The prediction levels of emergency clinicians about the outcome of the ambulance patients and outpatients.
Am J Emerg Med
; 38(7): 1463-1465, 2020 07.
Article
em En
| MEDLINE
| ID: mdl-32220525
ABSTRACT
AIM:
The increased number of emergency clinic patients causes the length of stay in the emergency department, low patient satisfaction and dismiss of real emergency patients. In this study, we aimed to determine the prediction levels of emergency clinicians according to working year on the outcome of the ambulance patients and outpatients presented to the emergency department (ED). MATERIALS &METHODS:
This prospective study included patients over 18â¯years old. The triage of outpatients was made by a senior nurse and patients were divided into three triage categories such as green, yellow and red. Then these patients were evaluated by the emergency physician at the examination areas. Ambulance patients were directly evaluated by the emergency physician. These ambulance patients were noted as yellow or red according to triage categories. The main complaints, triage category, presentation method, vital signs, predicted outcome noted by the clinicians.RESULTS:
The correct prediction levels of hospitalisation (clinic/intensive care unit) were higher in clinicians whose working year is between 6 and 10â¯years (pâ¯<â¯0.05). There was no significant difference between 6-10â¯year and >10â¯year group according to prediction level (pâ¯>â¯0.05). Prediction of dischargement was higher in 0-5â¯year group than 6-10â¯year (pâ¯<â¯0.05) and >10â¯year (pâ¯<â¯0.05) group.CONCLUSION:
Experienced clinicians can make much more accurate prediction on length of stay and the prognosis of the emergency patients so crowded follow-up areas of the emergency room can be planned much more effectively.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Admissão do Paciente
/
Alta do Paciente
/
Triagem
/
Competência Clínica
/
Serviço Hospitalar de Emergência
/
Corpo Clínico Hospitalar
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article