Objective: To identify the proportion of patients who were taken into the emergency room on the basis of legal regulations and non-urgent medical procedures.
Methods: This prospective study was conducted in the Emergency Department, Toros State Hospital, Mersin, Turkey. Data were collected over 4 weeks (January 2011) and then analyzed using the Kolmogorov-Smirnov, Analysis of Variance, and Kruskal-Wallis H tests.
Results: During the study period, 21,014 patients visited the Emergency Department. The applications were measured during a 3-shift schedule (08-16, 16-00, 00-08 hours). The total number of ordinary emergency admissions was 16,370. Of the total, 4,644 (22.1%) of the visits were evaluated as inappropriate. According to our study, inappropriate use of the emergency department was 51.1% more frequent during the 08-16 hours shift than the others.
Conclusion: Inappropriate use of EDs with non-urgent applications makes it difficult to guarantee access for real emergency cases, decreases the readiness for care, and produces negative spillover effects on the quality of emergency services.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Airway basal stem cell therapy for lung diseases: an emerging regenerative medicine strategy.
Stem Cell Res Ther
January 2025
Department of Pulmonary and Critical Care Medicine, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Chronic pulmonary diseases pose a prominent health threat globally owing to their intricate pathogenesis and lack of effective reversal therapies. Nowadays, lung transplantation stands out as a feasible treatment option for patients with end-stage lung disease. Unfortunately, the use of this this option is limited by donor organ shortage and severe immunological rejection reactions.
View Article and Find Full Text PDFMonitoring Use of Language Interpreting Services for Patients with Limited English Proficiency: Methods to Match Patient Medical Records with Interpreter Billing Logs.
J Gen Intern Med
January 2025
Icahn School of Medicine at Mount Sinai, Institute for Health Equity Research, New York, USA.
Background: Over 60 million patients in the USA have limited English proficiency (LEP) and experience barriers in care. Still, there exists no standardized method of monitoring the utilization of language interpreting services (LIS).
Objective: To introduce a methodological approach to systematically monitor utilization of LIS for LEP patients.
Oxygenation improvement and duration of prone positioning are associated with ICU mortality in mechanically ventilated COVID-19 patients.
Ann Intensive Care
January 2025
Institute of Anesthesia and Intensive Care, Padova University Hospital, Padua, Italy.
Background: Prone position has been diffusely applied in mechanically ventilated COVID-19 patients. Our aim is ascertaining the association between the physiologic response and the length of the first cycle of prone position and intensive care unit (ICU) mortality.
Methods: International registry including COVID-19 adult patients who underwent prone positioning.
Cardiovascular disease, bone fracture, and all-cause mortality risks among postmenopausal women by arthritis and veteran status: A multistate Markov transition analysis.
Geroscience
January 2025
U.S. Department of Veterans Affairs, VA National Center On Homelessness Among Veterans, Washington, DC, USA.
Arthritis, a chronic inflammatory condition linked to cardiovascular disease (CVD) and bone fracture, is more frequent among military veterans and postmenopausal women. This study examined correlates of arthritis and relationships of arthritis with risks of developing CVD, bone fractures, and mortality among postmenopausal veteran and non-veteran women. We analyzed longitudinal data on 135,790 (3,436 veteran and 132,354 non-veteran) postmenopausal women from the Women's Health Initiative who were followed-up for an average of 16 years between enrollment (1993-1998) and February 17, 2024.
View Article and Find Full Text PDFPredisposing Factors of Progression from Refractory Status Epilepticus to Super-Refractory Status Epilepticus in ICU-Admitted Patients: Multicenter Retrospective Cohort Study in a Resource-Limited Setting.
Neurocrit Care
January 2025
Faculty of Psychology, Chulalongkorn University, Bangkok, Thailand.
Background: Super-refractory status epilepticus (SRSE) is an extremely serious neurological emergency. Risk factors and mechanisms involved in transition from refractory status epilepticus (RSE) to SRSE are insufficiently studied.
Methods: This was a multicenter retrospective cohort study of consecutive patients diagnosed and treated for RSE at two reference hospital over 5 years in Ecuador.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!