Journal ArticleJournal of the American Psychiatric Nurses Association · January 2024
BackgroundAdults with severe mental illnesses have mortality rates 2.5 to 3 times higher than the general population, largely due to medical illnesses. Those with the most profound mental illnesses are served by assertive community treatment (ACT) ...
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Journal ArticleThe Milbank quarterly · September 2022
Policy Points As a consequence of mass incarceration and related social inequities in the United States, jails annually incarcerate millions of people who have profound and expensive health care needs. Resources allocated for jail health care are scarce, l ...
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Journal ArticleThe Journal of school health · June 2021
BackgroundDetermination of adequate school nurse staffing is a complex process. School nurse-to-student ratios and the health services school nurses provide to students should be considered. The purpose of this study was to examine the impact of N ...
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Journal ArticleThe Journal of school nursing : the official publication of the National Association of School Nurses · June 2021
School nurses are instrumental in delivering health services to children in schools. This study addresses the gap in school nurse health services data, examining patterns in health services and programs provided by school nurses between 2006 and 2016 for s ...
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Journal ArticlePloS one · January 2021
Law enforcement officers frequently encounter people with health conditions. We sought to estimate the rates, diagnoses, and characteristics of emergency department (ED) visits among patients transported directly by law enforcement. We analyzed statewide N ...
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Journal ArticleAnn Emerg Med · September 2020
STUDY OBJECTIVE: Emergency department (ED) visits provide an important opportunity for elder abuse identification. Our objective was to assess the accuracy of the ED Senior Abuse Identification (ED Senior AID) tool for the identification of elder abuse. ME ...
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Journal ArticleThe American journal of emergency medicine · April 2020
BackgroundEmergency department (ED) crowding is a recognized issue and it has been suggested that it can affect clinician decision-making.ObjectivesOur objective was to determine whether ED census was associated with changes in triage or ...
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Journal ArticleJ Am Geriatr Soc · January 2020
OBJECTIVES: To characterize assessments of a patient's ability to report elder abuse within the context of an emergency department (ED)-based screen for elder abuse. DESIGN: Cross-sectional study in which participants were screened for elder abuse and negl ...
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Journal ArticleResearch in nursing & health · January 2020
The purpose of this study was to identify factors associated with the risk of closed head injury (CHI) in children under age 2 years with suspected minor head injuries based on age-appropriate, or near age-appropriate, mental status on an exam. The study w ...
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Journal ArticleJournal of emergency nursing · November 2019
IntroductionThe purpose of this study was to explore and describe (1) the extent to which emergency departments in the United States are promoting the quality of triage and the reliability of triage systems according to recommendations in the Emer ...
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Journal ArticleJournal of emergency nursing · July 2019
IntroductionThe majority of pediatric emergency patients are seen in mixed-age emergency departments and triaged by general emergency nurses. Educational methods for teaching pediatric triage education to general emergency nurses have not been wel ...
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Journal ArticleMCN. The American journal of maternal child nursing · September 2018
PurposeThe Internet is a common source of information for women during pregnancy. A multitude of data about birth can be found on the Internet, yet there are few guidelines to direct women to credible Web sites. Providers are often unaware of the ...
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Journal ArticleJMIR Human Factors · April 1, 2018
Background: Intensive Care Units (ICUs) in the United States admit more than 5.7 million people each year. The ICU level of care helps people with life-threatening illness or injuries and involves close, constant attention by a team of specially-trained he ...
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Journal ArticleThe Journal of school nursing : the official publication of the National Association of School Nurses · February 2018
School nurses intervene with students, parents, and school staff to advance the health and academic success of students. We conducted an integrative literature review of published research to describe the types of school nurse interventions and health and ...
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Journal ArticleJ Elder Abuse Negl · 2018
Emergency departments (EDs) are an important health care setting for the identification of elder abuse (EA). Our objective was to develop an ED-based tool to identify EA. The initial tool included a brief cognitive assessment, questions to detect multiple ...
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Journal ArticleJournal of burn care & research : official publication of the American Burn Association · July 2017
High-quality burn registries can facilitate best practices in burn treatment, patient education, and research. A new burn registry was designed and implemented at the North Carolina Jaycee Burn Center in June 2013. The primary goals for the design of the n ...
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Journal ArticleAdvanced emergency nursing journal · April 2017
We developed and tested simulated patient scenarios to assess how normal or abnormal point-of-care (POC) test results at triage change prioritization decisions. This was a cross-sectional study where our team developed simulated scenarios and presented the ...
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Journal ArticleJournal of palliative medicine · January 2017
IntroductionIncreasing advance care planning (ACP) among older adults is a national priority. Documentation of ACP in the electronic health record (EHR) is particularly important during emergency care.ObjectiveWe sought to characterize co ...
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Journal ArticleJournal of the American Psychiatric Nurses Association · January 2024
BackgroundAdults with severe mental illnesses have mortality rates 2.5 to 3 times higher than the general population, largely due to medical illnesses. Those with the most profound mental illnesses are served by assertive community treatment (ACT) ...
Full textCite
Journal ArticleThe Milbank quarterly · September 2022
Policy Points As a consequence of mass incarceration and related social inequities in the United States, jails annually incarcerate millions of people who have profound and expensive health care needs. Resources allocated for jail health care are scarce, l ...
Full textCite
Journal ArticleThe Journal of school health · June 2021
BackgroundDetermination of adequate school nurse staffing is a complex process. School nurse-to-student ratios and the health services school nurses provide to students should be considered. The purpose of this study was to examine the impact of N ...
Full textCite
Journal ArticleThe Journal of school nursing : the official publication of the National Association of School Nurses · June 2021
School nurses are instrumental in delivering health services to children in schools. This study addresses the gap in school nurse health services data, examining patterns in health services and programs provided by school nurses between 2006 and 2016 for s ...
Full textCite
Journal ArticlePloS one · January 2021
Law enforcement officers frequently encounter people with health conditions. We sought to estimate the rates, diagnoses, and characteristics of emergency department (ED) visits among patients transported directly by law enforcement. We analyzed statewide N ...
Full textCite
Journal ArticleAnn Emerg Med · September 2020
STUDY OBJECTIVE: Emergency department (ED) visits provide an important opportunity for elder abuse identification. Our objective was to assess the accuracy of the ED Senior Abuse Identification (ED Senior AID) tool for the identification of elder abuse. ME ...
Full textLink to itemCite
Journal ArticleThe American journal of emergency medicine · April 2020
BackgroundEmergency department (ED) crowding is a recognized issue and it has been suggested that it can affect clinician decision-making.ObjectivesOur objective was to determine whether ED census was associated with changes in triage or ...
Full textCite
Journal ArticleJ Am Geriatr Soc · January 2020
OBJECTIVES: To characterize assessments of a patient's ability to report elder abuse within the context of an emergency department (ED)-based screen for elder abuse. DESIGN: Cross-sectional study in which participants were screened for elder abuse and negl ...
Full textLink to itemCite
Journal ArticleResearch in nursing & health · January 2020
The purpose of this study was to identify factors associated with the risk of closed head injury (CHI) in children under age 2 years with suspected minor head injuries based on age-appropriate, or near age-appropriate, mental status on an exam. The study w ...
Full textCite
Journal ArticleJournal of emergency nursing · November 2019
IntroductionThe purpose of this study was to explore and describe (1) the extent to which emergency departments in the United States are promoting the quality of triage and the reliability of triage systems according to recommendations in the Emer ...
Full textCite
Journal ArticleJournal of emergency nursing · July 2019
IntroductionThe majority of pediatric emergency patients are seen in mixed-age emergency departments and triaged by general emergency nurses. Educational methods for teaching pediatric triage education to general emergency nurses have not been wel ...
Full textCite
Journal ArticleMCN. The American journal of maternal child nursing · September 2018
PurposeThe Internet is a common source of information for women during pregnancy. A multitude of data about birth can be found on the Internet, yet there are few guidelines to direct women to credible Web sites. Providers are often unaware of the ...
Full textCite
Journal ArticleJMIR Human Factors · April 1, 2018
Background: Intensive Care Units (ICUs) in the United States admit more than 5.7 million people each year. The ICU level of care helps people with life-threatening illness or injuries and involves close, constant attention by a team of specially-trained he ...
Full textCite
Journal ArticleThe Journal of school nursing : the official publication of the National Association of School Nurses · February 2018
School nurses intervene with students, parents, and school staff to advance the health and academic success of students. We conducted an integrative literature review of published research to describe the types of school nurse interventions and health and ...
Full textCite
Journal ArticleJ Elder Abuse Negl · 2018
Emergency departments (EDs) are an important health care setting for the identification of elder abuse (EA). Our objective was to develop an ED-based tool to identify EA. The initial tool included a brief cognitive assessment, questions to detect multiple ...
Full textLink to itemCite
Journal ArticleJournal of burn care & research : official publication of the American Burn Association · July 2017
High-quality burn registries can facilitate best practices in burn treatment, patient education, and research. A new burn registry was designed and implemented at the North Carolina Jaycee Burn Center in June 2013. The primary goals for the design of the n ...
Full textCite
Journal ArticleAdvanced emergency nursing journal · April 2017
We developed and tested simulated patient scenarios to assess how normal or abnormal point-of-care (POC) test results at triage change prioritization decisions. This was a cross-sectional study where our team developed simulated scenarios and presented the ...
Full textCite
Journal ArticleJournal of palliative medicine · January 2017
IntroductionIncreasing advance care planning (ACP) among older adults is a national priority. Documentation of ACP in the electronic health record (EHR) is particularly important during emergency care.ObjectiveWe sought to characterize co ...
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Journal ArticleThe Journal of emergency medicine · February 2015
BackgroundThe collection of a complete, verified medication history is essential to patient safety. The involvement of clinical pharmacists has been shown to improve the completeness and accuracy of medication histories; however, to our knowledge, ...
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Journal ArticlePreventing chronic disease · June 2014
IntroductionWhen using emergency department (ED) data sets for public health surveillance, a standard approach is needed to define visits attributable to asthma. Asthma can be the first (primary) or a subsequent (2nd through 11th) diagnosis. Our s ...
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Journal ArticleJournal of emergency nursing · January 2014
UnlabelledTriage nurses are the "first stop" for patients who present to the emergency department for care. The assessment of pediatric head injuries is especially challenging because signs and symptoms of head trauma in children do not correlate ...
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Journal ArticleChest · September 2013
BackgroundLittle is known about the population-based burden of ED care for COPD.MethodsWe analyzed statewide ED surveillance system data to quantify the frequency of COPD-related ED visits, hospital admissions, and comorbidities.Resul ...
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ConferenceThe American journal of emergency medicine · September 2013
PurposeThe aim of this study was to describe population-based patterns of chronic obstructive pulmonary disease (COPD)-related emergency department (ED) visits.MethodsWe analyzed all COPD-related ED visits made by North Carolina residents ...
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Journal ArticleThe American journal of hospice & palliative care · March 2013
Emergency department (ED) visits are made by cancer patients for symptom management, treatment effects, oncologic emergencies, or end of life care. While most patients prefer to die at home, many die in health care institutions. The purpose of this study i ...
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Journal ArticleNorth Carolina medical journal · January 2013
BackgroundAsthma is a prevalent, morbid, and costly chronic condition that may result in preventable exacerbations requiring emergency department (ED) care. In North Carolina we have limited information about the frequency and characteristics of a ...
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Journal ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology · July 2011
PurposeEmergency departments (EDs) in the United States are used by patients with cancer for disease or treatment-related problems and unrelated issues. The North Carolina Disease Event Tracking and Epidemiologic Collection Tool (NC DETECT) collec ...
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Journal ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine · March 2010
ObjectivesThe study objective was to determine the sensitivity and specificity of the Emergency Severity Index (ESI) triage instrument for the identification of elder patients receiving an immediate life-saving intervention in the emergency depart ...
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Journal ArticleNorth Carolina medical journal · September 2009
BackgroundWhile electronic medical record (EMR) systems have demonstrated the potential to improve quality of care and reduce medical errors, relatively few practitioners have implemented EMR systems. This article presents a case study that explor ...
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Journal ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine · September 2009
ObjectivesThe Emergency Severity Index (ESI) triage algorithm is a five-level triage acuity tool used by emergency department (ED) triage nurses to rate patients from Level 1 (most acute) to Level 5 (least acute). ESI has established reliability a ...
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Journal ArticleJournal of biomedical informatics · August 2008
ObjectiveTo determine whether preprocessing chief complaints before automatically classifying them into syndromic categories improves classification performance.MethodsWe preprocessed chief complaints using two preprocessors (CCP and EMT- ...
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ConferenceAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine · May 2008
The chief complaint (CC) is the data element that documents the patient's reason for visiting the emergency department (ED). The need for a CC vocabulary has been acknowledged at national meetings and in multiple publications, but to our knowledge no group ...
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Journal ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium · October 2007
The sensitivity and specificity of syndrome definitions used in early event detection (EED) systems affect the usefulness of the system for end-users. The ability to calculate these values aids system designers in the refinement of syndrome definitions to ...
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Journal ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium · October 2007
Emergency Department (ED) chief complaint (CC) data are key components of syndromic surveillance systems. However, it is difficult to use CC data because they are not standardized and contain varying semantic and lexical forms for the same concept. The pur ...
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ConferenceProceedings of the ASIST Annual Meeting · January 1, 2007
In this paper we present preliminary results of a study of events represented in portions of the Emergency Department (ED) patient record. An advantage to working in such a specific domain is that we can use domain knowledge to reveal events that are not e ...
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Journal ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine · December 2006
BackgroundEmergency department (ED) chief-complaint (CC) data increasingly are important for clinical-care and secondary uses such as syndromic surveillance. There is no widely used ED CC vocabulary, but experts have suggested evaluation of existi ...
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Journal ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium · January 2006
Emergency Department (ED) data are key components of syndromic surveillance systems. While diagnosis data are widely available in electronic form from EDs and have been shown to be an accurate source of clinical data for syndromic surveillance, our previou ...
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Journal ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine · June 2005
ObjectivesThe Emergency Severity Index (ESI) version 3 is a five-level triage acuity scale with demonstrated reliability and validity. Patients are rated from ESI level 1 (highest acuity) to ESI level 5 (lowest acuity). Clinical experience has dem ...
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Journal ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine · November 2004
ObjectivesEmergency Medical Text Processor (EMT-P) version 1, a natural language processing system that cleans emergency department text (e.g., chst pn, chest pai), was developed to maximize extraction of standard terms (e.g., chest pain). The aut ...
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ConferenceProceedings of the ASIST Annual Meeting · November 1, 2004
When a patient visits the Emergency Department (ED), the reason the patient is seeking care is recorded as the Chief Complaint (CC). Beyond its role in the patient's care, there is interest in the CC for secondary uses. Clinicians and epidemiologists can u ...
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Journal ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine · December 2003
ObjectivesAggregated emergency department (ED) data are useful for research, ED operations, and public health surveillance. Diagnosis data are widely available as The International Classification of Diseases, version, 9, Clinical Modification (ICD ...
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Journal ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine · October 2003
ObjectivesInitial studies have shown improved reliability and validity of a new triage tool, the Emergency Severity Index (ESI), over conventional three-level scales at two university medical centers. After pilot implementation and validation, the ...
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Journal ArticleJournal of biomedical informatics · August 2003
Information about the chief complaint (CC), also known as the patient's reason for seeking emergency care, is critical for patient prioritization for treatment and determination of patient flow through the emergency department (ED). Triage nurses document ...
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Journal ArticlePediatrics · August 2003
OBJECTIVE: Many children enter the emergency medical system through primary care offices, yet these offices may not be adequately prepared to stabilize severely ill children. We conducted this study to evaluate the effectiveness of an office-based educatio ...
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Journal ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium · January 2003
Emergency Department (ED) data are a key component of bioterrorism surveillance systems. Little research has been done to examine differences in ED data capture and entry across hospitals, regions and states. The purpose of this study was to describe the c ...
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Journal ArticleJournal of Emergency Nursing · January 1, 2002
Introduction: The study objectives were to compare reliability and validity of a 3-level (3L) triage system with a new 5-level (5L) triage system and determine the effect of nursing experience on triage reliability. Methods: The study was conducted in a so ...
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Journal ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine · February 2001
ObjectivesTo implement a new five-level emergency department (ED) triage algorithm, the Emergency Severity Index (ESI), into nursing practice, and validate the instrument with a population-based cohort using hospitalization and ED length of stay a ...
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Journal ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine · January 2001
ObjectiveThe Emergency Severity Index (ESI) is a new five-level triage instrument. The objective of this study was to determine whether there is an association between ESI triage status and short-term survival.MethodsThis was a survival a ...
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Journal ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine · March 2000
ObjectivesTriage is the initial clinical sorting process in hospital emergency departments (EDs). Because of poor reproducibility and validity of three-level triage, the authors developed and validated a new five-level triage instrument, the Emerg ...
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Journal ArticleProceedings. AMIA Symposium · January 2000
The purpose of this qualitative study was to examine user acceptance of a clinical computer system in two pediatric practices in the southeast. Data were gathered through interviews with practice and IS staff, observations in the clinical area, and review ...
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Journal ArticleProceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium · January 1997
An emergency department (ED) clinical system was developed by in-house personnel, with ED physician, nursing, registration and clerical staff input. The utilization of existing hardware and customization of the hospital's mainframe hospital information sys ...
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Journal ArticlePrehospital and disaster medicine · April 1996
IntroductionMany states are implementing prehospital do-not-resuscitate (DNR) programs through legislation or by state or local protocol. There are no outcome studies in the literature regarding the utilization of, access to, or barriers to prehos ...
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Journal ArticleTopics in Emergency Medicine · January 1, 1995
Computerized order entry (OE) and clinical results reporting (RR) have the potential to improve the efficiency of clinical order processing, access to clinical results, and the timeliness of charge capture. Enhancements to basic OE and RR systems can enhan ...
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Journal ArticleThe Journal of air medical transport · June 1990
In February of 1989, the AAMS Quality Assurance (QA) Committee surveyed 177 flight programs regarding their QA activities. There was a 58% return rate, with the majority of the respondents being single hospital-based programs. Eighty-nine percent of those ...
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Journal ArticleThe Journal of air medical transport · October 1989
The Therapeutic Intervention Scoring System (TISS) was evaluated as an instrument to determine appropriate use of an air medical program (AMP) from a retrospective standpoint. TISS scores of 376 consecutive patient transports to the sponsor institution wer ...
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