Zero risk is not possible in emergency medicine

Cameron, Peter; Mitra, Biswadev; Kelly, Anne‐Maree

doi:10.1111/1742-6723.14140

Cited by 5 publications

(4 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Major problems for both the mother and the foetus can result from UTIs. Among the effects include intrauterine growth restriction, premature birth, low birth weight, pyelonephritis, sepsis, pneumonia, and cystitis Cameron (5).…”

Section: Discussionmentioning

confidence: 99%

“…Premature birth, low birth weight, sepsis, pneumonia, cystitis, pyelonephritis, and intrauterine growth restriction are a few of the consequences. (5) Therefore, all pregnant women should undergo routine urine testing for germs at the beginning of their pregnancy and again at 28 weeks. A low-dose antibiotic course may be beneficial for some pregnant women with recurrent UTIs in order to avoid reinfection and severe maternal and perinatal morbidity (6) .Quick treatment of urinary tract infections, follow-up care, and clinical evaluation by urine sample and culture, and appropriate self-care practices are necessary to reduce morbidity during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of Instructional Guidelines on Knowledge and Self-care Practices of Pregnant Women with Urinary Tract Infections

Ahmed

Elkader

Ahmed

2023

Zagazig Nursing Journal

View full text Add to dashboard Cite

Background: Urinary tract infections are the most typical bacterial infection that can occur during pregnancy, and they are the cause of a number of issues that can harm the mother as well as the fetus. Good management based on accurate information and more satisfying self-care practices is key to prevent these issues. Aim of the study: To evaluate the effect of instructional guidelines on knowledge and self-care practices of pregnant women with urinary tract infections. Subjects and method: Research design: Quasi experimental design (pre/post-test). Setting: The study was carried out at antenatal care unit in outpatient clinic, at Zagazig University Hospital. Subjects: A purposive sampling of 120 pregnant women with urinary tract infections were enrolled and equally divided into intervention and control groups. Tools of data collection: Three tools were used. Tool I: A structured interviewing schedule which composed of 3 Sections, Tool II: Severity of urinary tract infections symptoms assessment scale and Tool III: Self-assessment interviewing schedule: To assess pregnant women's self-care health practices for urinary tract infections. Results: There was a highly statistically significant improvement in total score of all areas of knowledge and total score of self-care practices post intervention in the intervention group than those in control one. Also, there was a highly statistically significant difference in the improvement of urinary tract infection symptoms as reported by pregnant women in intervention group as compared to control group after applying the nursing guidelines. Conclusion: The instructional guidelines have been an effective intervention to improve the knowledge of pregnant women and give suitable self-care practices of urinary tract infections that lessen the severity of symptoms. Recommendations: All pregnant women should take part in a continuing health education program to better understand urinary tract infections and prevent them from occurring again throughout pregnancy.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of Instructional Guidelines on Knowledge and Self-care Practices of Pregnant Women with Urinary Tract Infections

Ahmed

Elkader

Ahmed

2023

Zagazig Nursing Journal

View full text Add to dashboard Cite

show abstract

“…Triage is central to the practice of emergency medicine [ 2 ]. In the face of excess demand, triage allows EDs to allocate their finite resources in an equitable, efficient, and standardised way [ 3 , 4 ]. Triage systems in current use include the Emergency Severity Index (ESI), Australasian Triage Scale (ATS), Manchester Triage Scale (MTS), and the Korean Triage and Acuity Scale (KTAS) [ 3 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…Triage systems in current use include the Emergency Severity Index (ESI), Australasian Triage Scale (ATS), Manchester Triage Scale (MTS), and the Korean Triage and Acuity Scale (KTAS) [3,5]. Triage systems aim to aid emergency care providers in making a structured decision regarding the urgency of care that a patient requires, and in doing so, identify and prioritise those patients with time-sensitive care needs [3,4]. No triage tool is perfect, and all have issues with sensitivity and specificity resulting in over and under-triage, particularly for certain demographic groups and conditions [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Applications of natural language processing at emergency department triage: A narrative review

Stewart,

Lu,

Goudie

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

Introduction Natural language processing (NLP) uses various computational methods to analyse and understand human language, and has been applied to data acquired at Emergency Department (ED) triage to predict various outcomes. The objective of this scoping review is to evaluate how NLP has been applied to data acquired at ED triage, assess if NLP based models outperform humans or current risk stratification techniques when predicting outcomes, and assess if incorporating free-text improve predictive performance of models when compared to predictive models that use only structured data. Methods All English language peer-reviewed research that applied an NLP technique to free-text obtained at ED triage was eligible for inclusion. We excluded studies focusing solely on disease surveillance, and studies that used information obtained after triage. We searched the electronic databases MEDLINE, Embase, Cochrane Database of Systematic Reviews, Web of Science, and Scopus for medical subject headings and text keywords related to NLP and triage. Databases were last searched on 01/01/2022. Risk of bias in studies was assessed using the Prediction model Risk of Bias Assessment Tool (PROBAST). Due to the high level of heterogeneity between studies and high risk of bias, a metanalysis was not conducted. Instead, a narrative synthesis is provided. Results In total, 3730 studies were screened, and 20 studies were included. The population size varied greatly between studies ranging from 1.8 million patients to 598 triage notes. The most common outcomes assessed were prediction of triage score, prediction of admission, and prediction of critical illness. NLP models achieved high accuracy in predicting need for admission, triage score, critical illness, and mapping free-text chief complaints to structured fields. Incorporating both structured data and free-text data improved results when compared to models that used only structured data. However, the majority of studies (80%) were assessed to have a high risk of bias, and only one study reported the deployment of an NLP model into clinical practice. Conclusion Unstructured free-text triage notes have been used by NLP models to predict clinically relevant outcomes. However, the majority of studies have a high risk of bias, most research is retrospective, and there are few examples of implementation into clinical practice. Future work is needed to prospectively assess if applying NLP to data acquired at ED triage improves ED outcomes when compared to usual clinical practice.

show abstract

Prácticas seguras en los servicios de medicina intensiva. ¿Es posible el riesgo Zero?

Nuvials Casals,

García García

2024

Medicina Intensiva

View full text Add to dashboard Cite

Zero risk is not possible in emergency medicine

Cited by 5 publications

References 9 publications

Effect of Instructional Guidelines on Knowledge and Self-care Practices of Pregnant Women with Urinary Tract Infections

Effect of Instructional Guidelines on Knowledge and Self-care Practices of Pregnant Women with Urinary Tract Infections

Applications of natural language processing at emergency department triage: A narrative review

Prácticas seguras en los servicios de medicina intensiva. ¿Es posible el riesgo Zero?

Contact Info

Product

Resources

About