background the optimal management of hemodynamically stable asymptomatic patients with anterior abdominal stab wounds (aasws) remains controversial. the goal is to identify and treat injuries in a safe cost-effective manner. common evaluation strategies are local wound exploration (lwe), diagnostic peritoneal lavage (dpl), serial clinical assessment (scas) and computed tomography (ct) imaging. ...

Clinical trials are extremely difficult to undertake and recruiting patients for these trials is one of the most significant challenges. This brief report sought to determine the suitability of an urgent care center as a research recruitment site by assessing its patients' views on participating in clinical trials. One thousand and two subjects were surveyed over a 45-day period; 9.0 % had prev...

in this paper, a multi-period and multi-resource operating room (or) scheduling and rescheduling problem with elective and semi-elective (semi-urgent) patients is addressed. a scheduling-rescheduling framework based on the so-called rolling horizon approach is proposed to solve the problem. the core of the proposed framework is a novel proposed mixed-integer linear programming (milp) model with...

With increasing national focus on patient experience scores through public reporting and the Value-Based Purchasing Program, hospitals and medical groups are challenged with initiating sustainable programs to improve their scores. Our system initiated 3 pilot programs to determine which approaches and techniques would be the most beneficial. The pilot trails included: (a) MD to MD 1:1 coaching ...

OBJECTIVES To determine the community characteristics associated with non-hospital-based urgent care centres wherever they are located. DESIGN National cross-sectional study evaluating the association between non-hospital-based urgent care centers, and their demographic characteristics in a community, using descriptive statistics and multivariate logistic regressions. SETTING Communities in...

OBJECTIVES The objectives of the study is to review and assess the implementation of the applied modified five-level triage and acuity scale triage system in AL-Yarmook Urgent Care Center (UCC), King Abdulaziz Residential City, Riyadh, Saudi Arabia. METHOD An observational cross-sectional study was conducted, where a data collection sheet was designed and distributed to triage nurses. The dat...

As Urgent Care Centers (UCCs) multiply, more children receive care in this setting. Little is known about UCC providers' perspectives on the management of common pediatric conditions. The objectives of this study are to describe the perceptions of UCC providers and identify challenges they face regarding common pediatric conditions. This qualitative study used semi-structured interviews with a ...

INTRODUCTION Despite recommendations by the Centers for Disease Control (CDC) that all adults be offered non-targeted HIV screening in all care settings, screening in acute-care settings remains unacceptably low. We performed an observational study to evaluate an HIV screening pilot in an academic-community partnership health center urgent care clinic. METHODS We collected visit data via enco...

The purpose of this study was to explore patient perspectives of rapid and routine HIV-testing in an urgent care center at an urban public hospital. We conducted structured focus groups during a clinical trial comparing routinely offered rapid HIV-testing, routinely offered enzyme immunoassay (EIA) testing, and conventional EIA testing. Participants of the six focus groups were 89% African Amer...