Background Although this was not intended by the deinstitutionalization of psychiatric services, the overall number of involuntary admissions has steeply increased across Europe. In the Netherlands, the number of compulsory admissions has more than doubled since 1979, rising from 23 to over 46 per 100.000 inhabitants in 2004. In the Amsterdam area, the number of compulsory admissions has increa...

BACKGROUND Prospective external validation of the Vulnerable Elder's Survey (VES-13) in primary care remains limited. The aim of this study is to externally validate the VES-13 in predicting mortality and emergency admission in older community-dwelling adults. METHODS Design: Prospective cohort study with 2 years follow-up (2010-2012). SETTING 15 General Practices (GPs) in the Republic of I...

OBJECTIVE We sought to determine the degree and possible causes of variability in admission practices among individual emergency physicians (EPs) at 1 emergency department (ED) using a Canadian Emergency Department Triage Acuity Scale (CTAS)-matched ED patient population. METHODS We distributed a survey measuring attitudes and demographics to all EPs (n = 30) at a large regional hospital. Hos...

RESULTS In 2000, 51of 64, and in 2005, 70 of 79 units responded. Although the number of units with dedicated ‘emergency admission beds’ had increased from 6 to 16, 34% of the total could never admit as an emergency in 2005 and 44% could never admit out of hours. The consultants estimated that, in 2005, they turned away 72% of referrals for emergency admission. Although 87% of consultants agreed...

BACKGROUND Patients diagnosed with cancer by the emergency route often have more advanced diseases and poorer outcomes. Rates of cancer diagnosed through unplanned admissions vary within and between countries, suggesting potential inconsistencies in the quality of care. To reduce diagnoses by this route and improve patient outcomes, high risk patient groups must be identified. This cross-sectio...

STUDY OBJECTIVE We explore the variation in physician- and hospital-level admission rates in a group of emergency physicians in a single health system. METHODS This was a cross-sectional study that used retrospective data during various periods (2005 to 2010) to determine the variation in admission rates among emergency physicians from 3 emergency departments (EDs) within the same health syst...

Objective: To study the accuracy of emergency department admission diagnosis and the effect of investigations on diagnostic accuracy. Design: Retrospective study in a two-month period. Setting: Accident & Emergency Department of a public general hospital, which had four in-patient specialties – Medicine, Surgery, Paediatrics and Orthopaedics. Subjects: All cases admitted through the emergency d...

introduction: emergency department is one of the most important hospital wards that offers emergency services to unstable patients 24 hours a day, 7 days a week. however, the way the services are offered reflects the general status of the hospital since patients with the most serious problems frequently refer to the emergency department. emergency department waiting time is one of the indices u...