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Caracterização do perfil assistencial dos pacientes adultos de um pronto socorro; Characterization of the care profile of adult patients of an emergency medical service; Caracterización del perfíl asistencial de los pacientes adultos de un servicio médico de urgencia

OHARA, Renato; MELO, Márcia Regina Antonietto da Costa; LAUS, Ana Maria
Fonte: Associação Brasileira de Enfermagem Publicador: Associação Brasileira de Enfermagem
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
65.75%
Foi desenvolvida uma pesquisa exploratória, método estudo de caso, objetivando caracterizar o perfil assistencial dos pacientes adultos internados no pronto-socorro clínico e cirúrgico de um hospital geral público no município de São Paulo como subsídio para o dimensionamento da equipe de enfermagem. Os sujeitos foram pacientes internados durante um período de trinta dias. Os dados foram coletados por meio da aplicação do instrumento de classificação de pacientes de Fugulin. O presente estudo permitiu verificar pacientes na categoria de cuidados intensivos, semi-intensivos, alta dependência, intermediária e mínima e taxa de ocupação de leitos acima da previsão oficial tornando a planta física inadequada para pacientes e profissionais, reflexo da falta de um serviço de regulação.; It was developed an exploratory study, having as a method the study of case which aimed to characterize the profile of adult patients admitted at the emergency medical service in a general public hospital in São Paulo as subsidy for the nursing personal downsizing. Subjects were the patients admitted during the period of thirty days. Data was obtained through application of a patient classification instrument by Fugulin. This study showed patients in the category of intensive care...

Caracterização do perfil assistencial dos pacientes adultos de um pronto-socorro; Characterization of the care profile of adult patients of an emergency medical service

Ohara, Renato
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 21/08/2009 PT
Relevância na Pesquisa
65.98%
O pronto socorro é uma unidade do hospital destinada à assistência a pacientes externos com ou sem risco de morte, que necessitam de atendimento imediato, cujo funcionamento se dá nas 24 horas do dia sendo fundamental a determinação do número necessário de profissionais de enfermagem para prestar assistência com qualidade satisfatória, pois a falta de profissionais de enfermagem com diferentes níveis de formação e a sobrecarga de trabalho aumentam o risco de ocorrência de falhas com prejuízo da qualidade na assistência ao paciente. Os instrumentos de classificação de pacientes são utilizados pela enfermagem em qualquer unidade assistencial e estabelecem as características da população assistida de acordo com a necessidade de cuidados requerida, sendo indispensável para a determinação das necessidades de pessoal e alocação quantitativa e qualitativa dos mesmos. Com o objetivo de caracterizar o perfil assistencial dos pacientes adultos durante a internação no pronto-socorro como um dos subsídios para o dimensionamento do pessoal de enfermagem desenvolveu-se uma pesquisa exploratória no método do estudo de caso, em um pronto-socorro, clínico e cirúrgico, de um hospital geral, público estadual que possui 24 leitos de observação e dez leitos na unidade de atendimento de emergências...

Previsão do volume diário de atendimentos no serviço de pronto socorro de um hospital geral: comparação de diferentes métodos; Forecasting daily emergency department visits using calendar variables and ambient temperature readings: comparison of different models applied to a setting in Sao Paulo - Brazil

Souza, Izabel Oliva Marcilio de
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 11/09/2013 PT
Relevância na Pesquisa
45.77%
OBJETIVOS: O estudo explorou diferentes métodos de séries temporais visando desenvolver um modelo para a previsão do volume diário de pacientes no Pronto Socorro do Instituto Central do Hospital das Clínicas da Faculdade de Medicina da USP. MÉTODOS: Foram explorados seis diferentes modelos para previsão do número diário de pacientes no pronto socorro de acordo com algumas variáveis relacionadas ao calendário e à temperatura média diária. Para a construção dos modelos, utilizou-se a contagem diária de pacientes atendidos no pronto socorro entre 1° de janeiro de 2008 a 31 de dezembro de 2010. Os primeiros 33 meses do banco de dados foram utilizados para o desenvolvimento e ajuste dos modelos, e os últimos três meses foram utilizados para comparação dos resultados obtidos em termos da acurácia de previsão. A acurácia foi medida a partir do erro médio percentual absoluto. Os modelos foram desenvolvidos utilizando-se três diferentes métodos: modelos lineares generalizados, equações de estimação generalizadas e modelos sazonais autorregressivos integrados de média móvel (SARIMA). Para cada método, foram testados modelos que incluíram termos para controlar o efeito da temperatura média diária e modelos que não incluíram esse controle. RESULTADOS: Foram atendidos...

Interobserver and intraobserver reliability in the collection of emergency medical services data.

Herrmann, N; Cayten, C G; Senior, J; Staroscik, R; Walsh, S; Woll, M
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em //1980 EN
Relevância na Pesquisa
45.78%
The collection of data by abstraction from patient records is a widely used method of research, evaluation, and registry. Since valid conclusions depend on the accuracy of the abstracted data, it is essential to examine the abstracting procedures. In this paper, we report on a study of patient data abstracted from emergency department records by nurses trained by project personnel. Twenty-five charts were selected at each of five hospitals. To test interobserver reliability, the nurses were asked to abstract all of the charts at each hospital; to test intraobserver reliability, four of the nurses each reabstracted a set of charts. The results show that even with highly trained, well motivated abstractors, there are considerable differences in the accuracy with which the variables are abstracted. Disposition from the hospital, quantitative vital signs, and blood gas values tend to be abstracted with higher reliability; whereas variables requiring judgment, such as character of vital signs or history of disease, tend to have low reliability. To improve the quality of abstracted data, we propose improved retrieval methods for hospital records, monitoring of data collection procedures, cooperation of all medical personnel providing the raw data...

Emergency Medical Transportation—A Survey of California Ambulance Operations

West, Irma M.; Gettinger, C. Earl; Meyer, Dorothy; Rosenthal, Michael; Snow, Richard; Weiner, Florence R.; Hoaglin, Le Mar W.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /02/1972 EN
Relevância na Pesquisa
45.79%
The most urgent recommendation expressed by physicians, Red Cross officials, ambulance operators and others polled in this ambulance survey was to make much more emergency medical care training available to ambulance personnel. Very few sick and injured receive first aid before an ambulance arrives. Therefore there is also an urgent need to train and motivate the public to provide first aid at the scene of the emergency. Urban ambulances usually respond within 10 minutes, but often rural ambulances take more than 30 minutes to reach an emergency. It is during this interim that lives which could be saved by prompt first aid are lost. Little use has been made of aircraft as emergency ambulances; in 1968, only one emergency trip in 1500 was made by helicopter. Also, California has fewer ambulances which make fewer emergency trips on a population basis than the country at large.

Emergency medical systems in low- and middle-income countries: recommendations for action.

Kobusingye, Olive C.; Hyder, Adnan A.; Bishai, David; Hicks, Eduardo Romero; Mock, Charles; Joshipura, Manjul
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
45.83%
Emergency medical care is not a luxury for rich countries or rich individuals in poor countries. This paper makes the point that emergency care can make an important contribution to reducing avoidable death and disability in low- and middle-income countries. But emergency care needs to be planned well and supported at all levels--at the national, provincial and community levels--and take into account the entire spectrum of care, from the occurrence of an acute medical event in the community to the provision of appropriate care at the hospital. The mix of personnel, materials, and health-system infrastructure can be tailored to optimize the provision of emergency care in settings with different levels of resource availability. The misconception that emergency care cannot be cost effective in low-income settings is demonstrably inaccurate. Emergencies occur everywhere, and each day they consume resources regardless of whether there are systems capable of achieving good outcomes. With better planning, the ongoing costs of emergency care can result in better outcomes and better cost-effectiveness. Every country and community can and should provide emergency care regardless of their place in the ratings of developmental indices. We make the case for universal access to emergency care and lay out a research agenda to fill the gaps in knowledge in emergency care.

Current Duty Arrangements and Circumstances of Emergency Medical Technicians: Findings of an Electronic Questionnaire Survey Conducted at the 16th National Ambulance-Crew Symposium

Hosoda, Takenobu; Okamoto, Hiroteru; Wada, Takako; Kurozawa, Youichi
Fonte: Tottori University Faculty of Medicine Publicador: Tottori University Faculty of Medicine
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
45.8%
To assess the working arrangements and effects on the health of medical emergency transport personnel, we conducted an electronic questionnaire survey among participants of the 16th National Ambulance-Crew Symposium in 2008. Answers were obtained from 58 participants (56 males, 2 females): 58 questionnaires were fully completed and suitable for analysis. Of the 58, 47 respondents were emergency medical technicians (including those with additional roles). In the analysis of the responses, we observed a negative correlation between the number of emergency transport dispatches (in 1 day) and total nap time, and between the number of night emergency transports per shift and quality of sleep. These findings suggested that an increase in the number of emergency transports was associated with a decrease in nap time and sleep quality.

Impact of Vehicular Networks on Emergency Medical Services in Urban Areas

Lee, Chun-Liang; Huang, Chung-Yuan; Hsiao, Tzu-Chien; Wu, Chun-Yen; Chen, Yaw-Chung; Wang, I.-Cheng
Fonte: MDPI Publicador: MDPI
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
45.81%
The speed with which emergency personnel can provide emergency treatment is crucial to reducing death and disability among acute and critically ill patients. Unfortunately, the rapid development of cities and increased numbers of vehicles are preventing emergency vehicles from easily reaching locations where they are needed. A significant number of researchers are experimenting with vehicular networks to address this issue, but in most studies the focus has been on communication technologies and protocols, with few efforts to assess how network applications actually support emergency medical care. Our motivation was to search the literature for suggested methods for assisting emergency vehicles, and to use simulations to evaluate them. Our results and evidence-based studies were cross-referenced to assess each method in terms of cumulative survival ratio (CSR) gains for acute and critically ill patients. Simulation results indicate that traffic light preemption resulted in significant CSR increases of between 32.4% and 90.2%. Route guidance was found to increase CSRs from 14.1% to 57.8%, while path clearing increased CSRs by 15.5% or less. It is our hope that this data will support the efforts of emergency medical technicians, traffic managers...

Ebola Virus Disease: Essential Public Health Principles for Clinicians

Koenig, Kristi L.; Majestic, Cassondra; Burns, Michael J.
Fonte: Department of Emergency Medicine, University of California, Irvine School of Medicine Publicador: Department of Emergency Medicine, University of California, Irvine School of Medicine
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
55.73%
Ebola Virus Disease (EVD) has become a public health emergency of international concern. The World Health Organization and Centers for Disease Control and Prevention have developed guidance to educate and inform healthcare workers and travelers worldwide. Symptoms of EVD include abrupt onset of fever, myalgias, and headache in the early phase, followed by vomiting, diarrhea and possible progression to hemorrhagic rash, life-threatening bleeding, and multi-organ failure in the later phase. The disease is not transmitted via airborne spread like influenza, but rather from person-to-person, or animal to person, via direct contact with bodily fluids or blood. It is crucial that emergency physicians be educated on disease presentation and how to generate a timely and accurate differential diagnosis that includes exotic diseases in the appropriate patient population. A patient should be evaluated for EVD when both suggestive symptoms, including unexplained hemorrhage, AND risk factors within 3 weeks prior, such as travel to an endemic area, direct handling of animals from outbreak areas, or ingestion of fruit or other uncooked foods contaminated with bat feces containing the virus are present. There are experimental therapies for treatment of EVD virus; however the mainstay of therapy is supportive care. Emergency department personnel on the frontlines must be prepared to rapidly identify and isolate febrile travelers if indicated. All healthcare workers involved in care of EVD patients should wear personal protective equipment. Despite the intense media focus on EVD rather than other threats...

Atendimento médico de urgência na grande São Paulo

Dallari, Sueli Gandolfi; Pittelli, Sérgio de Moraes; Pirotta, Wilson Ricardo Buquetti; Oliveira, Milca Lopes de
Fonte: Saúde e Sociedade Publicador: Saúde e Sociedade
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
45.86%
Analisa-se a situação do atendimento às emergências médicas na Região Metropolitana de São Paulo, durante o ano de 1999, examinando toda a legislação pertinente, descrevendo o processo de atendimento observado em um Plantão Controlador Regional (PCR) e verificando a adequação dos procedimentos adotados às normas que regem o setor e ao efetivo atendimento da demanda. Foram analisados documentos, realizadas entrevistas e observação do funcionamento do sistema, com um pesquisador no PCR, ao mesmo tempo em que outros acompanhavam os chefes dos plantões nos três hospitais gerais. Descreve-se a história oral da criação do sistema e a rotina dos serviços, onde se verificou que faltavam plantonistas no PCR; que os médicos responsáveis pelos plantões da emergência, não obedeciam a mesma rotina de procedimentos; que muitas pessoas – inclusive os médicos plantonistas – não sabiam o que é o PCR; que muitas vezes a falta de transporte impediu a transferência; que os Serviços de Arquivo Médico e de Estatísticas dos hospitais pesquisados são desatualizados; que faltam recursos materiais e humanos. Apesar de a amostra não permitir generalizações, constatou-se que faltam leitos para UTI Neonatal; que os motivos mais freqüentes para a solicitação de recursos foram: falta de leito...

A qualitative assessment of practitioner perspectives post-introduction of the first continuous professional competence (CPC) guidelines for emergency medical technicians in Ireland.

Knox, Shane; Dunne, Suzanne S.; Cullen, Walter; Dunne, Colum
Fonte: BioMed Central Publicador: BioMed Central
Tipo: info:eu-repo/semantics/article; all_ul_research; ul_published_reviewed
ENG
Relevância na Pesquisa
75.78%
peer-reviewed; Background: In November 2013, the Irish Regulator for emergency medical technicians (EMTs) introduced the first mandatory requirement for registrants to demonstrate evidence of continuous professional development (CPD)/ continuous professional competence (CPC). This qualitative study assessed the experience of practitioners with CPC-related materials provided to them by the Regulator in addition to identifying perceived or encountered practical challenges and suggested improvements six months following introduction of the requirement. Methods: Five fora were utilised, comprising two distinct groupings: a group of student EMTs (n = 62) and four discrete groups of qualified EMTs (total n = 131) all of whom had commenced the newly-introduced CPC process. All 193 volunteers were members of the Civil Defence (an auxiliary/voluntary organisation) and represented a nationwide distribution of personnel. Responses were categorised as ‘perceived’ challenges to CPC, relating to student EMTs, and ‘experienced’ challenges to CPC, relating to qualified EMTs. Responses also included suggestions from both groups of EMTs on how to improve the current system and guidance material. Audio/visual recordings were made, transcribed and then analysed using NVivo (version 10). A coding framework was developed which identified unifying themes. Results: All participants agreed that CPC for pre-hospital practitioners was a welcomed initiative believing that CPC activities would help ensure that EMTs maintain or enhance their skills and be better enabled to provide quality care to the patients they might encounter. Two specific areas were identified by both groups as being challenging: 1) the practicalities of completing CPC and 2) the governance and administration of the CPC process. Challenging practicalities included: ability of voluntary EMTs to gain access to operational placements with paramedics and advanced paramedics; the ability to experience the number of patient contacts required and the definition of what constitutes a ‘patient contact’. With regard to the governance and administration of CPC...

Disaster and Emergency Preparedness : Guidance for Schools

International Finance Corporation
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
Relevância na Pesquisa
45.83%
Communities around the world are faced with natural hazards-extreme environmental events such as floods, cyclones, earthquakes, fires, and tsunamis. For some communities, these natural hazards turn into disasters, resulting in tremendous losses and injuries for students, school staff and families. However, by taking preventative measures before hazard impact, and learning preparedness and response, a culture of safety can be fostered. Communities can reduce and even eliminate such losses. This handbook is aimed at administrators, teachers, support staff, and other individuals involved in emergency and disaster preparedness at schools. It seeks to: 1) guide administrators and staff in assessing risks and planning and carrying out physical protection measures; 2) develop skills and provisions for disaster and emergency preparedness, response, and rapid recovery; and 3) support schools in developing disaster and emergency plans specific to their local needs and reflecting good practices internationally and nationally.

Caracterización de las agresiones producidas al personal sanitario del servicio de urgencias en un hospital comarcal; Characterization of the personal aggressions caused emergency medical service in a regional hospital

Ortells Abuye, Nativitat; Muñoz Belmonte, Teresa; Paguina Marcos, Marta; Morató Lorente, Isabel
Fonte: Murcia: servicio de publicaciones de la Universidad de Murcia Publicador: Murcia: servicio de publicaciones de la Universidad de Murcia
Tipo: Artigo de Revista Científica Formato: application/pdf
SPA; ENG
Relevância na Pesquisa
45.82%
Objetivo: La violencia ocupacional es un fenómeno emergente en los riesgos laborales y específicamente en el sector sanitario y servicios de urgencias. Nuestro objetivo es caracterizar las agresiones producidas al personal de urgencias de un hospital comarcal. Métodos: Estudio transversal. La población a estudio son los trabajadores del servicio de urgencias. Se excluyó personal con antigüedad inferior a un año. Se diseñó un cuestionario con variables sociodemográficas y características de las agresiones sufridas durante el 2011. La participación fue del 92,4%. Se realizó una estadística descriptiva con el programa SPSS 16. Resultados: El 58.2% del personal de urgencias fue agredido: enfermería sufrió el 39%, médicos el 19,5%, personal administrativo el 17,1%, auxiliares sanitarios el 12,2%, auxiliares de enfermería el 7,3 % y técnicos de radiología el 4,9%, con una asociación significativa entre categoría profesional y agresiones sufridas (p=0.004). El 40,4% de las agresiones se produjo por la noche, el 31,9% por la mañana y el 27,6% por la tarde. El 75% fueron agresiones verbales, el 25% físicas y verbales. El 27,5% sufrió 4 o más agresiones verbales. El 35,8% de agresiones fueron cometidas por acompañantes...

Valoración del nivel de conocimientos y su adecuación en materia de RCP en el personal sanitario de los servicios de urgencias hospitalarios de la Comunidad Autónoma de la Región de Murcia; Assessment of the knowledge level and its relevance in terms of CPR in medical personnel of the hospital emergency medical system of the Autonomous Community of the Region of Murcia.

Sánchez García, Ana Belén; Fernández Alemán, Jose Luis; Alonso Pérez, Nuria; Hernandez Hernández, Isabel; Navarro Valverde, Raquel; Rosillo Castro, Daniela
Fonte: Murcia: Servicio de Publicaciones de la Universidad de Murcia Publicador: Murcia: Servicio de Publicaciones de la Universidad de Murcia
Tipo: Artigo de Revista Científica Formato: application/pdf
SPA; ENG
Relevância na Pesquisa
45.79%
Objetivo: La Reanimación Cardiopulmonar (RCP) es uno de los procedimientos de los equipos de asistencia hospitalaria más importantes que se realizan en los servicios de urgencias. Existe un consenso internacional sobre RCP, actualizándose cada 5 años, recomendándose la actualización de conocimientos cada 2 años para los profesionales. El objetivo de este estudio es conocer cuál es el nivel de conocimientos en RCP de los profesionales sanitarios, si estos profesionales están correctamente actualizados y constatar si la realización de cursos en el tiempo recomendado mejora el nivel de conocimientos. Método: Realizamos una encuesta con 20 preguntas basada en los cuestionarios para valoración de conocimientos en RCP de la American Heart Association (AHA) y de la Sociedad Española de Medicina y Cuidados Intensivos (SEMICYUC). Resultados: Obtuvimos como resultado que la totalidad de los encuestados no sigue los estándares internacionales de realización de cursos de actualización de conocimientos. El 64,7 % se actualizó después del 2010 y 10,1% nunca se actualizó. El 30% de los médicos, el 90% de los residentes y el 7% de los enfermeros, no superaban el umbral mínimo de formación establecido por la AHA en servicios de urgencias hospitalarias (un curso cada dos años). Se corrobora que a mayor realización de cursos mejor nivel de conocimientos. Conclusiones: Resulta evidente la necesidad de cambios en la metodología de aprendizaje de los cursos impartidos en materia de RCP para profesionales. Destacamos que el personal sanitario sí esta concienciado de la necesidad de formación en esta materia.; ABSTRACT: Objective. Cardiopulmonary resuscitation (CPR) is one of the most important hospital care team procedures to be administered by emergency medical services. There is a consensus as to cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations...

Recommendation for a national standard for tactical emergency casualty care and Israeli hospital trauma protocols in the United States

Kierstead, Robert L.
Fonte: Monterey, California: Naval Postgraduate School Publicador: Monterey, California: Naval Postgraduate School
Tipo: Tese de Doutorado
Relevância na Pesquisa
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Approved for public release; distribution is unlimited; This research asks the following question: Why are tactical emergency casualty care (TECC) rescue task force (RTF) and Israeli hospital trauma programs the best approaches to addressing the current gaps and weaknesses in trauma management in the United States in the context of terrorist attacks and/or active shooter incidents? The purpose of this thesis is to ascertain why existing tactical emergency medical service protocols in most public safety jurisdictions are deficient and to analyze which types of resources jurisdictions need in order to ensure that they have optimal programs in place for mass casualty incident response. Active shooter and terrorist attacks have been on the rise since the 1990s. This thesis found that most public safety organizations in the United States are unprepared to provide emergency medical services during these incidents. Provision of tactical emergency medical services in hostile environments require that emergency medical services personnel train and deploy using TECC RTF guidelines and the Israeli hospital paradigm. This thesis recommends the implementation of a national standard to ensure that these programs are instituted in jurisdictions across the United States.; ; Special Agent in Charge...

Measuring disaster preparedness of local emergency medical services agencies

Elliott, Ross W.
Fonte: Monterey, California. Naval Postgraduate School Publicador: Monterey, California. Naval Postgraduate School
Tipo: Tese de Doutorado Formato: xviii, 126 p. : ill. (chiefly col.)
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CHDS State/Local; Approved for public release; distribution is unlimited; Emergency Medical Services (EMS) plays a key role in disaster response. Yet, determining how much preparedness is enough to achieve an acceptable level of preparedness is challenging. After conducting an extensive literature review, it is evident no nationally accepted method exists to evaluate an EMS system's level of disaster preparedness systematically. Research was conducted to define the skills and equipment that local emergency medical services agencies (LEMSA) or a similar entity needs to perform strategic disaster response duties and identify performance indicators for measuring preparedness. Using an appreciative inquiry approach, surveys and interviews of EMS personnel from across the nation were conducted. Interview questions focused on the positive aspects of each response with an effort to understand what might be possible in future events. Research subjects had first-hand experience in managing the EMS response during a disaster. Multiple types and sizes of events were studied. A framework for defining minimum standards for adequate disaster preparedness for LEMSAs is constructed, including core EMS disaster response roles; essential competencies; skills needed to perform the core roles; and tools or equipment used for core roles. Training strategies for developing experience...

Impacto del horario laboral en la capacidad de atención en médicos de urgencias de la Fundación Santa Fe

Salgado Bello, Carlos Felipe; Robledo Buenaventura, Manuel Ricardo
Fonte: Facultad de Medicina Publicador: Facultad de Medicina
Tipo: info:eu-repo/semantics/bachelorThesis; info:eu-repo/semantics/acceptedVersion Formato: application/pdf
SPA
Relevância na Pesquisa
55.84%
Introducción: Se ha determinado que las jornadas laborales, generan un deterioro cognoscitivo y funcional en las personas, con la consecuente afectación en los servicios de salud, al ser una de las disciplinas que más se encuentran en riesgo de cometer errores durante sus procesos de atención. Es por esto que en el presente estudio se pretendió evaluar el impacto de la jornada laboral en la capacidad de atención de los médicos de urgencias. Metodología: Se realizó un estudio transversal aplicando el Psychomotor Vigilance Test, el cual evalúa la capacidad de atención de las personas después de realizar diferentes actividades según el tiempo de respuesta en milisegundos. Se tomó una muestra de la población del personal médico de urgencias de la Fundación Santa Fé de Bogotá, estableciendo una comparación del mismo paciente en los diferentes turnos. Resultados: En el presente estudio se documentó un tiempo de respuesta promedio al inicio de la jornada diurna de 436,6 ms (IC95% 401-477) y al final de 443,1 ms (IC95% 388-484). Con respecto a la jornada nocturna se documentó un tiempo de respuesta promedio inicial de 422,8 ms (IC95% 403-457) y al final de 467,44 ms (IC95% 423-501). Discusión: Encontramos diferencias estadísticamente significativas en cuanto al tiempo de respuesta entre la jornada diurna y nocturna. Por lo tanto es recomendable crear políticas de Estado que gestionen el horario laboral del personal de salud para que prime la seguridad y la calidad de atención en el paciente...

The influence of the workplace-related biological agents on the immune systems of emergency medical personnel

Brewczyńska, Aleksandra; Depczyńska, Daria; Borecka, Anna; Winnicka, Izabela; Kubiak, Leszek; Skopińska-Różewska, Ewa; Niemcewicz, Marcin; Kocik, Janusz
Fonte: Polish Society of Experimental and Clinical Immunology Publicador: Polish Society of Experimental and Clinical Immunology
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
55.82%
Emergency medical services workers’ (EMSWs) acute exposures to many biological agents are frequent and well recognised in their workplaces, as well as occupational diseases resulting from some of these exposures. At the same time, there is only scant information on the adverse effects of chronic exposure to biological hazard factors on the immune systems of EMSWs. In the Polish legislation system, the Ordinance of the Minister of Health about harmful biological agents in the workplace and ways of protecting workers from exposure to those agents is an implement of Directive 2000/54/EC, which deals thoroughly with those issues in European Union Countries. Emergency medical services workers play an essential role as primary providers of pre-hospital emergency medical care, and they are part of the integral components of disaster response. Traumatic experiences can affect emergency medical staff immune systems negatively, by functioning as a chronic stressor. Conscious use of biological agents in workplaces such as microbial laboratories can be easily controlled and monitored. However, risk assessment is more difficult for workers when they are exposed unintentionally to biological agents. Exposure to bio-aerosols is considered especially harmful.

Atendimento médico de urgência na grande São Paulo; Medical emergency system in the metropolitan area of São Paulo

Dallari, Sueli Gandolfi; Pittelli, Sérgio de Moraes; Pirotta, Wilson R. B.; Oliveira, Milca Lopes de
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; Formato: application/pdf
Publicado em 01/12/2001 POR
Relevância na Pesquisa
45.88%
Analisa-se a situação do atendimento às emergências médicas na Região Metropolitana de São Paulo, durante o ano de 1999, examinando toda a legislação pertinente, descrevendo o processo de atendimento observado em um Plantão Controlador Regional (PCR) e verificando a adequação dos procedimentos adotados às normas que regem o setor e ao efetivo atendimento da demanda. Foram analisados documentos, realizadas entrevistas e observação do funcionamento do sistema, com um pesquisador no PCR, ao mesmo tempo em que outros acompanhavam os chefes dos plantões nos três hospitais gerais. Descreve-se a história oral da criação do sistema e a rotina dos serviços, onde se verificou que faltavam plantonistas no PCR; que os médicos responsáveis pelos plantões da emergência, não obedeciam a mesma rotina de procedimentos; que muitas pessoas - inclusive os médicos plantonistas - não sabiam o que é o PCR; que muitas vezes a falta de transporte impediu a transferência; que os Serviços de Arquivo Médico e de Estatísticas dos hospitais pesquisados são desatualizados; que faltam recursos materiais e humanos. Apesar de a amostra não permitir generalizações, constatou-se que faltam leitos para UTI Neonatal; que os motivos mais freqüentes para a solicitação de recursos foram: falta de leito...

Emergency medical systems in low- and middle-income countries: recommendations for action

Kobusingye,Olive C.; Hyder,Adnan A.; Bishai,David; Hicks,Eduardo Romero; Mock,Charles; Joshipura,Manjul
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2005 EN
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Emergency medical care is not a luxury for rich countries or rich individuals in poor countries. This paper makes the point that emergency care can make an important contribution to reducing avoidable death and disability in low- and middle-income countries. But emergency care needs to be planned well and supported at all levels - at the national, provincial and community levels - and take into account the entire spectrum of care, from the occurrence of an acute medical event in the community to the provision of appropriate care at the hospital. The mix of personnel, materials, and health-system infrastructure can be tailored to optimize the provision of emergency care in settings with different levels of resource availability. The misconception that emergency care cannot be cost effective in low-income settings is demonstrably inaccurate. Emergencies occur everywhere, and each day they consume resources regardless of whether there are systems capable of achieving good outcomes. With better planning, the ongoing costs of emergency care can result in better outcomes and better cost-effectiveness. Every country and community can and should provide emergency care regardless of their place in the ratings of developmental indices. We make the case for universal access to emergency care and lay out a research agenda to fill the gaps in knowledge in emergency care.