Article
Emergency Medicine
Theodore W. Heyming, Chloe Knudsen-Robbins, William Feaster, Louis Ehwerhemuepha
Summary: The study developed a machine learning model to predict the disposition of pediatric emergency department patients based on triage assessment and historical information. The model demonstrated high accuracy in training and testing, providing an effective tool for healthcare providers to stratify patients effectively.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Computer Science, Information Systems
Vlada Rozova, Katrina Witt, Jo Robinson, Yan Li, Karin Verspoor
Summary: Accurate identification of self-harm presentations to Emergency Departments through a machine learning-based NLP model can provide timely mental health support and aid in understanding suicidal intent burden. The best-performing model achieved 90% Precision and 90% Recall on blind test data, demonstrating the practical value of NLP in identifying patients for mental health follow-up and supporting suicide prevention efforts.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)
Article
Health Care Sciences & Services
Li-Hung Yao, Ka-Chun Leung, Chu-Lin Tsai, Chien-Hua Huang, Li-Chen Fu
Summary: This study aimed to develop a deep learning-based triage system using patients' ED electronic medical records to predict clinical outcomes after ED treatments. The results showed high accuracy and AUROC values in predicting hospitalization and other clinical outcomes. The system outperformed traditional methods and has potential for real-world clinical settings.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Ecology
Huaqing Wang, Dongying Li
Summary: This study investigates the associations between greenspace availability, historical redlining, and emergency department visits for mental disorders using state-wide data in Texas. The findings indicate that increased greenspace coverage is associated with decreased risks of emergency department visits for mental disorders, while an increase in historically redlining zones is associated with increased risks.
LANDSCAPE AND URBAN PLANNING
(2023)
Article
Multidisciplinary Sciences
Andreea Vantu, Anca Vasilescu, Alexandra Baicoianu
Summary: Artificial intelligence has shown its ability to overcome challenges in daily life. The development of AI has led to more studies on machine learning solutions, including healthcare. The availability of medical records provides opportunities to explore machine learning models and their ability to process large amounts of data to solve medical problems. This study focuses on the correlation between medical records and diagnosis, particularly in the emergency department triage process.
Article
Medicine, General & Internal
Joshua W. Joseph, Maura Kennedy, Alden M. Landry, Regan H. Marsh, Da'Marcus E. Baymon, Dana E. Im, Paul C. Chen, Margaret E. Samuels-Kalow, Lauren M. Nentwich, Noemie Elhadad, Leon D. Sanchez
Summary: This study found racial disparities in triage scores and physician evaluations in emergency departments, with Black, Hispanic, and other racial and ethnic patients receiving less acute triage scores despite undergoing more involved physician workups. This suggests potential mistriage.
Review
Medicine, General & Internal
Anisa Jabeen Nasir Jafar, Wisam Jalal Jawad Jafar, Emma Kathleen Everitt, Ian Gill, Hannah Maria Sait, Jacinta Tan
Summary: Compared to other mental health conditions, eating disorders may seem relatively rare in emergency departments. However, they have the highest mortality rate in mental health, with high rates of medical complications and risks. People with eating disorders often do not disclose their diagnosis to healthcare professionals due to denial, avoidance of treatment, or stigma. As a result, their diagnosis can be easily missed and the prevalence underestimated. This article provides a new perspective on eating disorders for emergency and acute medicine practitioners, focusing on the most serious acute pathology, indicators of hidden disease, screening, acute management considerations, and the challenge of mental capacity in high-risk patients who can recover with proper treatment.
POSTGRADUATE MEDICAL JOURNAL
(2023)
Article
Emergency Medicine
Peter Lin, Nilay T. Argon, Qian Cheng, Christopher S. Evans, Benjamin Linthicum, Yufeng Liu, Abhishek Mehrotra, Mehul D. Patel, Serhan Ziya
Summary: This study identifies patient demographic and emergency department (ED) characteristics associated with rooming prioritization decisions among ED patients with similar triage acuity. The results show that patient age and race are significantly associated with deviation from a first-come-first-served (FCFS) policy in ED rooming decisions. These findings suggest potential patient demographic disparities in ED rooming decisions after adjusting for clinical and ED operational characteristics.
ACADEMIC EMERGENCY MEDICINE
(2022)
Article
Emergency Medicine
Analise Peleggi, Bryan Strub, Soo-Jeong Kim, Carol M. Rockhill
Summary: This study aimed to develop a screening method to identify emergency department encounters related to aggression. Through chart review and analysis of code combinations, a screening method with high accuracy was derived. Validation of the method will provide support for further research on this important population.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Emergency Medicine
Stephanie Stroever, Chelsea Brett, Katherine Michael, Joann Petrini
Summary: This study found that the proportion of emergency department encounters attributed to mental health conditions increased after the COVID-19 outbreak. Substance abuse, anxiety, and mood disorders were the main types of mental health diagnoses. Emergency departments play a crucial role in identifying and triaging mental health emergencies, especially during disasters and extended crises.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Public, Environmental & Occupational Health
Mengge Tian, Xuan Zhou, Xiaoxv Yin, Nan Jiang, Yafei Wu, Jiali Zhang, Chuanzhu Lv, Yanhong Gong
Summary: This study aimed to examine the prevalence of effort-reward imbalance among emergency department physicians in China and explore its associated factors. The results showed that the prevalence of effort-reward imbalance was 78.39% among emergency department physicians in China. Male physicians with a bachelor's degree, intermediate title, long years of service, high frequency of night shifts, and who suffered workplace violence were at a higher risk of effort-reward imbalance. Conversely, physicians with higher monthly income and perceived adequate staff had a lower risk of effort-reward imbalance.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Health Care Sciences & Services
Rob Mitchell, Sarah Bornstein, Donna Piamnok, Wilma Sebby, Carl Kingston, Rayleen Tefatu, Mangu Kendino, Betty Josaiah, Jasper Pole, Sylvia Kuk, Sarah Koerver, Jean -Philippe Miller, Travis Cole, Andrew Erbs, Gerard O'Reilly, Peter Cameron, Duncan Sengiromo, Colin Banks
Summary: This study evaluated the impact of a digital-based learning strategy on Triage implementation in resource-limited emergency departments. The training program conducted through a digital platform significantly improved knowledge and confidence among ED staff. However, limited internet access and lack of dedicated training time were identified as barriers.
LANCET REGIONAL HEALTH-WESTERN PACIFIC
(2023)
Review
Health Care Sciences & Services
Michael Jose Joseph, Matthew Summerscales, Saieesha Yogesan, Anthony Bell, Michele Genevieve, Yogesan Kanagasingam
Summary: Triage is a system used to prioritize patients in the emergency department based on their need for urgent care. E-triage interventions like kiosks have been proposed as a solution to overcrowding. Our literature review found that introducing kiosks in emergency departments can improve the triage process, with six out of nine articles reporting positive findings.
NPJ DIGITAL MEDICINE
(2023)
Article
Emergency Medicine
David C. Sheridan, Beech Burns, Sunhee Chung, Monica Saladik, Elizabeth Marx, Rebecca Marshall
Summary: Pediatric mental health presentations have been increasing in the US, leading to longer wait times and the need for more resources. This study evaluates a policy that allows for inpatient admission when a certain percentage of the emergency department is occupied by boarding patients, showing positive impacts on flow and functionality.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2023)
Article
Medicine, General & Internal
Patrick McLane, Cheryl Barnabe, Leslee Mackey, Lea Bill, Katherine Rittenbach, Brian R. Holroyd, Anne Bird, Bonnie Healy, Kris Janvier, Eunice Louis, Rhonda J. Rosychuk
Summary: This study found that First Nations status was associated with lower odds of higher acuity triage scores. First Nations patients had lower odds of acute triage for various conditions and diagnoses, indicating potential systemic racism, stereotyping, and other factors affecting triage assessments.
CANADIAN MEDICAL ASSOCIATION JOURNAL
(2022)
Article
Environmental Sciences
Sandra L. Neate, Keryn L. Taylor, Nupur Nag, George A. Jelinek, Steve Simpson-Yap, William Bevens, Tracey J. Weiland
Summary: This study explored the perspectives of partners of PwMS and found that the illness and lifestyle modification of PwMS had an impact on their partners' views of the future, revealing themes of uncertainty, planning for the future, and control, empowerment, and confidence.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Clinical Neurology
Steve Simpson-Yap, Pia Jelinek, Tracey Weiland, Nupur Nag, Sandra Neate, George Jelinek
Summary: The study found that self-reported vitamin D supplement use was cross-sectionally associated with higher physical and mental QoL, but prospectively only with increased physical QoL.
MULTIPLE SCLEROSIS AND RELATED DISORDERS
(2021)
Article
Health Care Sciences & Services
W. Bevens, A. Shoushtari, P. Jelinek, G. A. Jelinek, T. J. Weiland
Summary: This study found no evidence of differential attrition in medium-to-long term lifestyle intervention studies for chronic diseases, increasing confidence in conducting such studies with minimal potential of attrition bias.
BMC MEDICAL RESEARCH METHODOLOGY
(2021)
Article
Nursing
Rebecca J. Jarden, Aaron J. Jarden, Tracey J. Weiland, Glenn Taylor, Naomi Brockenshire, Michelle Rutherford, Catherine Carbery, Kate Moroney, Marie F. Gerdtz
Summary: This study explored the perceptions and experiences of wellbeing among nine Australian nurses in 2020, revealing six themes related to nurse wellbeing. It highlighted the importance of addressing both positive and negative consequences of nursing when developing targeted wellbeing interventions, and emphasized the need for new strategies to support individual, team, and organizational wellbeing.
Article
Emergency Medicine
Catherine Brasier, Helena Roennfeldt, Bridget Hamilton, Andrew Martel, Nicole Hill, Anthony Stratford, Sally Buchanan-Hagen, Louise Byrne, David Castle, Nadine Cocks, Larry Davidson, Lisa Brophy
Summary: This study explored the benefits and limitations of employing peer support workers with lived experience of mental distress and recovery to support individuals experiencing mental distress in the emergency department. The findings suggest that peer support workers bring important skills such as listening, de-escalation, relationship-building, and empathy to the ED. However, significant workforce and organizational support are required for successful implementation.
EMERGENCY MEDICINE AUSTRALASIA
(2022)
Article
Computer Science, Interdisciplinary Applications
Paul Dodemaide, Mark Merolli, Nicole Hill, Lynette Joubert
Summary: There is a growing body of literature exploring the use of social media by the general population to deal with health issues that are stigmatized. This study focuses on the relationship between social media use and young adults, using a therapeutic affordance framework. The study provides quantitative and qualitative evidence to show the potential positive impact of specific social media on social and emotional well-being outcomes. The results demonstrate a significant association between social media use and the perceived quality of life in young adults.
SOCIAL SCIENCE COMPUTER REVIEW
(2023)
Article
Substance Abuse
Jonathan Knott, Celene Yap, Biswadev Mitra, Marie Gerdtz, Catherine Daniel, George Braitberg
Summary: The study found a high prevalence of illicit substances among patients with suspected major trauma, indicating the need for urgent preventive strategies. Point-of-care testing for illicit substances in emergency departments was found to be acceptable and feasible, and could be used to inform driver education strategies.
DRUG AND ALCOHOL REVIEW
(2022)
Review
Nursing
Kristel Ward-Stockham, Suzanne Kapp, Rebecca Jarden, Marie Gerdtz, Catherine Daniel
Summary: Safewards is widely used in healthcare settings to reduce conflict and containment events, improving therapeutic relationships, cohesion, and ward atmosphere for staff and consumers. The framework has shown promising results in enhancing safety experience and promoting recovery-oriented care when combined with ongoing training, leadership, and time for consolidation. Further robust evidence is needed to fully support its effectiveness.
INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING
(2022)
Review
Health Care Sciences & Services
William Bevens, Tracey Weiland, Kathleen Gray, George Jelinek, Sandra Neate, Steve Simpson-Yap
Summary: This study aimed to examine the impact of study design and technological elements on attrition among participants of digital health interventions targeted at people with MS. The results showed that there was no significant difference in attrition rates between intervention and control arms, but the composite technological element score explained some of the heterogeneity observed.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Review
Health Care Sciences & Services
P. H. Dufton, M. F. Gerdtz, R. Jarden, M. Krishnasamy
Summary: This study aimed to examine the methodological approaches to measure the incidence of unplanned ED presentations by patients receiving systemic anti-cancer therapy. The findings revealed significant diversity in the study population and methods used. Recommendations were made to support the development of robust evidence in this area.
BMC MEDICAL RESEARCH METHODOLOGY
(2022)
Article
Education, Scientific Disciplines
Tracey Moroney, Marie Gerdtz, Naomi Brockenshire, Phil Maude, Jennifer Weller-Newton, Deborah Hatcher, Luke Molloy, Moira Williamson, Robyn Woodward-Kron, Elizabeth Molloy
Summary: Student nurses perceive interacting with patients and performing assessments as the most valuable activities during their clinical placements, while activities that take them away from the patient are considered less useful. To optimize workplace learning, it is important to provide students with goal-directed activities and opportunities for discussions and engagement with staff.
NURSE EDUCATION TODAY
(2022)
Article
Nursing
Rebecca J. Jarden, Aaron J. Jarden, Tracey J. Weiland, Glenn Taylor, Naomi Brockenshire, Michelle Rutherford, Catherine Carbery, Kate Moroney, Mohsen Joshanloo, Marie Gerdtz
Summary: This study aims to determine the prevalence, predictors and change over time of nurses' and student nurses' mental health and well-being, as well as explore nurses' perceptions, barriers and enablers of well-being. Results showed a strong positive correlation between self-determination and work well-being, and a strong negative correlation between work well-being and flight risk. Additionally, moderate positive correlations were found between work well-being and nurse manager ability, leadership and support, while a moderate negative correlation was found between burnout and staffing and resource adequacy. Collegial nurse-physician relationships deteriorated. Three themes - physical health, psychological well-being, and social connection - were identified as important for nurses' well-being.
Article
Dermatology
Suzanne Kapp, Marie Gerdtz, Charne Miller, Amit Gefen, William Padula, Lauren Wilson, Michael Woodward, Nick Santamaria
Summary: Pressure injuries are common in aged care facilities and have a significant impact on healthcare systems. Remote expert wound nurse consultation shows potential in improving pressure injury outcomes, but more research is needed to determine its effectiveness and cost-effectiveness in residential aged care. This study describes a pilot randomized controlled trial investigating the intervention, with outcomes including wound healing rate, infection, quality of life, and cost of treatment. The results will inform future trials evaluating the clinical and economic benefits of remote expert wound nurse consultation in this setting.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Nursing
Rebecca Jarden, Andrew Scanlon, Nicholas Bridge, Stephen Mckeever, Rosemary Turner, Hollie Prescott, John Thompson, Prue Cambridge, Sharon Kinney, Nicholas Leong, Marie Gerdtz
Summary: This study describes the development, implementation, and evaluation of an evidence-based online critical care nursing education program to upskill registered nurses in response to the COVID-19 pandemic. Results from the course evaluation showed overwhelmingly positive feedback from students, highlighting the applicability, accessibility, engagement, and endorsement of the program. The success of this program demonstrates the potential for future interprofessional and interorganisational models in developing online education programs for healthcare workers.
AUSTRALIAN JOURNAL OF ADVANCED NURSING
(2022)