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Results for “Emergency Service, Hospital”

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At least 19 recordsLinked to original sources
PubMed1991

[Hospital emergency service utilization by the population from a primary health center: level of suitability].

A descriptive study on hospital record corresponding to 379 patients over 14 years, from the Health Center of Rekaldeberri (Bilbao), who attended any of the hospital emergency services available in the province, during the last quarter of 1989 is presented. Objectives were to identify circumstances that motivated consultation, and its apropriateness. Data were recorded by family doctors. As much as 76% of them attended on one's own initiative being this proporcion larger among the youngest. The most frequent diagnosis was the one that corresponded to "Accidents, injuries, poisoning, and violence", 37.5% of the total. 20.8% of the patients were admitted to the hospital. We considered consultation to be apropriate 55.1% of the times, with larger percentages among those who were sent by family doctors (91.1%) and those advanced in years. Lastly data are compared to other studies and we make some considerations about primary health care's responsibility for massification of hospital emergency services.

Adolescent↗
PubMed1992

[The P-10 as a tool in the evaluation of the use of a pediatric hospital emergency service by the primary care network].

With the aim of determining if the Primary Care network adequately uses our centre's Emergency service, the 390 P-10s received during May and June 1990 were examined. The presence of clinical judgement, the percentage of admissions, the place of origin of the P-10, the relationship of the issuing centre to our Health Area, the diagnosis made in the Emergency Centre and the patient's destination were all analysed. 42.3% came from rural areas. Clinical judgement was exercised in 56.13%. The P-10s from urban areas showed that clinical judgement had been exercised in 63.6% of cases, as against only 49.7% in the rural areas and 43.2% in the special emergency service. 13.2% were admitted. 41.7% of the referral forms did not come from our health area. The results led us to conclude that there is an insufficient use of the P-10 in our field, as the majority of these patients could have been taken on by the Primary Care network.

Child↗
PubMed1979

Planning for psychiatric emergencies.

Hospital emergency services have been used increasingly in recent years. This has resulted in questions as to the true nature of patients' complaints and the appropriateness of this type of care. Since the increase in the number of psychiatric emergency patients has paralleled that for patients at other types of emergency clinics a study was conducted at the Clarke Institute of Psychiatry, Toronto, to examine the situation prior to the inception in 1977 of a crisis intervention unit. It was found that most patients had both psychiatric and social difficulties, and it was considered that planning should concentrate on strategies for efficient management of the clinical problems.

Adult↗
PubMed1978

Identification of patients in need of psychiatric intervention: visiting an emergency facility.

The utilization of the emergency room (E.R.) at a small community hospital located in a black inner-city area is investigated. Patients are classified according to a criterion for psychiatric intervention for the purpose of making staffing pattern recommendations. Psychiatric patients and non-psychiatric patients are classified by age, marital status, previous admissions to the E.R., time of arrival and time spent in the E.R., and circumstances of mode of arrival in the E.R. The criterion of psychiatric intervention is viewed as providing an additional dimension in the study of the emergency room, a hospital service which is providing increasing routine and non-routine medical care to the general population.

Adolescent↗
PubMed1991

[Improvement of infusion-transfusion therapy in a multidisciplinary emergency care hospital].

The article deals with the analysis of works of S.S. Yudin's students and followers devoted to scientific practical and scientific-organizational research into optimization of infusion-transfusion therapy in emergency service hospitals in emergency states: multiple and combined trauma, the crush syndrome, burns, exogenous poisoning, and pyoseptic complications in surgical and traumatological practice. The principles of transfusion media rationing in an emergency service hospital, particularly in mass admission of patients and accident victims, are substantiated. The medico-economical efficacy of including infusion-transfusion therapy in complex treatment of emergency conditions is shown.

Blood Transfusion↗
PubMed1991

[An analysis in traumatic lesions of the demand for emergency services at 12 pediatric hospitals of the city of Mexico].

A study on damages to a child's good health caused by injuries (accidents and violence), has been mainly directed towards the analysis of mortality. In reference to morbidity, very few studies have been carried out in our country. One of the primordial objectives of these studies was to explore morbidity through the demand of hospital emergency services. The study was designed using a questionnaire applied to patients during the months of September-October of 1988 while admitted in 12 pediatric hospital emergency wards. The analysis was done using a representative sample per hospital, applying the finite population formula, with a Zc = 90% and a interval of 0.05. The total number of cases studied was 3,294. The most important variables studied were: type of demand, traumatic lesion, place of occurrence, external cause, age groups, sex, day and shift of the demand, hospitalization and number of days in the ward. The results give an overall view of this health problem concerning morbidity, besides offering a basis for future investigations dealing with the identification of risk factors or the application of concrete interventions for their prevention.

Child↗
PubMed1991

New strategies for emergency services crises.

Hospital emergency departments are in danger of elimination through long-standing neglect of their financial and marketing potential. New strategies to strengthen their capabilities to meet pressing social as well as financial needs can return them to a state of profitability for the hospital and stability for the community needs.

Cost Control↗