This study applied a new strategy, termed high-turnover utility bed intervention, to offer early admission chances for emergency department (ED) patients and alleviate ED crowding.This before-and-after observational cohort was conducted at the of an urban tertiary hospital. On January 1, 2012, 14 beds were prepared exclusively patient use. A strict 48-hour course limit each formulated govern these beds. The primary outcome measure this length stay. Secondary measures number admissions, who...

Background: Workplace violence in the health care sector has become a growing global problem. Research shown that although caregivers comprise high-risk group exposed to workplace violence, most of them lacked skills and countermeasures against violence. Therefore, through quasi-experimental design, this study aimed investigate effectiveness situational simulation training on nursing staffs' concept self-confidence coping with Methods: trainings were applied based systematic literature...

In a flipped classroom (FC) model, blended learning is used to increase student engagement and by having students finish their readings at home work on problem-solving with tutors during class time. Evidence-based medicine (EBM) integrates clinical experience patient values the best evidence-based research inform decisions. To implement FC EBM, require sufficient information acquisition skills. Therefore, regarded as an excellent teaching model for tutoring EBM However, effectiveness of...

To compare the proportion, seriousness, preventability of adverse drug events (ADEs) between older adults (≥65 years old) and younger (<65 presenting to emergency department (ED), we conducted a prospective observational cohort study patients 18 ED. For all ED visits March 1, 2009, Feb 28, 2010, investigators identified ADEs assessed cases using Naranjo reaction probability scale. Outcomes (proportion, ADE, length stay, hospitalization) associated variables were measured compared adults. The...

Residents play an important role as teachers of junior colleagues and medical students. Clinical teaching also helps residents in clinical learning. However, the skills required for to be competent are rarely described systemically. Beyond widely adopted six core competencies postgraduate training by Accreditation Council Graduate Medical Education (ACGME), should further developed, milestones clearly defined serve better references resident programs. Twenty members, including five experts...

The early integration of palliative care in the emergency department (ED-PC) provides several benefits, including improved quality life with optimal comfort measures, and symptom control. Whether could affect intensive unit admissions, hospital resource utilization requires further investigation.To determine differences inpatient characteristics, care, survival, between patients receiving usual (UC).Retrospective observational study.We enrolled consecutive, acute, critically ill admitted to...

Background: Mesenchymal stem cells (MSCs) have garnered significant attention in the field of cell-based therapy owing to their remarkable capabilities for differentiation and self-renewal. However, primary tissue-derived MSCs are plagued by various limitations, including constrained tissue sources, arduous invasive retrieval procedures, heterogeneous cell populations, diminished purity, cellular senescence, a decline self-renewal proliferative capacities after extended expansion. Addressing...

Abstract Background Steady increase in computed tomography (CT) utilisation the ED was observed countries such as USA, Canada, China and Korea; however, limited empirical data are available regarding Taiwan. Objective The objective of present study is to quantify compare trends CT over a 5 year period medical centre Methods Electronic chart review performed with an annual census 80 000 patients. Subjects &gt;20 years age who underwent scans during visits from 1 January 2005 31 December 2009...

Emergency units have been gradually recognized as important settings for palliative care initiation, but require precise assessments. Patients with different illness trajectories are found to differ in referrals outside emergency unit settings. Understanding how associate patient traits the department may aid assessment of needs. This study aims investigate timing and acceptance referral among patients end-of-life trajectories. Participants were classified into three (terminal, frailty,...

Background: To describe the patterns of non-trauma emergency department (ED) resource utilization, cost visit, acuity level, and admission rate in older adult patients Taiwan. Methods: This is a retrospective observational cohort study conducted at Taipei Veterans General Hospital with an annual ED population 80,000 patients. Patients aged ≥20 years visits from 2005 to 2012 were included study. Results: We analyzed 441,665 visits. Older had higher usage, ratio their visit being 3.56, 8.34,...

Background: Ever since coronavirus disease 2019 (COVID-19) emerged in Wuhan, China, December 2019, it has had a devastating effect on the world through exponential case growth and death tolls at least 146 countries. Rapid response timely modifications emergency department (ED) for infection control are paramount to maintaining basic medical services preventing spread of COVID-19. This study presents unique measure combining fever screening station (FSS) graded approach isolation testing...

Abstract Background Out‐of‐hospital cardiac arrest (OHCA) has low survival rates, and few patients achieve a desirable neurological outcome. Anemia is common among OHCA been linked to worse outcomes, but its impact following the return of spontaneous circulation (ROSC) unclear. This study examines relationship between anemia burden clinical outcomes in patients. Hypothesis Higher after ROSC may be related higher mortality neurologic outcomes. Methods Patients who experienced had were...

Background: A do-not-resuscitate (DNR) order is associated with an increased risk of death among emergency department (ED) patients. Little known about patient characteristics, hospital care, and outcomes the timing DNR order. Aim: Determine survival, resource utilization between patients early (EDNR: signed within 24 h ED presentation) late orders. Design: Retrospective observational study. Setting/Participants: We enrolled consecutive, acute, critically ill admitted to intensive care unit...

Background: According to the theory of traditional Chinese medicine (TCM), all types body constitutions, except for Gentleness (ie, control group in our study), have disease susceptibility and affect development process. This study attempted investigate relationship between TCM constitutions irritable bowel syndrome (IBS). Methods: cross-sectional was based on Taiwan Biobank (TWB) collected clinical data from 13 941 subjects aged 30 70. The results showed that with Yang-deficiency (N = 3161...