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Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association最新文献

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Human error or system failure? 人为错误还是系统故障?
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2017-02-10 DOI: 10.7748/en.24.9.14.s16
R. Devlin
{"title":"Human error or system failure?","authors":"R. Devlin","doi":"10.7748/en.24.9.14.s16","DOIUrl":"https://doi.org/10.7748/en.24.9.14.s16","url":null,"abstract":"Every day in emergency departments (EDs) across the UK, patients receive high-quality care from skilled clinicians. This care is delivered despite increasing workloads and complexity of patient conditions. However, an unacceptable number of patients are harmed inadvertently due to actions of, or omissions by, clinicians, or as a consequence of their admission to hospital. In these circumstances, the challenge for managers and clinicians is not to understand why bad people produce adverse events, but to understand why good people do.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"25 1","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73234206","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
Pressures force hospitals to declare major incidents. 压力迫使医院公布重大事故。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2017-02-10 DOI: 10.7748/en.24.9.8.s8
N. Evans
{"title":"Pressures force hospitals to declare major incidents.","authors":"N. Evans","doi":"10.7748/en.24.9.8.s8","DOIUrl":"https://doi.org/10.7748/en.24.9.8.s8","url":null,"abstract":"More than 40% of hospitals in England were forced to declare major incidents during the first week of January, as bed shortages led to delays in emergency departments (EDs), thousands of trolley waits for beds and long queues of ambulances outside units. Even cancer operations, normally protected, were cancelled.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"32 1","pages":"8-9"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77805680","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
Developing an advanced nurse practitioner approach to clinical assessments. 发展一种先进的护士执业方法来进行临床评估。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2017-02-10 DOI: 10.7748/en.2017.e1614
C. Prescott, Nick Stackhouse
{"title":"Developing an advanced nurse practitioner approach to clinical assessments.","authors":"C. Prescott, Nick Stackhouse","doi":"10.7748/en.2017.e1614","DOIUrl":"https://doi.org/10.7748/en.2017.e1614","url":null,"abstract":"Emergency departments (EDs) often experience reduced patient flow, which results in low capacity, increased congestion and delays in patient care. Advanced nurse practitioners (ANPs) possess the skills required to relieve these pressures and enhance care delivery. This article describes how introducing ANP-led rapid assessment triage in an ED has enabled these practitioners to use advanced practice skills in assessment and intervention, and to request early diagnostic processes to improve patient flow. The system enables the ANPs to identify high-acuity patients who can be cared for in the ED without the need for admission, while ensuring their safety, rapid assessment and timely interventions.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"38 1","pages":"33-37"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87478407","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: 1
We must integrate services for people with mental health issues. 我们必须整合为有精神健康问题的人提供的服务。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2017-02-10 DOI: 10.7748/en.24.9.5.s1
P. Scott
{"title":"We must integrate services for people with mental health issues.","authors":"P. Scott","doi":"10.7748/en.24.9.5.s1","DOIUrl":"https://doi.org/10.7748/en.24.9.5.s1","url":null,"abstract":"It is clear from the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) report published last month that hospitals are failing to integrate physical and mental healthcare. As a result, patients with mental health issues are receiving poor care and nurses are too often failing to refer such patients to the appropriate specialist support.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"68 1","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73778689","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
Keep your wits in the Twittersphere. 在twitter上保持你的智慧。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2017-02-10 DOI: 10.7748/en.24.9.17.s23
J. Youd
{"title":"Keep your wits in the Twittersphere.","authors":"J. Youd","doi":"10.7748/en.24.9.17.s23","DOIUrl":"https://doi.org/10.7748/en.24.9.17.s23","url":null,"abstract":"My daughter recently complained about me being 'always on the phone'.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"1 1","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89814851","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
In emergency care, simulation training matters. 在紧急护理中，模拟训练很重要。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2017-02-10 DOI: 10.7748/en.24.9.16.s20
Neal Aplin
{"title":"In emergency care, simulation training matters.","authors":"Neal Aplin","doi":"10.7748/en.24.9.16.s20","DOIUrl":"https://doi.org/10.7748/en.24.9.16.s20","url":null,"abstract":"In a workplace emergency recently I was able to competently and confidently provide airway ventilation to a patient in cardiac arrest. Why? Because I had practised for such an eventuality during simulation training.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"24 1","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90671954","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
Research highlights 'double whammy' of poor care. 研究强调了不良护理的“双重打击”。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2017-02-10 DOI: 10.7748/en.24.9.6.s2
E. Dean
{"title":"Research highlights 'double whammy' of poor care.","authors":"E. Dean","doi":"10.7748/en.24.9.6.s2","DOIUrl":"https://doi.org/10.7748/en.24.9.6.s2","url":null,"abstract":"People with mental health problems receive poor treatment because hospital staff frequently lack the knowledge or confidence to care for them appropriately.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"11 1","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78548963","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: 1
Evaluating the use of patient pathway scores in medical assessments. 评估患者路径评分在医学评估中的应用。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2017-02-10 DOI: 10.7748/en.2017.e1602
Sarah A. Rothery, H. Green, C. Hale
{"title":"Evaluating the use of patient pathway scores in medical assessments.","authors":"Sarah A. Rothery, H. Green, C. Hale","doi":"10.7748/en.2017.e1602","DOIUrl":"https://doi.org/10.7748/en.2017.e1602","url":null,"abstract":"Aim This article describes the modification and testing of a triage tool, the patient pathway assessment score (PPAS), which could be used by all grades of nursing staff to triage patients in a medical assessment area (MAA). The aim was to increase patient satisfaction and reduce waiting times. Method Staff scored all patients using PPAS, but used the existing triage process to assign patients to one of the MAA's two pathways. Two researchers reviewed patients' notes retrospectively to determine which pathway they should have followed and compared this to the outcome that would have occurred if the PPAS score had been used. Results Full, rather than theoretical, use of the PPAS tool could have reduced patient waiting times, as 55 (24%) out of 231 patients would have been allocated to the correct pathway. Conclusion The tool could improve patients' journeys through the MAA by ensuring they are allocated to the correct pathway. It is now implemented in practice.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"10 1","pages":"27-31"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76275850","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: 1
Disaster Health Management: A Primer for Students and Practitioners Fitzgerald Gerry Tarrant Mike Aitken Peter et al Disaster Health Management: A Primer for Students and Practitioners 352pp £39.99 Routledge 9781138911185 1138911186 [Formula: see text]. 菲茨杰拉德·格里·塔兰特迈克·艾特肯·彼得等人灾害健康管理:学生和从业人员入门352页£39.99劳特利奇9781138911185 1138911186[公式:见正文]。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2017-02-10 DOI: 10.7748/en.24.9.17.s21
A. Gloster
{"title":"Disaster Health Management: A Primer for Students and Practitioners Fitzgerald Gerry Tarrant Mike Aitken Peter et al Disaster Health Management: A Primer for Students and Practitioners 352pp £39.99 Routledge 9781138911185 1138911186 [Formula: see text].","authors":"A. Gloster","doi":"10.7748/en.24.9.17.s21","DOIUrl":"https://doi.org/10.7748/en.24.9.17.s21","url":null,"abstract":"This comprehensive textbook addresses the history of disaster management, terminology, concepts, principles and trends. While the book refers mainly to Australian policies and guidelines, international examples are offered too.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"1 1","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89937457","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
'Seize every opportunity'. “抓住每一个机会”。
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association Pub Date : 2017-02-10 DOI: 10.7748/en.24.9.39.s27
Layla Haidrani
{"title":"'Seize every opportunity'.","authors":"Layla Haidrani","doi":"10.7748/en.24.9.39.s27","DOIUrl":"https://doi.org/10.7748/en.24.9.39.s27","url":null,"abstract":"What is your job? I am a lecturer practitioner and senior charge nurse in the emergency department (ED) at King's College Hospital NHS Foundation Trust, London. My role focuses on clinical practice, education, research and management. I am also undertaking a PhD investigating the effect of complex interventions on long-term outcomes for patients with significant blunt thoracic trauma.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"1 1","pages":"39"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88986548","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
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