MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'accident and emergency'. Sat, 03 Sep 2011 02:57:33 +0100 http://www.medworm.com/index.php?rid=3920778&cid=t_415131_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F08%2F31%2Fjournal-of-the-american-medical-association-2010-vol-304-no-5%2F This article aims to determine the efficacy of brief interventions addressing violence and alcohol use among adolescents presenting to an urban Emergency Department. All patients underwent a computerized baseline assessment and were randomized to a control group that received a brochure (n = 235) or a 35-minute brief intervention delivered by either a computer (n = 237) or therapist (n = 254) in the ED, with follow-up assessments at 3 and 6 months. The article concludes that among adolescents identified in the ED with self-reported alcohol use and aggression, a brief intervention resulted in a decrease in the prevalence of self-reported aggression and alcohol consequences. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy o... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3920778 Tue, 31 Aug 2010 12:47:25 +0100 3920778 http://www.medworm.com/index.php?rid=3726571&cid=t_415131_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F07%2F05%2Ftrends-in-emergency-admissions-in-england-2004-%25e2%2580%2593-2009-is-greater-efficiency-breeding-inefficiency%2F Title: Trends in emergency admissions in England 2004 – 2009: is greater efficiency breeding inefficiency? Skinny: Examines the rise in emergency hospital admissions in England from 2004/05 to 2008/09 and tries to identify the possible explanations.  reasons identified include: Use of targets Ageing population Variations in practice between hospitals The report identifies a lowering of the clinical threshold for emergency admissions.  It suggests creating better out-of hospital care and preventive care to reduce the risk to patients of admission and enable expensive hospital beds to be closed. Publisher: Nuffield Trust Size of Publication: 12p. Published: 05/07/2010 Filed under: Accident and Emergency Departments, Grey Literature, Health Economics, Hospitals, NHS, Primary Care Tagged... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3726571 Mon, 05 Jul 2010 09:25:53 +0100 3726571 http://www.medworm.com/index.php?rid=3533779&cid=t_415131_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F05%2F05%2Fprimary-care-and-emergency-departments%2F Title: Primary care and Emergency Departments Skinny: Studies the impact of using primary care within or alongside Accident and Emergency. The report highlights that use of primary care clinicians in Accident and Emergency departments can benefit patients where services are integrated and clinicians work together. The findings of this report are being developed into a guide for commissioners on use of primary care clinicians with Accident and Emergency departments and this guide will be available soon. Publisher: Primary Care Foundation Size of Publication: 102p. Published: 08/03/2010 Filed under: Accident and Emergency Departments, Commissioning, Grey Literature, Hospitals, Interagency Relations, NHS, Primary Care, Quality, Urgent Care Tagged: Accident and Emergency Departments, Commissio... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3533779 Wed, 05 May 2010 06:50:02 +0100 3533779 http://www.medworm.com/index.php?rid=3415988&cid=t_415131_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F29%2Femergency-medicine-journal-2009-vol-27-no-1%2F Emergency Medicine Journal 2009 (Vol. 27, No. 1) content page Fade Fave: How have changes to out-of-hours primary care services since 2004 affected emergency department attendances at a UK District General Hospital? A longitudinal study Fade Skinny: The changes to the provision of out-of-hours primary care have been associated with an increase in patients with non-traumatic attendances presenting to our emergency department. This effect is most marked outside of office hours. (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Accident and Emergency Departments, Athens Password, Current Awareness, E-Journals, Out of Hours, Primary Care (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3415988 Mon, 29 Mar 2010 10:54:02 +0100 3415988 http://www.medworm.com/index.php?rid=3302383&cid=t_415131_109_f&fid=34786&url=http%3A%2F%2Fdrmichelletempest.blogspot.com%2F2010%2F02%2Faccident-emergency.html This photograph was taken whilst I was working in A&E with a team of other doctors and nurses. In the dying days of this current Labour government the National Audit Office reported that only one hospital in England and Wales can report to have full consultant cover 24/7. Staff on the frontline know that the Labour legacy is a health emergency. (Source: The Psychiatrist Blog) The Psychiatrist Blog blogs http://www.medworm.com/rss/comments.php?id=3302383 Wed, 24 Feb 2010 13:08:00 +0100 3302383 http://www.medworm.com/index.php?rid=3254510&cid=t_415131_109_f&fid=34786&url=http%3A%2F%2Fdrmichelletempest.blogspot.com%2F2010%2F02%2Fdo-we-have-enough-staff-in.html The Northern Echo report that accident victims are dying unnecessarily at some of the region’s hospitals, according to a study by the National Audit Office (NAO). The NAO investigation found that many die because they suffer injuries at night or at weekends, when emergency consultants are not on call to provide the rapid diagnosis and treatment. This is more evidence that the Labour Party have not understood the NHS and have neglected our front line services here in the North East. (Source: The Psychiatrist Blog) The Psychiatrist Blog blogs http://www.medworm.com/rss/comments.php?id=3254510 Mon, 08 Feb 2010 22:17:00 +0100 3254510 http://www.medworm.com/index.php?rid=3243741&cid=t_415131_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F02%2F05%2Fmajor-trauma-care-in-england%2F Title: Major trauma care in England (Executive Summary) Skinny: National Audit Office report that finds unacceptable variation in major trauma care in England.  Care for patients who have suffered major trauma, for example following a road accident or a fall, has not significantly improved in the last 20 years despite numerous reports identifying poor practice, and services are not being delivered efficiently or effectively. Survival rates vary significantly with a range from five unexpected survivors to eight unexpected deaths per 100 trauma patients, reflecting the variable quality of care. The NAO estimates that 450 to 600 lives could be saved each year in England if major trauma care was managed more effectively. Best outcomes are delivered by services led by consultants experienced i... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3243741 Fri, 05 Feb 2010 11:53:51 +0100 3243741 http://www.medworm.com/index.php?rid=3142485&cid=t_415131_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F04%2Fconservatives-draft-manifesto-2010-chapter-one-our-reform-plan-for-the-nhs%2F Title: Conservatives Draft Manifesto 2010 Chapter One Our Reform Plan for the NHS The Skinny: First shot in the general election campaign as the Conservative Party issue Chapter 1 of their draft manifesto which details proposed NHS Policy.  Widely presaged in the mass media over the weekend.  If elected they plan to: Scrap process targets Ensure innovation by ensuring NHS Providers become autonomous NHS Foundation Trusts Make NHS data on performance freely available to all Focus on key areas such as cancer/stroke survival and infection control Enable patient rating of the quality of services Ensure patients have choice of providers meeting NHS standards Putting patients in charge of their own records and which providers they wish to share them with Open up the NHS to private and third ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3142485 Mon, 04 Jan 2010 21:48:24 +0100 3142485 http://www.medworm.com/index.php?rid=2812397&cid=t_415131_101_f&fid=38975&url=http%3A%2F%2Fmedicblog999.wordpress.com%2F2009%2F09%2F19%2Flets-have-a-look-then%2F I’ve written in the past about the natural curiosity of paramedics….. Well, Ive just witnessed an amusing episode which proves that it isn’t only the paramedics who enjoy and bit of gory stuff sometimes. I had just finished handing a patient over in one of our local A&E departments, and had retired to the doctors station to complete my paperwork. I was busily scribbling away when I over heard one of my colleagues handing another patient over in the corridor: “yeah, it was spurting when we got there and as you can see, it’s still leaking through” I couldn’t help myself, so I leaned out to see what the fuss was about. At exactly the same time, two nurses and three doctors all did the same thing!! I looked over to the patient, a middle aged lady ... Medic999 blogs http://www.medworm.com/rss/comments.php?id=2812397 Sat, 19 Sep 2009 21:49:07 +0100 2812397 http://www.medworm.com/index.php?rid=2610860&cid=t_415131_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F07%2F17%2Femergency-medicine-journal-2009-vol-26-no-7%2F content page Fade Fave: Predicting admission and mortality with the Emergency Severity Index and the Manchester Triage System: a retrospective observational study Fade Skinny: In recent years triage systems have frequently been used in emergency departments (EDs). In the Netherlands, the Dutch Institute for Healthcare Improvement developed a guideline in 2004 that advised all EDs in the Netherlands to implement the Manchester Triage System (MTS). Creators of the guideline preferred the MTS because it is not diagnosis-based and therefore is particularly applicable for use by nurses. After publication of the guideline, EDs started implementing the MTS and, at the end of 2006, 87% of hospitals that used a triage system had implemented the MTS while 13% used the Emergency Severity Index (ESI)... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2610860 Fri, 17 Jul 2009 08:00:41 +0100 2610860 http://www.medworm.com/index.php?rid=2305914&cid=t_415131_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F03%2F27%2Fcompetencies-for-recognising-and-responding-to-acutely-ill-patients-in-hospital%2F (Equality Impact Assessment) sets out a non-mandatory framework of competencies for recognising and responding to acutely ill patients in hospital. It supports NICE Guideline 50 (Acutely ill patients in Hospital - July 2007) and includes comments made during a consultation on the document that took place between March and June 2008. Posted in Accident and Emergency Departments, Competency Framework, Critical Care, Emergency Admission, Grey Literature, Hospitals, Quality Tagged: Competencies, Ctitical Care, Emergency Care, Grey Literature, Hospitals, Quality, Urgent Care (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2305914 Fri, 27 Mar 2009 16:18:43 +0100 2305914 http://www.medworm.com/index.php?rid=2039837&cid=t_415131_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F12%2F15%2Fthe-way-ahead-2008-2012%2F from the College of Emergency Medicine calls on the Government to urgently address serious workforce shortages and fund additional Emergency Medicine Consultant positions in hospitals across the UK. The report suggests Emergency Medicine Consultant posts should increase from 740 to 1500 by 2012, to ensure each Emergency Department (ED) has a qualified Emergency Medicine specialist to lead and supervise care of the highest quality, particularly in the evenings and at weekends when EDs are at their busiest with sick and injured patients. The report’s appendicies can be found below: Appendix 1: College Structures Appendix 2: Clinical Standards Appendix 3: Workforce Appendix 4: The new Staff Grade and Associate Specialist Doctors’ contract Appendix 5: Emergency Medicine in the Re... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2039837 Mon, 15 Dec 2008 17:01:36 +0100 2039837 http://www.medworm.com/index.php?rid=1829069&cid=t_415131_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F09%2F26%2Fnot-just-a-matter-of-time-a-review-of-urgent-and-emergency-care-services-in-england%2F is a service review from the Healthcare Commission to give an in-depth assessment of the performance of NHS organisations in delivering services relating to particular aspects of healthcare.  They aim to provide accountability and assurance to patients and the public that services are of high quality and give value for money, and to help trusts improve services for patients and obtain better value for money. This review considered urgent and emergency care from the point that the need for care is identified up to the point that this need is resolved, by treatment, reassurance, or admission to hospital. Follow up measures were also looked at (e.g. arranging for a falls assessment for an older person who has fallen at home). It included within its scope: urgent primary care services (prov... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1829069 Fri, 26 Sep 2008 07:21:30 +0100 1829069 http://www.medworm.com/index.php?rid=1622038&cid=t_415131_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F07%2F15%2Fjournal-of-management-marketing-in-healthcare-14%2F This study examines how technological innovation is encouraged, and discouraged, in Canada and other selected Organisation for Economic Cooperation and Development (OECD) countries, including the UK, France and the USA. The research uses The Conference Board of Canada’s Innovation Framework as an analytical tool in benchmarking the performance of Canada and other OECD countries in several areas of health innovation, including the innovation environment, and the creation, diffusion, transformation and use of knowledge. The results of this study are discouraging for Canada as it scores poorly in many important areas of technological health innovation. Substantial efforts are needed, and needed now, to revitalise health innovation systems and to refuel the capacity to commercialise heal... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1622038 Tue, 15 Jul 2008 06:27:58 +0100 1622038 http://www.medworm.com/index.php?rid=1237402&cid=t_415131_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F02%2F17%2Forganisational-factors-that-influence-waiting-times-in-emergency-departments%2F Research  from the  National Institute of Health Research presenting the organisational characteristics shared by emergency departments by identifying three factors that are strongly associated with shorter waiting times, Organisational factors that influence waiting times in emergency departments (summary) identifies the following key findings: Waiting times are a key performance target for emergency departments, with all hospitals aiming to treat and either admit, discharge or transfer people within four hours of arrival. Two significant factors that influence waiting times are the size of the department and the seriousness of cases entering the department. Three other important factors which are associated with shorter waiting times are: lower levels of sickness absence among nu... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1237402 Sun, 17 Feb 2008 04:26:30 +0100 1237402 http://www.medworm.com/index.php?rid=1068633&cid=t_415131_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2007%2F12%2F04%2Fmapping-health-care-for-the-homeless%2F The Queen’s Nursing Institute have produced ‘On The Ground: Mapping Homeless Healthcare’ a report on nursing care for the Homeless. Key findings are: One in three homeless young people have attempted suicide. Mental health problems are eight times more likely if you are homeless. Homeless people are four times more likely to use A & E Services. If a homeless person is injured it is four times more likely to be because they have been assaulted. The life expectancy for those sleeping rough is 42 – down from 47 a decade ago. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1068633 Tue, 04 Dec 2007 13:42:23 +0100 1068633 http://www.medworm.com/index.php?rid=1041288&cid=t_415131_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2007%2F11%2F21%2Ftrauma-who-cares%2F More than half of all patients arriving in hospital with severe injuries receive poor care, according to Trauma: Who cares? an investigation from National Confidential Enquiry into Patient Outcome and Death (NCEPOD) which also expresses concern about the care of patients before they even reach hospital. Trauma, or serious physical injury, is a leading cause of death of young people, who may end up in hospital after a road accident or fight. It found medical staff often did not appreciate how severely ill patients were and showed little urgency over care. They also made erroneous clinical decisions. Often the problem lay with inexperienced junior staff left to manage trauma patients admitted at night. A third of patients arriving in A&E did not see a consultant there. A Self assessment... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1041288 Wed, 21 Nov 2007 11:24:24 +0100 1041288