related risks factors in operating room emergency care, a scientific emergency management path was made, a special emergency management was started up, the quality of emergency care was observed and evaluated.Results After the implementation and application of various emergency management paths, the awareness of first aid was improved,strain capacity was strengthened in emergency, the quality of emergency care was evidently raised.Conclusions The implementation of emergency management path is helpful to improve the quality of emergency care.
Key words:
Emergency management path; Operating room; Emergency care
Emergency nursing
Emergency treatment
Emergency Response
First aid
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Emergency medicine is a relatively new medical specialty.The development orientation of emergency medicine varies according to general circumstances,economy development and emergency medicine education among countries.We should design the emergency process with time as the baseline,establish and improve the emergency medical service system.Currently in China,there is no nationally standardized emergency process.The emergency medical services are characterized by poor work environment,medical care personnel with varied technical skills and inadequate professionalism,low cost performance,lack of flexibility and humanity in services.As a result,the emergency departments across China have become susceptible to medical malpractices.To improve this status quo and develop national emergency process that in light of the situation in China,it is suggested to establish a multi-dimensional,wildly covered and smooth emergency medical system,determine the core value and the principle of process design,and identify effective approaches and entry points.We should also create an integrated model including pre-hospital,in-hospital emergency services and ICU,develop an overall mode of combined services combining trauma center,emergency life-saving operation room and chest pain center,establish mobile in-hospital CPR teams,develop green access to emergency services,implement a diversified and specific situation-fitting service mode,carry out ceaseless optimization,and unify the entire personnel to try to achieve continuous self-improvement.All the above-mentioned methods are the access to an appropriate emergency process.
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Emergency medical response system in Korea was launched in 1982 for the improvement of national welfare. Emergency medical response system is made up of accident scene phase, transport phase, hospital phase, and communication system. The accident scene and transportation phase are mainly conducted by the 119 Rescue team and the hospital phase takes place at emergency medical centers. The communication system is managed by emergency medical information center. This research focuses on the examination of current emergency medical response system related to the transport of emergency vehicles and suggests some transport-related ideas to improve the system in Korea. The study aimed to investigate the present emergency medical response system and identify problems, questionnaire survey and literature review were carried. The ideas include the improvement of emergency information flow and the development of preferential treatment methods for emergency vehicles. To improve the emergency information flow, this research studied the bridge between emergency medical information center and traffic information center and proposed the efficient utilization of traffic information for the better treatment of an emergency. When it comes to the movement of emergency vehicles, various preferential treatment methods were suggested.
Emergency Response
Emergency rescue
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Providing service for patients in a rapid and efficient manner is one of the main issues in concern to Emergency Department (ED). Due to the imbalance between needs and the capacity of providing service, ED faces an emergency situation. In this paper, through the use of information gathered from related literature, an Expert System (ES) has been designed in order to detect ED crowding and overcrowding and provide appropriate solutions in order to return to a normal situation. In relation to this matter, National Emergency Department Overcrowding Scale (NEDOCS) has been used as an indicator. According to the value of NEDOCS the status of ED can be categorized in five groups consisting of normal, crowded, overcrowded, dangerous and disastrous classes. Furthermore, based on the situation of ED and in accordance to the related literature, proper solutions are provided by the proposed ES in order to overcome the adverse status. Developed ES consisting of 30 rules provides the mentioned solutions based on interactions with users, referral to knowledge base and necessary inferences via user interface. Results of applying the proposed ES indicate 81 percent compatibility between solutions provided by the ES and those proposed by ED’s experts.
Overcrowding
Crowding
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The emergency system of France is one of the most high-speed and effective emergency system in the world,and its hospital emergency has the following characteristics:the emergency function is clear and accurate,staffing is reasonable,emergency information network is perfect,follow the unified guidelines,the process of the diagnosis and treatment is reasonable,the sorting system ensure the fairness and efficiency of the emergency.By comparison,we can perfect the related functions of our country's hospital emergency,reduce the serious burden of the hospital emergency,preferably play the important role in the first line of therescue.
Staffing
Emergency treatment
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