Télécharger le rapport (152 p.) - KCE

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98 Urgences KCE reports vol. 19B EERSTE AUTEUR LAND JAAR AARD STUDIE CRITERIA IN- APPROPRIATE AANTAL PATINTEN PUNTSCHATTING AANDEEL APPROPRIATE IN- SARVER VS 2002 Secundaire data Cunningham criteria voor urgentie * 9.146 40% niet urgent analyse SEMPERE-SELVA T Spanje 2001 Prospectief, crossover design SHIPMAN C Groot-Brittanië 1999 Bevraging huisartsen van SMITH H Groot-Brittanië 2001 Kwalitatief onderzoek: Bevraging huisartsen van Hospital Protocol Urgencies Appropriateness 2.980 29.6% inappropriate HUAP criteria Perceived physical, psychological/emotional or socially urgent need for help 1.818 66.6% appropriate Geen Niet van toepassing Niet van toepassing
KCE reports vol. 19B Urgences 99 AUTHOR, YEAR COUNTRY ABDALLAT AM ET AL, 2000 JORDAN BECK CM, 1998 USA BELAND F ET AL, 1998 CANADA BERGERON S. ET AL, 2002 CANADA BIANCO A ET AL, 2003 ITALY BROWNE GJ ET AL, 2001 AUSTRALIA BURY G ET AL, 2000 IRELAND STUDY DESIGN SAMPLE SETTING Cross-sectional 1 month Retrospective chart review 2841 patients 18 month period 192 charts Cross-sectional Mailed questionnaire Cross-sectional 541 Ed patients Paediatric emergency physicians and registered nurses 15 year-old and more RESULT / CONCLUSION 4 classes of urgency: life-threatening, urgent, non-urgent, trivial children 91% non-urgent cases Nearly all patients who elect to be seen in this paediatric ED after being denied by their Medicaid managed care providers do not pay their bills. patient health status is not uniformly related to the use of emergency rooms for non-urgent reasons in all units. This association is particularly weak in socio-economically deprived units and more significant at higher socio-economic levels. Triage scale: resuscitation/emergent urgent less urgent non-urgent The level of agreement and accuracy of triage assignment was only moderate for both RNs and PEPs. Triage requires improved measurement Younger and female are more likely to use ED for non-urgent reason Patients without medical referral, problems with long duration Felling that the problem is an emergency Prospective study 1037 walk-out patients (ChildrenÊs hospital ED) Paediatric patients who walk-out of the ED without seeing a medical officer have simple illnesses that resolve without medical intervention or adverse events Cross-sectional All 43 Irish A&E departments Most hospital want GPs to work in their A&E departments
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