Critical care in the emergency department.

Hdl Handle:
http://hdl.handle.net/10147/207806
Title:
Critical care in the emergency department.
Authors:
O'Connor, Gabrielle; Geary, Una; Moriarty, James
Affiliation:
Department of Emergency Medicine, St James' Hospital, Dublin, Ireland., gabbyoco@yahoo.com
Citation:
Eur J Emerg Med. 2009 Dec;16(6):296-300.
Journal:
European journal of emergency medicine : official journal of the European Society, for Emergency Medicine
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207806
DOI:
10.1097/MEJ.0b013e32831090bd
PubMed ID:
19829120
Abstract:
BACKGROUND: The volume and duration of stay of the critically ill in the emergency department (ED) is increasing and is affected by factors including case-mix, overcrowding, lack of available and staffed intensive care beds and an ageing population. The purpose of this study was to describe the clinical activity associated with these high-acuity patients and to quantify resource utilization by this patient group. METHODS: The study was a retrospective review of ED notes from all patients referred directly to the intensive care team over a 6-month period from April to September 2004. We applied a workload measurement tool, Therapeutic Intervention Scoring System (TISS)-28, which has been validated as a surrogate marker of nursing resource input in the intensive care setting. A nurse is considered capable of delivering nursing activities equal to 46 TISS-28 points in each 8-h shift. RESULTS: The median score from our 69 patients was 19 points per patient. Applying TISS-28 methodology, we estimated that 3 h 13 min nursing time would be spent on a single critically ill ED patient, with a TISS score of 19. This is an indicator of the high levels of personnel resources required for these patients in the ED. ED-validated models to quantify nursing and medical staff resources used across the spectrum of ED care is needed, so that staffing resources can be planned and allocated to match service demands.
Language:
eng
MeSH:
Adult; Aged; Aged, 80 and over; *Critical Illness; *Emergency Service, Hospital; Female; Health Status Indicators; Humans; *Intensive Care; *Intensive Care Units; Ireland; Male; Middle Aged; *Nurse's Role; Retrospective Studies; Time Factors
ISSN:
1473-5695 (Electronic); 0969-9546 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorO'Connor, Gabrielleen_GB
dc.contributor.authorGeary, Unaen_GB
dc.contributor.authorMoriarty, Jamesen_GB
dc.date.accessioned2012-02-01T10:45:15Z-
dc.date.available2012-02-01T10:45:15Z-
dc.date.issued2012-02-01T10:45:15Z-
dc.identifier.citationEur J Emerg Med. 2009 Dec;16(6):296-300.en_GB
dc.identifier.issn1473-5695 (Electronic)en_GB
dc.identifier.issn0969-9546 (Linking)en_GB
dc.identifier.pmid19829120en_GB
dc.identifier.doi10.1097/MEJ.0b013e32831090bden_GB
dc.identifier.urihttp://hdl.handle.net/10147/207806-
dc.description.abstractBACKGROUND: The volume and duration of stay of the critically ill in the emergency department (ED) is increasing and is affected by factors including case-mix, overcrowding, lack of available and staffed intensive care beds and an ageing population. The purpose of this study was to describe the clinical activity associated with these high-acuity patients and to quantify resource utilization by this patient group. METHODS: The study was a retrospective review of ED notes from all patients referred directly to the intensive care team over a 6-month period from April to September 2004. We applied a workload measurement tool, Therapeutic Intervention Scoring System (TISS)-28, which has been validated as a surrogate marker of nursing resource input in the intensive care setting. A nurse is considered capable of delivering nursing activities equal to 46 TISS-28 points in each 8-h shift. RESULTS: The median score from our 69 patients was 19 points per patient. Applying TISS-28 methodology, we estimated that 3 h 13 min nursing time would be spent on a single critically ill ED patient, with a TISS score of 19. This is an indicator of the high levels of personnel resources required for these patients in the ED. ED-validated models to quantify nursing and medical staff resources used across the spectrum of ED care is needed, so that staffing resources can be planned and allocated to match service demands.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshAged, 80 and overen_GB
dc.subject.mesh*Critical Illnessen_GB
dc.subject.mesh*Emergency Service, Hospitalen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHealth Status Indicatorsen_GB
dc.subject.meshHumansen_GB
dc.subject.mesh*Intensive Careen_GB
dc.subject.mesh*Intensive Care Unitsen_GB
dc.subject.meshIrelanden_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.mesh*Nurse's Roleen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshTime Factorsen_GB
dc.titleCritical care in the emergency department.en_GB
dc.contributor.departmentDepartment of Emergency Medicine, St James' Hospital, Dublin, Ireland., gabbyoco@yahoo.comen_GB
dc.identifier.journalEuropean journal of emergency medicine : official journal of the European Society, for Emergency Medicineen_GB
dc.description.provinceLeinster-

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