Results 51 to 60 of about 170,036,221 (278)

Point-of-care measurement of C-reactive protein promotes de-escalation of treatment decisions and strengthens the perceived clinical confidence of physicians in out-of-hours outpatient emergency medical services

BMJ Open, 2023
Objectives Out-of-hours outpatient emergency medical services (OEMS) provide healthcare for patients with non-life-threatening conditions in need for urgent care when outpatient practices are closed. We studied the use of point-of-care-testing of C-reactive protein (CRP-POCT) at OEMS.
Anni Matthes, Florian Wolf, Elmar Wilde, Jutta Bleidorn, Robby Markwart   +4 more
openaire   +3 more sources

Challenges to timely access to out-of-hours end-of-life medications: a qualitative study in UK primary care [PDF]

British Journal of General Practice
Background Timely, 24/7 access to medications in the community is essential for effective symptom management for people approaching the end of life. Little is known about current systems ensuring skilled and timely patient assessment, prescribing, and administration, and service gaps.
Okamoto, Ikumi, Pask, Sophie, Johansson, Therese, Chambers, Rachel L, Mohamed, Ahmed, McFarlane, Philippa G, Higginson, Irene J, Sleeman, Katherine E, Murtagh, Fliss Em, Barclay, Stephen   +9 more
openaire   +3 more sources

An illness-focused interactive booklet to optimise management and medication for childhood fever and infections in out-of-hours primary care: study protocol for a cluster randomised trial [PDF]

Trials, 2016
Fever is the most common reason for a child to be taken to a general practitioner (GP), especially during out-of-hours care. It is mostly caused by self-limiting infections. However, antibiotic prescription rates remain high, especially during out-of-hours care.
Bont, Eefje G. P. M. de, Dinant, Geert-Jan, Elshout, Gijs, Well, Gijs van, Francis, Nicholas Andrew, Winkens, Bjorn, Cals, Jochen W. L.   +6 more
openaire   +4 more sources

Pre- and post-home visit behaviors after using after-hours house call (AHHC) medical services: a questionnaire-based survey in Tokyo, Japan

BMC Emergency Medicine, 2021
Background After-hours house call (AHHC) medical services have been implemented in Japan to reduce ambulance use, as well as overcrowding at the emergency department (ED).
Ryota Inokuchi, Kojiro Morita, Xueying Jin, Masatoshi Ishikawa, Nanako Tamiya   +4 more
doaj   +1 more source

Implementing a 48 h EWTD-compliant rota for junior doctors in the UK does not compromise patients’ safety : assessor-blind pilot comparison [PDF]

, 2009
Background: There are currently no field data about the effect of implementing European Working Time Directive (EWTD)-compliant rotas in a medical setting.
Bennett-Jones, David, Lowe, Alice, Taggart, Frances M., Sullivan, J.P., Landrigan, C. P., Pounder, R., Cappuccio, Francesco, Kamdala, N B, Lockley, S. W., Taggart, Frances, Cooper, Dan, Landrigan, Christopher, Czeisler, Charles, Miller, Marianne, Edmunds, Mair, Bakewell, A., Lockley, Steven, Ward, Gregory, Chen, Ji, Pohl, Joseph, Kidd, Jane, Peile, Ed, Sullivan, Jason, Ward, G., Edmunds, M., Bakewell, Anne, Pounder, Roy, Ji, Chen, Short, Alasdair   +28 more
core   +1 more source

The list system can reduce the waiting time and number of consultations in a centralized primary care centre that provides out of hours medical care

Scandinavian Journal of Primary Health Care, 1997
To study the waiting time and number of consultations of the patients who required out of hours medical care from a centralized primary care centre before and after the introduction of a list system.Non-controlled intervention study. A questionnaire, completed by receptionists, concerning all out of hours general practice consultations for one week ...
J, Takala, A, Vehviläinen, A, Eräpohja, R, Mustonen, H, Korhonen, R, Räsänen   +5 more
openaire   +2 more sources

Development of a clinical prediction rule for sepsis in primary care: protocol for the TeSD-IT study

Diagnostic and Prognostic Research, 2020
Background Early recognition and treatment of sepsis is crucial to prevent detrimental outcomes. General practitioners (GPs) are often the first healthcare providers to encounter seriously ill patients.
Feike J. Loots, Rogier Hopstaken, Kevin Jenniskens, Geert W. J. Frederix, Alma C. van de Pol, Ann Van den Bruel, Jan Jelrik Oosterheert, Arthur R. H. van Zanten, Marleen Smits, Theo J. M. Verheij   +9 more
doaj   +1 more source

Workflow barriers out of hours: optimising critical care outreach to support clinical decision making in medical and surgical care settings

International Journal of Integrated Care, 2017
Introduction: The out-of-hours period is associated with less favourable patient health outcomes as well as unpredictable workloads and reduced support structures for clinical activity. In particular, appropriate skill mix, staff numbers, resources, communication structures and access to diagnostic services can influence patient safety and risk.
Brady, Anne-Marie, Ennis, Shauna, Prendergast, Maebh, Quirke, Mary, Bhangu, Jas, Lynch, Aine, Byrne, Gobnait   +6 more
openaire   +3 more sources

Patient motives for contacting out-of-hours care in Denmark: a cross-sectional study

BMC Emergency Medicine, 2020
Background Patients in need of acute health care do not always contact the most suitable health care service provider. Contacting out-of-hours primary care for an urgent problem may delay care, whereas contacting emergency medical services for a non ...
Linda Huibers, Anders H. Carlsen, Grete Moth, Helle C. Christensen, Ingunn S. Riddervold, Morten B. Christensen   +5 more
doaj   +1 more source

Central Nervous System Tumors Among Infants in Canada: A Report From CYP‐C

Pediatric Blood &Cancer, EarlyView.
ABSTRACT Background Central nervous system (CNS) tumors in infants are rare, pose unique clinical challenges, and lack large‐scale evidence‐based data to guide management. This study seeks to describe CNS tumors in Canadian infants and to compare their outcomes with those of older children.
Samuel Sassine, Hallie Coltin, Sylvia Cheng, Lucie Lafay‐Cousin, Vanan Issai Magimairajan, Craig Erker, Stéphanie Vairy, Lynette Bowes, Adam Fleming, Donna Johnston, Sarah McKillop, Roona Sinha, Julie Bennett, Christina Coleman, Laura Wheaton, Shayna Zelcer, Samuele Renzi, Thai Hoa Tran   +17 more
wiley   +1 more source