AffiliationDepartment of Emergency Medicine, St James' Hospital, Dublin, Ireland., firstname.lastname@example.org
Aged, 80 and over
*Emergency Service, Hospital
Health Status Indicators
*Intensive Care Units
MetadataShow full item record
CitationEur J Emerg Med. 2009 Dec;16(6):296-300.
JournalEuropean journal of emergency medicine : official journal of the European Society, for Emergency Medicine
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.
- Critical care nurses provide their perspectives of patients' symptoms in intensive care units.
- Authors: Puntillo KA, Smith D, Arai S, Stotts N
- Issue date: 2008 Nov-Dec
- Expedited admission of patients decreases duration of mechanical ventilation and shortens ICU stay.
- Authors: Cline SD, Schertz RA, Feucht EC
- Issue date: 2009 Sep
- The effect of emergency department delay on outcome in critically ill medical patients: evaluation using hospital mortality and quality of life at 6 months.
- Authors: Saukkonen KA, Varpula M, Räsänen P, Roine RP, Voipio-Pulkki LM, Pettilä V
- Issue date: 2006 Dec
- Case mix, outcome and activity for patients admitted to intensive care units requiring chronic renal dialysis: a secondary analysis of the ICNARC Case Mix Programme Database.
- Authors: Hutchison CA, Crowe AV, Stevens PE, Harrison DA, Lipkin GW
- Issue date: 2007
- An exploration of the handover process of critically ill patients between nursing staff from the emergency department and the intensive care unit.
- Authors: McFetridge B, Gillespie M, Goode D, Melby V
- Issue date: 2007 Nov-Dec