Pub Date : 2017-03-02DOI: 10.1016/s0262-4079(17)32131-0
H. Pirk
{"title":"Waste not, want not.","authors":"H. Pirk","doi":"10.1016/s0262-4079(17)32131-0","DOIUrl":"https://doi.org/10.1016/s0262-4079(17)32131-0","url":null,"abstract":"","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81005070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
As A&E attendances rise, the British Red Cross has declared a 'humanitarian crisis'.
随着急诊人数的增加，英国红十字会宣布进入“人道主义危机”。
{"title":"The truth behind the headlines.","authors":"A. Burston","doi":"10.7748/en.24.9.15.s19","DOIUrl":"https://doi.org/10.7748/en.24.9.15.s19","url":null,"abstract":"As A&E attendances rise, the British Red Cross has declared a 'humanitarian crisis'.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"30 1","pages":"15"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81333833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Essential facts Intense media interest and a number of high-profile court cases have kept debate about assisted suicide in the public eye.
媒体的强烈兴趣和一些备受瞩目的法庭案件使公众对协助自杀的争论持续不断。
{"title":"Responding to a request to hasten death.","authors":"E. Dean","doi":"10.7748/en.24.9.11.s11","DOIUrl":"https://doi.org/10.7748/en.24.9.11.s11","url":null,"abstract":"Essential facts Intense media interest and a number of high-profile court cases have kept debate about assisted suicide in the public eye.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"47 1","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84738099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Every day in emergency departments (EDs) across the UK, patients receive high-quality care from skilled clinicians. This care is delivered despite increasing workloads and complexity of patient conditions. However, an unacceptable number of patients are harmed inadvertently due to actions of, or omissions by, clinicians, or as a consequence of their admission to hospital. In these circumstances, the challenge for managers and clinicians is not to understand why bad people produce adverse events, but to understand why good people do.
{"title":"Human error or system failure?","authors":"R. Devlin","doi":"10.7748/en.24.9.14.s16","DOIUrl":"https://doi.org/10.7748/en.24.9.14.s16","url":null,"abstract":"Every day in emergency departments (EDs) across the UK, patients receive high-quality care from skilled clinicians. This care is delivered despite increasing workloads and complexity of patient conditions. However, an unacceptable number of patients are harmed inadvertently due to actions of, or omissions by, clinicians, or as a consequence of their admission to hospital. In these circumstances, the challenge for managers and clinicians is not to understand why bad people produce adverse events, but to understand why good people do.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"25 1","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73234206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
More than 40% of hospitals in England were forced to declare major incidents during the first week of January, as bed shortages led to delays in emergency departments (EDs), thousands of trolley waits for beds and long queues of ambulances outside units. Even cancer operations, normally protected, were cancelled.
{"title":"Pressures force hospitals to declare major incidents.","authors":"N. Evans","doi":"10.7748/en.24.9.8.s8","DOIUrl":"https://doi.org/10.7748/en.24.9.8.s8","url":null,"abstract":"More than 40% of hospitals in England were forced to declare major incidents during the first week of January, as bed shortages led to delays in emergency departments (EDs), thousands of trolley waits for beds and long queues of ambulances outside units. Even cancer operations, normally protected, were cancelled.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"32 1","pages":"8-9"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77805680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emergency departments (EDs) often experience reduced patient flow, which results in low capacity, increased congestion and delays in patient care. Advanced nurse practitioners (ANPs) possess the skills required to relieve these pressures and enhance care delivery. This article describes how introducing ANP-led rapid assessment triage in an ED has enabled these practitioners to use advanced practice skills in assessment and intervention, and to request early diagnostic processes to improve patient flow. The system enables the ANPs to identify high-acuity patients who can be cared for in the ED without the need for admission, while ensuring their safety, rapid assessment and timely interventions.
{"title":"Developing an advanced nurse practitioner approach to clinical assessments.","authors":"C. Prescott, Nick Stackhouse","doi":"10.7748/en.2017.e1614","DOIUrl":"https://doi.org/10.7748/en.2017.e1614","url":null,"abstract":"Emergency departments (EDs) often experience reduced patient flow, which results in low capacity, increased congestion and delays in patient care. Advanced nurse practitioners (ANPs) possess the skills required to relieve these pressures and enhance care delivery. This article describes how introducing ANP-led rapid assessment triage in an ED has enabled these practitioners to use advanced practice skills in assessment and intervention, and to request early diagnostic processes to improve patient flow. The system enables the ANPs to identify high-acuity patients who can be cared for in the ED without the need for admission, while ensuring their safety, rapid assessment and timely interventions.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"38 1","pages":"33-37"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87478407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
It is clear from the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) report published last month that hospitals are failing to integrate physical and mental healthcare. As a result, patients with mental health issues are receiving poor care and nurses are too often failing to refer such patients to the appropriate specialist support.
{"title":"We must integrate services for people with mental health issues.","authors":"P. Scott","doi":"10.7748/en.24.9.5.s1","DOIUrl":"https://doi.org/10.7748/en.24.9.5.s1","url":null,"abstract":"It is clear from the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) report published last month that hospitals are failing to integrate physical and mental healthcare. As a result, patients with mental health issues are receiving poor care and nurses are too often failing to refer such patients to the appropriate specialist support.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"68 1","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73778689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
My daughter recently complained about me being 'always on the phone'.
我女儿最近抱怨我“总是打电话”。
{"title":"Keep your wits in the Twittersphere.","authors":"J. Youd","doi":"10.7748/en.24.9.17.s23","DOIUrl":"https://doi.org/10.7748/en.24.9.17.s23","url":null,"abstract":"My daughter recently complained about me being 'always on the phone'.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"1 1","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89814851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In a workplace emergency recently I was able to competently and confidently provide airway ventilation to a patient in cardiac arrest. Why? Because I had practised for such an eventuality during simulation training.
{"title":"In emergency care, simulation training matters.","authors":"Neal Aplin","doi":"10.7748/en.24.9.16.s20","DOIUrl":"https://doi.org/10.7748/en.24.9.16.s20","url":null,"abstract":"In a workplace emergency recently I was able to competently and confidently provide airway ventilation to a patient in cardiac arrest. Why? Because I had practised for such an eventuality during simulation training.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"24 1","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90671954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
People with mental health problems receive poor treatment because hospital staff frequently lack the knowledge or confidence to care for them appropriately.
有精神健康问题的人得不到良好的治疗，因为医院工作人员往往缺乏适当照顾他们的知识或信心。
{"title":"Research highlights 'double whammy' of poor care.","authors":"E. Dean","doi":"10.7748/en.24.9.6.s2","DOIUrl":"https://doi.org/10.7748/en.24.9.6.s2","url":null,"abstract":"People with mental health problems receive poor treatment because hospital staff frequently lack the knowledge or confidence to care for them appropriately.","PeriodicalId":94315,"journal":{"name":"Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association","volume":"11 1","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2017-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78548963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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