Healthcare provider perspective on barriers and facilitators in the care of pediatric injury patients at a tertiary hospital in Northern Tanzania: A qualitative study.

Pediatric injuries are a leading cause of morbidity and mortality in low- and middle-income countries (LMICs). The recovery of injured children in LMICs is often impeded by barriers in accessing and receiving timely and quality care at healthcare facilities. The purpose of this study was to identify the barriers and the facilitators in pediatric injury care at Kilimanjaro Christian Medical Center (KCMC), a tertiary zonal referral hospital in Northern Tanzania.

Significance of an Indeterminate Troponin I in Patients Evaluated for Chest Pain in an Emergency Department Observation Unit.

Background: Previous studies have suggested that patients with an indeterminate troponin I (TnI) in the emergency department (ED) are significantly more likely to be diagnosed with acute myocardial infarction (MI). The role of the ED observation unit (EDOU) in the evaluation of these patients is unclear.

Objective: We sought to determine the risk of MI and revascularization in chest pain patients with an indeterminate TnI in the ED, who were placed in an EDOU.

Predictors of patient adherence to follow-up recommendations after an ED visit.

Background: It is unclear whether factors identified during the emergency department (ED) visit predict noncompliance with ED recommendations.

Study Objective: We sought to determine predictors of adherence to medical recommendations after an ED visit.

Methods: We conducted a prospective, observational study at a single urban medical center.

Prospective, 10-year evaluation of the impact of Hispanic ethnicity on pain management practices in the ED.

Introduction: Hispanic ethnicity has been reported as an independent risk factor for oligoanalgesia in the emergency department (ED).

Objectives: The objectives are to compare pain management practices in White and Hispanic patients in the ED to determine whether treatment differences exist.

Methods: Prospective analysis of a convenience sample of patients presenting to an urban, academic, tertiary-care ED over the 10-year period from 2000 to 2010.

Web-based emergency department patient satisfaction surveys may introduce potential for bias.

Background: Emergency departments (ED) have proposed utilizing a Web-based format to distribute patient satisfaction surveys, but the potential for bias in this distribution method has not been assessed.

Objective: The aim of this study was to evaluate the characteristics of ED patients who have access to the Internet to better understand potential bias in Web-based patient satisfaction surveys.

Methods: We distributed a 20-question survey to consenting, English-speaking adult patients presenting to the ED from December 2010 to March 2012.