Purpose: The elderly care pathway from the public health emergency unit to the university hospital and back home needs rationalising. Another purpose is to utilise the information of the electronic patient record system in care coordination. Theory: The processed knowledge from the electronic patient record system enables the geriatric professionals to deal with the information of the elderly c...

OBJECTIVE To determine whether the introduction of an intensive care unit-based medical emergency team, responding to hospital-wide preset criteria of physiologic instability, would decrease the rate of predefined adverse outcomes in patients having major surgery. DESIGN Prospective, controlled before-and-after trial. SETTING University-affiliated hospital. PATIENTS Consecutive patients a...

background: healthcare authorities, in all around the world, are faced with resources limitations and limitless needs of citizens. therefore, optimal resources allocation, particularly in the health sector and emergency system, seems to be of great importance. the present study aimed to determine the optimality rate of patients' distribution to hospitals by emergency stations based on the trans...

Introduction: Emergencies are unforeseen and unpredictable situations. In these situations, people’s performance is affected by various factors that cause stress. People’s performance in such situations can also affect human error probability. The purpose of this study was to evaluate human error in emergency situations based on the fuzzy CREAM and Fuzzy Analytical Hierarchy Process (FAHP). Ma...

Background and Purpose—Early initiated treatment of stroke increases the chances of a good recovery. This randomized controlled study evaluates how an increased priority level for patients with stroke, from level 2 to 1, from the Emergency Medical Communication Center influences thrombolysis frequency, time to stroke unit, and whether other medical emergencies reported negative consequences. Me...

OBJECTIVES To compare the clinical characteristics of aortic dissection in Hong Kong with the International Registry of Aortic Dissection, and to evaluate the sensitivity of the Accident and Emergency Department in diagnosing aortic dissection and its role in aortic dissection management. DESIGN Retrospective observational study. SETTING Regional public hospital, Hong Kong. PATIENTS Newly...

OBJECTIVE Serial lactate concentrations can be used to examine disease severity in the intensive care unit. This study examines the clinical utility of the lactate clearance before intensive care unit admission (during the most proximal period of disease presentation) as an indicator of outcome in severe sepsis and septic shock. We hypothesize that a high lactate clearance in 6 hrs is associate...

BACKGROUND AND PURPOSE Early initiated treatment of stroke increases the chances of a good recovery. This randomized controlled study evaluates how an increased priority level for patients with stroke, from level 2 to 1, from the Emergency Medical Communication Center influences thrombolysis frequency, time to stroke unit, and whether other medical emergencies reported negative consequences. ...