Exploring Factors Affecting the Emergency Specialists’ Decision-Making in Case of Emergencies in Patients

Ebrahimian, Abbasali; Hashemi‐Amrei, Seyed‐Hossein; Monesan, Mohammadreza

doi:10.1155/2018/9579807

Cited by 7 publications

(4 citation statements)

References 16 publications

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“…Recently, with the introduction of Code 724 for the quick treatment of patients with cerebral vascular accidents in hospitals, some challenges have been created and it has not yet been implemented in the emergency department. [ 53 ] One of these challenges is the indication of medication initiation and its consequences. Initial recommendations have been presented to provide specialized services to myocardial infarction patients from home to thrombolytic therapy under the title of code 247, and the same concerns are in this area.…”

Section: Resultsmentioning

confidence: 99%

A comparative study on specialized services in pre-hospital emergencies in Iran and selected countries

Babaei,

Ferdosi,

Masoumi

et al. 2023

Journal of Education and Health Promotion

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The quality of emergency services is one of the indicators describing the health status of countries. Moreover, the specialization of services and targeted response to any accident or disease has been the priority of pre-hospital emergency operations in some leading countries. This study aimed to compare the special services provided in the emergency department of several selected countries. This was a comparative study that was done in Isfahan in 2022. Data were collected by reviewing the literature provided by libraries and emergency websites of selected countries. We selected countries based on the accessibility of information in two groups of developed countries and countries with the same income and population as Iran including Germany, France, The United States, Australia, Britain, Malaysia, and Turkey. Data were classified and compared based on staff, vehicles, and specialized services. Emergency staffs in most countries were of different skill and training levels. Ambulances varied in equipment types in various land, air, and sea forms and dimensions. Developed countries had more modern ambulances and equipment. France and Germany were operating more especially. Specialized teams are dispatched only in the United States and Germany. Existing studies have shown the adequacy and effectiveness of these teams in reducing complications and mortality and improving the prognosis of patients. The use of specialized teams appropriate to each emergency based on the specific and targeted response is effective in improving the prognosis of patients. The results of this study are suggested to beneficiaries to improve the quality of emergency care and reduce complications and potential causalities.

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Section: Resultsmentioning

confidence: 99%

A comparative study on specialized services in pre-hospital emergencies in Iran and selected countries

Babaei,

Ferdosi,

Masoumi

et al. 2023

Journal of Education and Health Promotion

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show abstract

“…Major ADE prevention provided the largest amount of CA of all interventions. Many of the ADEs prevented by EM pharmacists were likely because of the lack of available data and velocity at which new data are being generated and available for acting on in the ED ( 32 , 33 ). These results build on previous findings from a landmark study in which a 66% relative risk reduction in ADEs was generated from adding pharmacists to interdisciplinary healthcare teams ( 34 ).…”

Section: Discussionmentioning

confidence: 99%

PHarmacist Avoidance or Reductions in Medical Costs in Patients Presenting the EMergency Department: PHARM-EM Study

Rech

Adams

Smetana

et al. 2021

Critical Care Explorations

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Objectives: To comprehensively classify interventions performed by emergency medicine clinical pharmacists and quantify cost avoidance generated through their accepted interventions. Design: A multicenter, prospective, observational study was performed between August 2018 and January 2019. Setting: Community and academic hospitals in the United States. Participants: Emergency medicine clinical pharmacists. Interventions: Recommendations classified into one of 38 intervention categories associated with cost avoidance. Measurements and Main Results: Eighty-eight emergency medicine pharmacists at 49 centers performed 13,984 interventions during 917 shifts that were accepted on 8,602 patients and generated $7,531,862 of cost avoidance. The quantity of accepted interventions and cost avoidance generated in six established categories were as follows: adverse drug event prevention (1,631 interventions; $2,225,049 cost avoidance), resource utilization (628; $310,582), individualization of patient care (6,122; $1,787,170), prophylaxis (24; $22,804), hands-on care (3,533; $2,836,811), and administrative/supportive tasks (2,046; $342,881). Mean cost avoidance was $538.61 per intervention, $875.60 per patient, and $8,213.59 per emergency medicine pharmacist shift. The annualized cost avoidance from an emergency medicine pharmacist was $1,971,262. The monetary cost avoidance to pharmacist salary ratio was between $1.4:1 and $10.6:1. Conclusions: Pharmacist involvement in the care of patients presenting to the emergency department results in significant avoidance of healthcare costs, particularly in the areas of hands-on care and adverse drug event prevention. The potential monetary benefit-to-cost ratio for emergency medicine pharmacists is between $1.4:1 and $10.6:1.

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“…We represent the current case as X 0 ¼ 2 1 1 4 7 1 625 1 6 f g. We use nine problem scenario features, including the rank risk of incident (RRI), transmission routes (TR), symptoms (SP), pathological characteristics (PC), average quarantine period (AQP), infection ratio (IR), number of infected (NI), fatality ratio (FR), and number of deaths (ND). [43][44][45][46][47] Every solution consists of a medical rescue team (MST), public health workers (PHW), psychological experts (PE), a supply of beds in infectious disease facilities (SB), and medical protection materials (MPM). According to the characteristics and history of infectious diseases in China, let m ¼ 18; n ¼ 9; s ¼ 5.…”

Section: Infectious Disease Outbreaks Applicationmentioning

confidence: 99%

Novel Case-Based Reasoning System for Public Health Emergencies

Duan¹,

Jiao²

2021

RMHP

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Purpose: Several threatening infectious diseases, including influenza, Ebola, SARS, and COVID-19, have affected human society over the past decades. These disease outbreaks naturally inspire a demand for sustained and advanced safety and suppression measures. To protect public health and safety, further research developments on emergency analysis methods and approaches for effective emergency treatment generation are urgently needed to mitigate the severity of the pandemic and save lives. Methods: To address these issues, a novel case-based reasoning (CBR) system is proposed using three phases. In the first phase, the similarity between the current case and the historical cases is calculated under a variety of heterogeneous information. In the second phase, a filter approach based on grey clustering analysis is created to retrieve relevant cases. In the third phase, the cases retrieved are taken as initial host nests in a cuckoo search (CS) algorithm, and our system searches an optimal solution through iteration of this algorithm. Results: The proposed model is compared with a CBR method improved by particle swarm optimization (PSO) and a CBR method improved by a differential evolution algorithm (DE), to confirm the efficiency of our CS algorithm in adapting solutions for public health emergencies. The results show that the proposed model is better than the existing algorithms. Conclusion: The proposed model improves the speed of case retrieval using grey clustering and increases solution accuracy with CS algorithms. The present research can contribute to government, CDC, and infectious disease emergency management fields with regard to the implementation of fast and accurate public biohazard prevention and control measures based on a variety of heterogeneous information.

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Exploring Factors Affecting the Emergency Specialists’ Decision-Making in Case of Emergencies in Patients

Cited by 7 publications

References 16 publications

A comparative study on specialized services in pre-hospital emergencies in Iran and selected countries

A comparative study on specialized services in pre-hospital emergencies in Iran and selected countries

PHarmacist Avoidance or Reductions in Medical Costs in Patients Presenting the EMergency Department: PHARM-EM Study

Novel Case-Based Reasoning System for Public Health Emergencies

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