INTRODUCTION The evacuation of a health care facility is a complex undertaking, especially if done in an immediate fashion, ie, within minutes. Patient factors, such as continuous medical care needs, mobility, and comprehension, will affect the efficiency of the evacuation and translate into evacuation resource needs. Prior evacuation resource estimates are 30 years old. METHODS Utilizing a c...

The paradigm of Emergency Medicine (EM) is to provide the right care at the right time in the right place by the right professionals. This requires a combination of key service elements to be brought together, including triage, resuscitation, mobile response units (ambulances, trauma helicopters, blue lights) and out of duty services. In Holland, integration of Emergency Medicine has been empha...

medication errors (mes) are the most common error in icus. in fact, 78% of all serious errors in icus are due to mes. therefore, detecting mes has vital significance. the goal of this study was to investigate the frequency, type and consequences of different types of errors including prescribing, transcribing and administration errors in an icu of a large teaching hospital. disguised direct obs...

OBJECTIVE To analyze the process of implementation of emergency care units in Brazil. METHODS We have carried out a documentary analysis, with interviews with twenty-four state urgency coordinators and a panel of experts. We have analyzed issues related to policy background and trajectory, players involved in the implementation, expansion process, advances, limits, and implementation difficul...

introduction: timeliness has been considered as a key domain in quality of emergency department (ed) care and delay in care providing is influential determinants of patient’s outcomes. the present study, aimed to evaluate the determinants of prolonged ed length of stay (los). methods: in this cross-sectional study, using adopted version of the latest form for external evaluation and accreditati...

OBJECTIVE Understand the conditions involved in the management of nursing care in emergency care units. METHODOLOGY Qualitative research using the methodological framework of the Grounded Theory. Data collection occurred from September 2011 to June 2012 through semi-structured interviews with 20 participants of the two emergency care units in the city of Florianopolis, Brazil. RESULTS Hinde...

information technology can increase the quality of medical care and is a target for many of the pioneers in the development of clinical or medical information. electronic medical record (emr), one of such technologies, is a well-known and valuable system to access patient information in hospitals. electronic medical records which are used for the purpose of providing basic health care are avail...

Critical care in low-income countries remains rudimentary. When defined as all aspects of care for patients with sudden, serious, reversible disease, critical care is not disease or age specific and includes triage and emergency medicine, hospital systems, quality of care and Intensive Care Units. This review collates the literature on critical care in low-income countries and explores how the ...