Triaging In Health Care Essay

According to Werner, there are six components to providing quality health care: safety, timeliness, effectiveness, efficiency, equitableness, and lastly the care being patient centered (Cherry & Jacob, 2014, pg. 378). Each component can be broken down to ensure adequate understanding of the acronym STEEP. Safety is explained as keeping the patient free from injury when providing care proposed to making the patient better. Timeliness is referred to as providing care in a timely manner so that the possibility of harming the patient is greatly decreased – even if the delay is unintentional. It is important to understand that harm caused to patients are not done with intent to do harm; however, it is a result of poor quality health care. The third factor, effectiveness, is aimed at providing evidence based care. Not only does the care need to be based on current practices and knowledge;

Under tri-care standard medical expenses are shared between tri-care and a beneficiary. Try care standard has been developed as a fee for service program that covers medical services provided by a civilian position when the individual cannot receive treatment from an MTF. Stana TRICARE members pay 20% of outpatient charges. The standard plan does not include Chiropractic care, cosmetic surgery, custodial care, unproven procedure or treatment, and routine physical examinations.

In the Emergency Department, does implementing the emergency severity index algorithm along with an online training component improve the accuracy of triage acuity rating assignment by registered nurses ultimately decreasing left without treatment (LWOT), length of stay, and staff satisfaction.

    The modern day emergency room is a department that is constantly busy. In the hustle of caring for patients, there are some details of the patient’s care that can be overlooked in a standard phone report to the accepting nurse. With this in mind, a change is needed so that there is an optimum patient outcome for each and every one of the people that walk through the doors of the emergency room and get admitted.

Emergency care begins at arrival, and the scenario starts with a triage. Triage is when the veterinary nurse (VN) or veterinary surgeon (VS) have to determine the treatment or advice they will give based on the severity of the patients condition (Cooper, 2011). For example, if there was a patient in the waiting room which had an appointment for lameness and a client rushed in with their pet which had an arterial bleed, the latter would be prioritised as it could be a life or death situation (Elliott, 2012). An emergency would be determined as a serious situation which affects the patients life (Elliott, 2012).

Upon arriving at the scene, the advanced care paramedic would begin the primary survey. All dangers would be assessed, including environmental dangers, animals, agitated bystanders and any other alarming cues. Once all dangers have been assessed the ACPs begin investigating the patient’s responsiveness using the acronym AVPU (QLD.gov.au, 2016). An assessment of their alertness, verbal response, response to painful stimuli or unconsciousness is completed. Once assessed, the patient’s airway is then checked to be clear of any obstructions to ensure proper respiration can occur, at this point, the triple airway manoeuvre would be adjusted to only the opening of the mouth and the jaw thrust (QLD.gov.au, 2015). If the patient complains of neck and back tenderness, neurological deficit, evidence of intoxication or a distracting injury (QLD.gov.au, 2016. 2) spinal immobilisation is required to ensure no further damage to the spinal cord occurs or an aid to keep the patient as calm as possible if a distracting injury (Hodegetts et al., 2011). The patient's breathing should then be assessed now that the spine in immobilised to ensure the depth, rate and rhythm of the breaths are adequate. If needed an oropharyngeal airway may need to be inserted into the mouth to keep the tongue from blocking the airway if it is tolerated (Higginson et al,. 2013). Lastly, in the primary survey, the

Data collected to see what percentage of Clinicas’ patients were seen at the urgent care.

Can the early warning score system improve outcomes for patients? What system have been utilized and what were the outcomes? These are a few examples of questions to be answered.

Also environmental risks, location, family members, risk to self, others and the general public. Many specific considerations have to taken before admission, capacity, gender issues, patient group dynamics, environmental factors, suitability, facilities/equipment required, age, ethnic/cultural requirements, safeguarding issues, costing and desired outcomes. Alongside the referral process is a Care and Treatment Review (CTR) these are in accordance with recommendations from NHS England (2015) and Clinical commissioning groups (CCGs). This admission assessment process is underpinned by NHS England’s Improving lives team and follows recommendations made in The Winterbourne view report (DH, Transforming care, 2012).

Two diverse surveys were created and labeled A and B. The targeted hospital community was nurses, charge nurses, new graduates, certified nurses, and other medical professionals. Survey A was produced for all medical professional to receive hospital-specific information about the rapid response system by its main operators. Survey A consisted of seven different questions on the current rapid response system effectiveness, how to make the resource more efficient, any barriers, more education to implement, reasoning for calling, and using a nurse as a consultation. This particular survey generated 40 replies from different medical professionals within the hospital.

Every day in this country, millions of people enter the hospital for a variety of reasons with the expectation of receiving the best of care. In the vast majority of hospital admits, the patient is treated and discharged without incidence. However, this is not the case for the estimated 210,000-400,000 annual patient deaths

Overcrowding and increased length of stay (LOS) in emergency departments (ED) has contributed to a rise in patient mortality, medical errors, and deficient patient outcomes (Li et al., 2015). The mean LOS for ED patients in the United States is currently 232 minutes (Rathlev et al., 2012). A crucial contributing factor to LOS in the ED is the required turnaround time (TAT) for conventional laboratory results. However, the utilization of Point of Care Testing (POCT) in the ED is one option to reduce overall LOS. The proposed question is: Is there a significant decrease in ED patient length of stay LOS for those whose blood was analyzed using Point-of-Care testing (POCT) versus those whose blood was analyzed using laboratory testing? In PICO format: PICO Question Population: Emergency Department patients requiring blood analysis and diagnostic testing. Intervention: Bedside POCT of blood specimens. Comparison: Laboratory analysis of blood specimens. Outcome: Identify occurrence of a decrease in patient LOS in the ED. In this paper, the effect of POCT versus conventional laboratory testing on ED LOS is investigated.

The situation of Length of Stay (LOS) is a complex issue of the healthcare environment. Each patient requires the effort of many different resources-both people and equipment- before they are clinically fit to go home or more to the next stage of their healthcare journey. Failure to coordinate and synchronize resources across the entire patient journey results in a major loss of optimal care for the patient as well as wasted expense. For the patient the consequences of this delay can be dire. One solution to this growing epidemic is being initiated in the Intensive Care Unit (ICU) at

Recent data support that ambulance diversion does not work to ease ED overcrowding and may result in the worsening of patient care. Studies have shown that ambulance diversion can lead to delays for patients to obtain definitive medical care with increased field time and transport time and distances2,3 and can result in adverse outcomes including death. Diversion increases traffic accident risks, and may malposition EMS resources. Additionally, some patients may require specialty resources only available at the requested hospital and may not be able to receive at an alternate destination.

Dr. Bata’s study show there was a thirty minute advantage for patient who arrived via ambulance but only when the paramedics diagnosis and assigned which style of treatment would be provided to said patient (bata,2005). Our study is purposing an implementation of training and support for the paramedical staff and units within an area to allow everyone being transported to a medical center to have a short time frame from arriving at the hospital and receiving treatment. In many studies it has been pointed out that time is a crucial element when dealing with treatment for MI. “Those activating the prehospital medical response system without receiving prehospital random assignment experienced the longest delay from first medical contact to reperfusion, indicating a lost opportunity to enhance ST elevation myocardial infarction patient outcomes (bata,2005).” Out study is building on the foundation of a study performed by Iqbal Bata and team. MD Batas study was on time and medical contact with myocardial infarction. The study showed some revealing statistic on time delay for those who were transported to the hospital by ambulance or by personal delivery. The study was primary focus on the time differences between the different treatments over the actually treatment