Talley Friis (shadebelief2)

Measuring patients' experience in the emergency department can be an avenue through which the patients are able to evaluate their own care experience, and this may provide guidance for healthcare professionals in addressing quality improvement. This scoping review aimed to identify and examine existing tools that measure patients' experience in the emergency department. A scoping review was carried out to synthesize evidence from a range of studies in order to describe the characteristics of each study and their sample, and to describe the tools used to measure patients' experience in the emergency department. Out of the 308 articles retrieved, results of the first and second level screening yielded 10 articles for inclusion using 9 different experience tools/questionnaire in the emergency department. Measuring patients' experience in the emergency department is a global concern, however research conducted in low-to-middle-income countries is very limited and such research in Africa appears to be absent. Getting consumers of care to evaluate their experience may help healthcare professionals to identify discrepancies in care and plan possible strategies to address them. Measuring patients' experience in the emergency department is a global concern, however research conducted in low-to-middle-income countries is very limited and such research in Africa appears to be absent. Getting consumers of care to evaluate their experience may help healthcare professionals to identify discrepancies in care and plan possible strategies to address them. Evidence-based guidelines advocate percutaneous coronary intervention (PCI) as the mainstay reperfusion strategy for ST-segment elevation myocardial infarction (STEMI). However, the South African health system is not well positioned to provide PCI as a 'mainstay strategy'. selleck compound In response, the Health Professions Council of South Africa approved the use of prehospital thrombolysis (PHT) for emergency care practitioners in 2009. However, since its approval, prehospital thrombolysis has failed to reach a level of systematic uptake indicative of successful implementation. The current study aimed to explore, through a qualitative inquiry, barriers to PHT for the treatment of myocardial infarction within a South African context. A qualitative single-case study design was used where a series of semi-structured interviews were conducted involving purposefully selected participants. The case comprised a nationalised private emergency medical service, and participants were selected in view of relevant experience and knven the time-sensitive nature of STEMI management, and severely limited access to 'primary reperfusion', PHT resembles not only a logical but also appealing solution in the South African context. The indications for cardiac point of care ultrasound (PoCUS) vary somewhat in different parts of the world, and training programs may also differ. We set out to describe the self-reported cardiac PoCUS indications and imaging windows used at a selection of secondary-level, public hospital emergency centres in Cape Town. A descriptive study with prospective data collected from emergency centres of Mitchells Plain District, Victoria and New Somerset Hospitals in Cape Town were used. Data were collected over a three-month period by providers who have completed a basic emergency ultrasound course, using a purpose-designed data collection tool for all cardiac PoCUS scans. Fifteen PoCUS providers recorded 267 data entries over the three-month study period; there were 17 exclusions, leaving 250 entries for analysis. The most common indication for performing cardiac PoCUS was electrocardiogram abnormalities, 27% ( =112); dyspnoea, 25% ( =102); chest pain, 16% ( =65); cardiomegaly on chest x-ray, 12% ( =51); new murmur, 6% ( =23); and chest trauma, 5% ( =22). Other