维普中文期刊产品整合服务

Assessing adequacy of emergency provider documentation among interhospital transferred patients with acute aortic dissection

查看全文 作　　者：Mark [1]Rose;Carina [1]Newton;Benchaa [2]Boualam;Nancy [2]Bogne;Adam [2]Ketchum;Umang [2]Shah;Jordan [2]Mitchell;Safura [2]Tanveer;Tucker [3]Lurie;Walesia [1]Robinson;Rebecca [4]Duncan;Stephen [1]Thom;Quincy Khoi [1,4]Tran 高影响力作者 机构地区：[1]Department of Emergency Medicine, University of Maryland, School of Medicine;[2]University of Maryland at College Park;[3]University of Maryland, School of Medicine;[4]Program of Trauma, The R Adams Cowley Shock Trauma Center, University of Maryland, School of Medicine高影响力机构 出　　处：《World Journal of Emergency Medicine》索引2019年第10卷第2期,共7页高影响力期刊 摘　　要：BACKGROUND: Acute aortic dissection(AoD) is a hypertensive emergency often requiring the transfer of patients to higher care hospitals; thus, clinical care documentation and compliance with the Emergency Medical Treatment and Active Labor Act(EMTALA) is crucial. The study assessed emergency providers(EP) documentation of clinical care and EMTALA compliance among interhospital transferred AoD patients.METHODS: This retrospective study examined adult patients transferred directly from a referring emergency department(ED) to a quaternary academic center between January 1, 2011 and September 30, 2015. The primary outcome was the percentage of records with adequate documentation of clinical care(ADoCC). The secondary outcome was the percentage of records with adequate documentation of EMTALA compliance(ADoEMTALA). RESULTS: There were 563 electronically identified patients with 287 included in the final analysis. One hundred and five(36.6%) patients had ADoCC while 166(57.8%) patients had ADoEMTALA. Patients with inadequate documentation of EMTALA(IDoEMTALA) were associated with a higher likelihood of not meeting the American Heart Association(AHA) ED Departure SBP guideline(OR 1.8, 95% CI 1.03–3.2, P=0.04). Male gender, handwritten type of documentation, and transport by air were associated with an increased risk of inadequate documentation of clinical care(IDoCC), while receiving continuous infusion was associated with higher risk of IDoEMTALA.CONCLUSION: Documentation of clinical care and EMTALA compliance by Emergency Providers is poor. Inadequate EMTALA documentation was associated with a higher likelihood of patients not meeting the AHA ED Departure SBP guideline. Therefore, Emergency Providers should thoroughly document clinical care and EMTALA compliance among this critically ill group before transfer. 关 键 词：Acute AORTIC DISSECTION EMTALA Interhospital transfer DOCUMENTATION COMPLIANCE
相关文献

参考文献(26)

引证文献(6)

网站首页 | 关于我们 | 联系我们 | 产品服务 | 客服中心 | 广告服务 | 版权声明 | 网站联盟 | 友情链接 | 售卡网点

版权所有© 渝B2-20050021-1　渝公网安备 50019002500403号　违法和不良信息举报中心

互联网出版许可证 新出网证(渝)字10号 全国400电话 - 免长途话费