CJEM最新文献_第2页

Just the facts-pediatric viral exanthems. 事实是——儿童病毒题。

IF 2

CJEM Pub Date : 2026-04-01 Epub Date: 2025-10-21 DOI: 10.1007/s43678-025-01052-8

Rachel Creighton, Ashley Sutherland, Jason G Emsley

引用次数: 0

Predictors of bounce back for children redirected by triage nurses from the pediatric emergency department. 由儿科急诊科分诊护士重新指导的儿童反弹的预测因素。

IF 2

CJEM Pub Date : 2026-04-01 Epub Date: 2026-01-30 DOI: 10.1007/s43678-026-01099-1

Lorence Vanasse, Philippe Leduc, Geneviève Tourigny-Ruel, Corinne Thériault, Céline Pinard, Jocelyn Gravel

{"title":"Predictors of bounce back for children redirected by triage nurses from the pediatric emergency department.","authors":"Lorence Vanasse, Philippe Leduc, Geneviève Tourigny-Ruel, Corinne Thériault, Céline Pinard, Jocelyn Gravel","doi":"10.1007/s43678-026-01099-1","DOIUrl":"10.1007/s43678-026-01099-1","url":null,"abstract":"Objectives: To address crowding, our pediatric emergency department (ED) implemented a triage nurse-led protocol to redirect non-urgent patients to external pediatric clinics, other healthcare providers, family physicians, or home. This study aimed to identify the proportion of redirected children who returned to the ED and identify predictors of return.Methods: We conducted a health records review study of children under 18 years redirected from the ED of a tertiary pediatric hospital in Montreal, Canada. A random sample of 150 return visits and 300 controls was selected for a nested case-control study. The primary outcome was a return visit to the ED within 7 days. Potential predictors included demographic information, disease characteristics, triage level, and initial orientation. We calculated the proportion of return visits and performed univariate and multivariable analyses of identified predictors.Results: Between September 2023 and August 2024, 80,221 children were triaged, of whom 6,556 (8.2%) were redirected. Within 7 days, 372 (5.7%) returned. Among the 150 reviewed return visits, 127 (85%) were related to the initial complaint: 64 (43%) were due to persistent symptoms, 49 (33%) to clinical deterioration, 6 (4%) were sent back by a physician, and 5 (3%) were for new symptoms. Seven patients (4.7%) required hospitalization on their return visit. Predictors associated with a lower probability of return included ear, nose, throat, and dental complaints, as well as redirection to specialized or pediatric clinics.Conclusions: Approximately, 6% of redirected children returned to the ED within 7 days, most often for persistent or worsening symptoms. Identifying predictors of return visits provides evidence to refine redirection guidelines and enhance the safety and effectiveness of triage nurse-led redirection strategies.","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":"318-329"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

CJEM debate series: Gestalt in emergency medicine: Judgment we should teach, or bias we should constrain? CJEM辩论系列：急诊医学中的格式塔：我们应该教授的判断，还是我们应该限制的偏见？

IF 2

CJEM Pub Date : 2026-04-01 DOI: 10.1007/s43678-026-01134-1

Joe Nemeth, Peter Kas, Paul Atkinson

引用次数: 0

"Eliminating the waiting game": patient interview perspectives of a proposed online emergency department queuing tool to reduce in-hospital wait times. “消除等待游戏”：患者访谈的观点提出在线急诊室排队工具，以减少院内等待时间。

IF 2

CJEM Pub Date : 2026-04-01 DOI: 10.1007/s43678-026-01140-3

Alexandra Godinho, Sanvitti Dalmia, Siona Phadke, Yasmin Lalani, Pete Wegier

{"title":"\"Eliminating the waiting game\": patient interview perspectives of a proposed online emergency department queuing tool to reduce in-hospital wait times.","authors":"Alexandra Godinho, Sanvitti Dalmia, Siona Phadke, Yasmin Lalani, Pete Wegier","doi":"10.1007/s43678-026-01140-3","DOIUrl":"https://doi.org/10.1007/s43678-026-01140-3","url":null,"abstract":"Objectives: To explore patient perceptions, needs and concerns regarding a potential online ED queuing tool designed to reduce in-hospital ED wait times.Methods: Adults who had visited the ED in the past 6 months participated in semi-structured interviews incorporating open- and closed-ended questions (e.g., Likert scales) to assess perceptions of an ED queuing tool. Interview guides were created using the consumer acceptance of electronic commerce model to assess four dimensions of technology adoption: perceived usefulness, ease of use, risk, and trust. Descriptive analyses and framework analysis were used to evaluate narratives and identify areas for improvement in ED queuing tool development.Results: Among the 28 participants, perceptions of the described ED queuing tool were generally positive. Most participants reported they would have used the tool for their last ED visit or on behalf of family and friends, felt it was secure, and were comfortable waiting at home for an average four hours. Participants emphasized the need for more direct forms of communication, comprehensive symptom checkers with diagrams, and regular symptom check-ins to provide updates and self-management strategies while waiting at home. Six themes were developed, highlighting the tool's convenience, comfort of waiting at home, need for reassurance, patient empowerment, use for loved ones, and expectations around tool accuracy as well as impact on ED efficiency.Conclusions: Findings offer important recommendations for tool development and implementation to ensure alignment with patient needs. Future work will focus on integrating these insights into ED queuing tool refinement, usability testing, and expanding applications for caregivers.","PeriodicalId":93937,"journal":{"name":"CJEM","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

AI-assisted translation for discharge instructions-building a Tower of Babel or a solution for our patients. 人工智能辅助的出院说明翻译——为我们的病人建造巴别塔或解决方案。

IF 2

CJEM Pub Date : 2026-04-01 DOI: 10.1007/s43678-026-01145-y

Hans Rosenberg, Jaspreet Khangura, Sohil Rangwala

引用次数: 0

The nutcracker's fracture: a rare avulsion injury from repetitive pistachio shelling. 胡桃夹子骨折：一种罕见的由反复开心果剥壳引起的撕脱伤。

IF 2

CJEM Pub Date : 2026-04-01 Epub Date: 2026-02-18 DOI: 10.1007/s43678-026-01126-1

Allison Souter, David Carr

引用次数: 0

Understanding the blind spots: insights into diagnostic errors in neurological emergencies. 理解盲点：对神经急症诊断错误的洞察。