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Early emergency department events an...

Clark, Karen M.

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Early emergency department events and subsequent critical care unit outcomes for patients admitted to a critical care unit from an emergency department.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Early emergency department events and subsequent critical care unit outcomes for patients admitted to a critical care unit from an emergency department./
Author:	Clark, Karen M.
Description:	131 p.
Notes:	Source: Dissertation Abstracts International, Volume: 66-02, Section: B, page: 0808.
Contained By:	Dissertation Abstracts International66-02B.
Subject:	Health Sciences, Nursing. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3163723
ISBN:	0496981269

Early emergency department events and subsequent critical care unit outcomes for patients admitted to a critical care unit from an emergency department.
Clark, Karen M.

Early emergency department events and subsequent critical care unit outcomes for patients admitted to a critical care unit from an emergency department. - 131 p.

Source: Dissertation Abstracts International, Volume: 66-02, Section: B, page: 0808.

Thesis (Ph.D.)--George Mason University, 2005.

A key factor contributing to overcrowding in the ED is the inability to move critically ill patients out of the ED and into in-patient beds. Critically ill patients often wait long periods in the ED for transfer to critical care units. Unfortunately, little is known of hospitalization outcomes of this acutely ill population. The purpose of this study was to determine the effect of the wait times from admission order for an ICU bed to transfer from the ED to an ICU bed. The reference facility was a tertiary level I trauma, located in a metropolitan area in the Mid-Atlantic region. Study design was a non-experimental, exploratory, retrospective, comparative analysis on a secondary data set with a sample size of 1536 ICU admissions originating from the ED. Exploratory analysis employing logistic and linear regression was used along with descriptive analysis and correlations. The variables were analyzed using SPSS 11.5. The findings indicated wait time in the ED following admission order to the ICU, until actual transfer from the ED occurred, was significant. In fact, the longer the wait in the ED after the admission order, the more likely in-hospital mortality. As time increased to receive the first medication in the ED, the more likely hospital length of stay would be increased. Furthermore, increased time to receive the first medication increased the wait time to receive the ICU admission order and subsequently leave the ED. An investigation of ED processes and interventions and the impact on outcomes may provide the information to revise practice. Identification and measurement of nursing out comes could validate nursing interventions. Such substantiated data driven by valid and reliable outcomes would support policy changes to increase the available resources in our healthcare system.

ISBN: 0496981269Subjects--Topical Terms:

1017798
Health Sciences, Nursing.

Early emergency department events and subsequent critical care unit outcomes for patients admitted to a critical care unit from an emergency department.
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245 1 0 $a Early emergency department events and subsequent critical care unit outcomes for patients admitted to a critical care unit from an emergency department.
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500 $a Source: Dissertation Abstracts International, Volume: 66-02, Section: B, page: 0808.
500 $a Chair: Loretta Normile.
502 $a Thesis (Ph.D.)--George Mason University, 2005.
520 $a A key factor contributing to overcrowding in the ED is the inability to move critically ill patients out of the ED and into in-patient beds. Critically ill patients often wait long periods in the ED for transfer to critical care units. Unfortunately, little is known of hospitalization outcomes of this acutely ill population. The purpose of this study was to determine the effect of the wait times from admission order for an ICU bed to transfer from the ED to an ICU bed. The reference facility was a tertiary level I trauma, located in a metropolitan area in the Mid-Atlantic region. Study design was a non-experimental, exploratory, retrospective, comparative analysis on a secondary data set with a sample size of 1536 ICU admissions originating from the ED. Exploratory analysis employing logistic and linear regression was used along with descriptive analysis and correlations. The variables were analyzed using SPSS 11.5. The findings indicated wait time in the ED following admission order to the ICU, until actual transfer from the ED occurred, was significant. In fact, the longer the wait in the ED after the admission order, the more likely in-hospital mortality. As time increased to receive the first medication in the ED, the more likely hospital length of stay would be increased. Furthermore, increased time to receive the first medication increased the wait time to receive the ICU admission order and subsequently leave the ED. An investigation of ED processes and interventions and the impact on outcomes may provide the information to revise practice. Identification and measurement of nursing out comes could validate nursing interventions. Such substantiated data driven by valid and reliable outcomes would support policy changes to increase the available resources in our healthcare system.
590 $a School code: 0883.
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650 4 $a Health Sciences, Health Care Management. $3 1017922
650 4 $a Health Sciences, Medicine and Surgery. $3 1017756
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