[ { "key": "CIAHCQ63", "version": 47, "library": { "type": "group", "id": 163237, "name": "Frequent Users of AS EMS and Emergency Departments", "links": { "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/163237/items/CIAHCQ63", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments/items/CIAHCQ63", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1381686, "username": "mattholland", "name": "Matt Holland", "links": { "alternate": { "href": "https://www.zotero.org/mattholland", "type": "text/html" } } }, "creatorSummary": "Kuncir et al.", "parsedDate": "2017-11", "numChildren": 0 }, "data": { "key": "CIAHCQ63", "version": 47, "itemType": "journalArticle", "title": "911 Emergency Medical Services and Re-Triage to Level I Trauma Centers", "creators": [ { "creatorType": "author", "firstName": "Eric", "lastName": "Kuncir" }, { "creatorType": "author", "firstName": "Dean", "lastName": "Spencer" }, { "creatorType": "author", "firstName": "Kelly", "lastName": "Feldman" }, { "creatorType": "author", "firstName": "Cristobal", "lastName": "Barrios" }, { "creatorType": "author", "firstName": "Kenneth", "lastName": "Miller" }, { "creatorType": "author", "firstName": "Stephanie", "lastName": "Lush" }, { "creatorType": "author", "firstName": "Matthew", "lastName": "Dolich" }, { "creatorType": "author", "firstName": "Michael", "lastName": "Lekawa" } ], "abstractNote": "", "publicationTitle": "Journal of the American College of Surgeons", "publisher": "", "place": "", "date": "November 2017", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1016/j.jamcollsurg.2017.09.013", "citationKey": "", "url": "http://www.sciencedirect.com/science/article/pii/S107275151731997X?_rdoc=1&_fmt=high&_origin=gateway&_docanchor=&md5=b8429449ccfc9c30159a5f9aeaa92ffb http://linkinghub.elsevier.com/retrieve/pii/S107275151731997X", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "10727515", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Emergency Operations Centre" }, { "tag": "Re-Triage" } ], "collections": [], "relations": {}, "dateAdded": "2017-12-19T00:00:37Z", "dateModified": "2017-12-19T00:00:37Z" } }, { "key": "QXMEQQJT", "version": 47, "library": { "type": "group", "id": 163237, "name": "Frequent Users of AS EMS and Emergency Departments", "links": { "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/163237/items/QXMEQQJT", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments/items/QXMEQQJT", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1381686, "username": "mattholland", "name": "Matt Holland", "links": { "alternate": { "href": "https://www.zotero.org/mattholland", "type": "text/html" } } }, "creatorSummary": "Heravian and Chang", "parsedDate": "2017-11", "numChildren": 0 }, "data": { "key": "QXMEQQJT", "version": 47, "itemType": "journalArticle", "title": "Mental health and telemedicine in the acute care setting: Applications of telepsychiatry in the emergency department", "creators": [ { "creatorType": "author", "firstName": "Anisa", "lastName": "Heravian" }, { "creatorType": "author", "firstName": "Bernard P.", "lastName": "Chang" } ], "abstractNote": "", "publicationTitle": "The American Journal of Emergency Medicine", "publisher": "", "place": "", "date": "November 2017", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "10–11", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1016/j.ajem.2017.10.053", "citationKey": "", "url": "http://www.sciencedirect.com/science/article/pii/S0735675717308811?_rdoc=1&_fmt=high&_origin=gateway&_docanchor=&md5=b8429449ccfc9c30159a5f9aeaa92ffb http://linkinghub.elsevier.com/retrieve/pii/S0735675717308811", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "07356757", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Emergency Operations Centre" }, { "tag": "Mental Health" }, { "tag": "Telemedicine" }, { "tag": "telehealth" } ], "collections": [], "relations": {}, "dateAdded": "2017-12-19T00:00:37Z", "dateModified": "2017-12-19T00:00:37Z" } }, { "key": "3VVEHHUR", "version": 47, "library": { "type": "group", "id": 163237, "name": "Frequent Users of AS EMS and Emergency Departments", "links": { "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/163237/items/3VVEHHUR", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments/items/3VVEHHUR", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1381686, "username": "mattholland", "name": "Matt Holland", "links": { "alternate": { "href": "https://www.zotero.org/mattholland", "type": "text/html" } } }, "creatorSummary": "Jiménez-Hernández et al.", "parsedDate": "2017-11", "numChildren": 0 }, "data": { "key": "3VVEHHUR", "version": 47, "itemType": "journalArticle", "title": "Calls due to suicidal behaviour made to the prehospital, emergency department in Málaga: characteristics and associated factors", "creators": [ { "creatorType": "author", "firstName": "M.", "lastName": "Jiménez-Hernández" }, { "creatorType": "author", "firstName": "S", "lastName": "Castro-Zamudio" }, { "creatorType": "author", "firstName": "J", "lastName": "Guzmán Parra" }, { "creatorType": "author", "firstName": "A I", "lastName": "Martínez-García" }, { "creatorType": "author", "firstName": "C", "lastName": "Guillén-Benítez" }, { "creatorType": "author", "firstName": "B", "lastName": "Moreno-Küstner" } ], "abstractNote": "BACKGROUND Suicidal behaviour (fatal and non-fatal) has become a serious public health problem in many countries. The aim of the study was to describe the differential characteristics of emergency calls due to suicidal behaviour made to the Emergency Coordinating Centre (CCUE) in the province of Málaga, in comparison with calls due to physical or psychiatric problems. METHODS Retrospective observational study of the calls recorded in the database of the Public Company for Emergency Health during one year. Multivariate logistic regression analyses were carried out including age, gender and the following variables related with the demand: hours of the day, type of day (working days or bank holidays), months of the year and trimesters, number of resources mobilized and types of resolution. RESULTS The analyses were carried out on 163,331 calls, of which 1,380 calls were due to suicidal behaviour (0.8%), 9,951 for psychiatric reasons (6.1%) and 152,000 for physical reasons (93%). The emergency calls for suicidal behaviour were mainly made by females, between 31-60 years, in the evening and at night, and required transfer to hospital and more than one mobilized resource. Calls due to completed suicide were more frequently made by older men. Calls due to suicidal tendencies predominated over those due to attempted or threatened suicide during the first trimester of the year, while the opposite was the case during the third trimester. CONCLUSIONS The results indicated differential characteristics of suicide calls that are potentially relevant for prevention in spite of the limitations of the present study.", "publicationTitle": "Anales del Sistema Sanitario de Navarra", "publisher": "", "place": "", "date": "November 2017", "volume": "0", "issue": "0", "section": "", "partNumber": "", "partTitle": "", "pages": "54207", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.23938/ASSN.0047", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pubmed/29149114 https://recyt.fecyt.es/index.php/ASSN/article/view/54207/37784 http://www.ncbi.nlm.nih.gov/pubmed/29149114%0Ahttps://recyt.fecyt.es/index.php/ASSN/article/view/54207/37784", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1137-6627", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "PMID: 29149114", "tags": [ { "tag": "Emergency Operations Centre" }, { "tag": "Suicide" } ], "collections": [], "relations": {}, "dateAdded": "2017-12-19T00:00:37Z", "dateModified": "2017-12-19T00:00:37Z" } }, { "key": "8XSBUN2I", "version": 47, "library": { "type": "group", "id": 163237, "name": "Frequent Users of AS EMS and Emergency Departments", "links": { "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/163237/items/8XSBUN2I", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments/items/8XSBUN2I", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1381686, "username": "mattholland", "name": "Matt Holland", "links": { "alternate": { "href": "https://www.zotero.org/mattholland", "type": "text/html" } } }, "creatorSummary": "Kurz", "parsedDate": "2017-11", "numChildren": 0 }, "data": { "key": "8XSBUN2I", "version": 47, "itemType": "journalArticle", "title": "Telephone CPR: Adopting the standard of care, Just-in-time", "creators": [ { "creatorType": "author", "firstName": "Michael Christopher", "lastName": "Kurz" } ], "abstractNote": "", "publicationTitle": "Resuscitation", "publisher": "", "place": "", "date": "November 2017", "volume": "0", "issue": "0", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1016/j.resuscitation.2017.11.042", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pubmed/29155293 http://linkinghub.elsevier.com/retrieve/pii/S0300957217307335", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "03009572", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "PMID: 29155293", "tags": [ { "tag": "CPR" }, { "tag": "Cardio Pulmonary Resuscitation" }, { "tag": "Emergency Operations Centre" } ], "collections": [], "relations": {}, "dateAdded": "2017-12-19T00:00:37Z", "dateModified": "2017-12-19T00:00:37Z" } }, { "key": "PKWHKGH2", "version": 47, "library": { "type": "group", "id": 163237, "name": "Frequent Users of AS EMS and Emergency Departments", "links": { "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/163237/items/PKWHKGH2", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments/items/PKWHKGH2", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1381686, "username": "mattholland", "name": "Matt Holland", "links": { "alternate": { "href": "https://www.zotero.org/mattholland", "type": "text/html" } } }, "creatorSummary": "Riou et al.", "parsedDate": "2018-01", "numChildren": 0 }, "data": { "key": "PKWHKGH2", "version": 47, "itemType": "journalArticle", "title": "‘ She's sort of breathing ': What linguistic factors determine call-taker recognition of agonal breathing in emergency calls for cardiac arrest?", "creators": [ { "creatorType": "author", "firstName": "Marine", "lastName": "Riou" }, { "creatorType": "author", "firstName": "Stephen", "lastName": "Ball" }, { "creatorType": "author", "firstName": "Teresa A.", "lastName": "Williams" }, { "creatorType": "author", "firstName": "Austin", "lastName": "Whiteside" }, { "creatorType": "author", "firstName": "Peter", "lastName": "Cameron" }, { "creatorType": "author", "firstName": "Daniel M.", "lastName": "Fatovich" }, { "creatorType": "author", "firstName": "Gavin D.", "lastName": "Perkins" }, { "creatorType": "author", "firstName": "Karen", "lastName": "Smith" }, { "creatorType": "author", "firstName": "Janet", "lastName": "Bray" }, { "creatorType": "author", "firstName": "Madoka", "lastName": "Inoue" }, { "creatorType": "author", "firstName": "Kay L.", "lastName": "O'Halloran" }, { "creatorType": "author", "firstName": "Paul", "lastName": "Bailey" }, { "creatorType": "author", "firstName": "Deon", "lastName": "Brink" }, { "creatorType": "author", "firstName": "Judith", "lastName": "Finn" } ], "abstractNote": "BACKGROUND In emergency ambulance calls, agonal breathing remains a barrier to the recognition of out-of-hospital cardiac arrest (OHCA), initiation of cardiopulmonary resuscitation, and rapid dispatch. We aimed to explore whether the language used by callers to describe breathing had an impact on call-taker recognition of agonal breathing and hence cardiac arrest. METHODS We analysed 176 calls of paramedic-confirmed OHCA, stratified by recognition of OHCA (89 cases recognised, 87 cases not recognised). We investigated the linguistic features of callers' response to the question “is s/he breathing?” and examined the impact on subsequent coding by call-takers. RESULTS Among all cases (recognised and non-recognised), 64% (113/176) of callers said that the patients were breathing (yes-answers). We identified two categories of yes-answers: 56% (63/113) were plain answers, confirming that the patient was breathing (“he's breathing”); and 44% (50/113) were qualified answers, containing additional information (“yes but gasping”). Qualified yes-answers were suggestive of agonal breathing. Yet these answers were often not pursued and most (32/50) of these calls were not recognised as OHCA at dispatch. CONCLUSION There is potential for improved recognition of agonal breathing if call-takers are trained to be alert to any qualification following a confirmation that the patient is breathing.", "publicationTitle": "Resuscitation", "publisher": "", "place": "", "date": "January 2018", "volume": "122", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "92–98", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1016/j.resuscitation.2017.11.058", "citationKey": "", "url": "http://linkinghub.elsevier.com/retrieve/pii/S0300957217307499", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "03009572", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Agonal Breathing" }, { "tag": "Emergency Operations Centre" } ], "collections": [], "relations": {}, "dateAdded": "2017-12-19T00:00:37Z", "dateModified": "2017-12-19T00:00:37Z" } }, { "key": "MIG556MH", "version": 45, "library": { "type": "group", "id": 163237, "name": "Frequent Users of AS EMS and Emergency Departments", "links": { "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/163237/items/MIG556MH", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments/items/MIG556MH", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1381686, "username": "mattholland", "name": "Matt Holland", "links": { "alternate": { "href": "https://www.zotero.org/mattholland", "type": "text/html" } } }, "creatorSummary": "McLeod and Olsson,", "parsedDate": "2004", "numChildren": 0 }, "data": { "key": "MIG556MH", "version": 45, "itemType": "book", "title": "Older frequent emergency department attenders' appraisal of emergency department social work: a comparative UK and Swedish study", "creators": [ { "creatorType": "author", "firstName": "Eileen", "lastName": "McLeod" }, { "creatorType": "author", "firstName": "Mariann", "lastName": "Olsson," } ], "abstractNote": "This study presents a comparative account of older frequent Emergency Department (ED) attenders’ appraisal of ED based social work. To put service users’ appraisal of ED social work in context, the Report begins by discussing how substantial ill-health is the key reason for their frequent ED attendance. It then explores the association between their ill-health and the need for ED social work, the process of contact, the positive outcomes of ED social work for their health in the short and longer term, together with its limitations. This is followed by an account of service users’ requirements of ED medical and nursing care, if it is to complement ED social work in addressing their health problems. Throughout, the Report identifies convergences and divergences between UK and Swedish experience, to provide an international perspective on the significance of ED social work for older frequent service users", "series": "", "seriesNumber": "", "volume": "", "numberOfVolumes": "", "edition": "", "date": "2004", "publisher": "", "place": "", "originalDate": "", "originalPublisher": "", "originalPlace": "", "format": "", "numPages": "", "ISBN": "", "DOI": "", "citationKey": "", "url": "http://www.scie-socialcareonline.org.uk/profile.asp?guid=85869dbb-2875-4932-9d6d-ea20db7cf24c", "accessDate": "", "ISSN": "", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2013-06-21T15:23:01Z", "dateModified": "2013-07-01T12:28:48Z" } }, { "key": "6Z5FRMX7", "version": 45, "library": { "type": "group", "id": 163237, "name": "Frequent Users of AS EMS and Emergency Departments", "links": { "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/163237/items/6Z5FRMX7", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments/items/6Z5FRMX7", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1381686, "username": "mattholland", "name": "Matt Holland", "links": { "alternate": { "href": "https://www.zotero.org/mattholland", "type": "text/html" } } }, "creatorSummary": "Okin et al.", "parsedDate": "2000-09", "numChildren": 1 }, "data": { "key": "6Z5FRMX7", "version": 45, "itemType": "journalArticle", "title": "The effects of clinical case management on hospital service use among ED frequent users", "creators": [ { "creatorType": "author", "firstName": "R L", "lastName": "Okin" }, { "creatorType": "author", "firstName": "A", "lastName": "Boccellari" }, { "creatorType": "author", "firstName": "F", "lastName": "Azocar" }, { "creatorType": "author", "firstName": "M", "lastName": "Shumway" }, { "creatorType": "author", "firstName": "K", "lastName": "O'Brien" }, { "creatorType": "author", "firstName": "A", "lastName": "Gelb" }, { "creatorType": "author", "firstName": "M", "lastName": "Kohn" }, { "creatorType": "author", "firstName": "P", "lastName": "Harding" }, { "creatorType": "author", "firstName": "C", "lastName": "Wachsmuth" } ], "abstractNote": "This study examined the impact of case management on hospital service use, hospital costs, homelessness, substance abuse, and psychosocial problems in frequent users of a public urban emergency department (ED). Subjects were 53 patients who used the ED five times or more in 12 months. Utilization, cost, and psychosocial variables were compared 12 months before and after the intervention. The median number of ED visits decreased from 15 to 9 (P < .01), median ED costs decreased from $4,124 to $2,195 (P < .01) and median medical inpatient costs decreased from $8,330 to $2,786 (P < .01). Homelessness decreased by -57% (P < .01), alcohol use by -22% (P = .05) and drug use by -26% (P = .05). Linkage to primary care increased 74% (P < .01). Fifty-four percent of medically indigent subjects obtained Medicaid (P < .01). There was a net cost savings, with each dollar invested in the program yielding a $1.44 reduction in hospital costs. Thus, case management appears to be a cost-effective means of decreasing acute hospital service use and psychosocial problems among frequent ED users.", "publicationTitle": "The American journal of emergency medicine", "publisher": "", "place": "", "date": "Sep 2000", "volume": "18", "issue": "5", "section": "", "partNumber": "", "partTitle": "", "pages": "603-608", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Am J Emerg Med", "DOI": "10.1053/ajem.2000.9292", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "0735-6757", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 10999578", "tags": [ { "tag": "Adult", "type": 1 }, { "tag": "Aged", "type": 1 }, { "tag": "Aged, 80 and over", "type": 1 }, { "tag": "Case Management", "type": 1 }, { "tag": "Emergency Service, Hospital", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Health Services Misuse", "type": 1 }, { "tag": "Homeless Persons", "type": 1 }, { "tag": "Hospital Costs", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Mental Disorders", "type": 1 }, { "tag": "Middle Aged", "type": 1 }, { "tag": "Mortality", "type": 1 }, { "tag": "Pilot Projects", "type": 1 }, { "tag": "San Francisco", "type": 1 }, { "tag": "Treatment Outcome", "type": 1 }, { "tag": "Utilization Review", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2013-06-21T15:23:01Z", "dateModified": "2013-07-01T12:28:48Z" } }, { "key": "EV3EMG8Z", "version": 45, "library": { "type": "group", "id": 163237, "name": "Frequent Users of AS EMS and Emergency Departments", "links": { "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/163237/items/EV3EMG8Z", "type": "application/json" }, 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"2013-07-01T12:28:48Z" } }, { "key": "D836MW9J", "version": 45, "library": { "type": "group", "id": 163237, "name": "Frequent Users of AS EMS and Emergency Departments", "links": { "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/163237/items/D836MW9J", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments/items/D836MW9J", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1381686, "username": "mattholland", "name": "Matt Holland", "links": { "alternate": { "href": "https://www.zotero.org/mattholland", "type": "text/html" } } }, "creatorSummary": "Scott et al.", "parsedDate": "2013-02-14", "numChildren": 0 }, "data": { "key": "D836MW9J", "version": 45, "itemType": "journalArticle", "title": "Describing and predicting frequent callers to an ambulance service: analysis of 1 year call data", "creators": [ { "creatorType": "author", "firstName": "J.", "lastName": "Scott" }, { "creatorType": "author", "firstName": "A. P.", "lastName": "Strickland" }, { "creatorType": "author", "firstName": "K.", "lastName": "Warner" }, { "creatorType": "author", "firstName": "P.", "lastName": "Dawson" } ], "abstractNote": "", "publicationTitle": "Emergency Medicine Journal", "publisher": "", "place": "", "date": "2013-02-14", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1136/emermed-2012-202146", "citationKey": "", "url": "http://emj.bmj.com/cgi/doi/10.1136/emermed-2012-202146", "accessDate": "2013-06-14T13:32:57Z", "PMID": "", "PMCID": "", "ISSN": "1472-0205, 1472-0213", "archive": "", "archiveLocation": "", "shortTitle": "Describing and predicting frequent callers to an ambulance service", "language": "", "libraryCatalog": "CrossRef", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Frequent Users" }, { "tag": "Green" } ], "collections": [], "relations": {}, "dateAdded": "2013-06-16T22:50:26Z", "dateModified": "2013-07-01T12:28:48Z" } }, { "key": "8S9RQX65", "version": 45, "library": { "type": "group", "id": 163237, "name": "Frequent Users of AS EMS and Emergency Departments", "links": { "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/163237/items/8S9RQX65", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments/items/8S9RQX65", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1381686, "username": "mattholland", "name": "Matt Holland", "links": { "alternate": { "href": "https://www.zotero.org/mattholland", "type": "text/html" } } }, "creatorSummary": "O'Connor et al.", "parsedDate": "2013-04-27", "numChildren": 0 }, "data": { "key": "8S9RQX65", "version": 45, "itemType": "journalArticle", "title": "Cross-sectional study of the characteristics, healthcare usage, morbidity and mortality of injecting drug users attending an inner city emergency department", "creators": [ { "creatorType": "author", "firstName": "G.", "lastName": "O'Connor" }, { "creatorType": "author", "firstName": "T.", "lastName": "McGinty" }, { "creatorType": "author", "firstName": "S. J.", "lastName": "Yeung" }, { "creatorType": "author", "firstName": "D.", "lastName": "O'Shea" }, { "creatorType": "author", "firstName": "A.", "lastName": "Macken" }, { "creatorType": "author", "firstName": "E.", "lastName": "Brazil" }, { "creatorType": "author", "firstName": "P.", "lastName": "Mallon" } ], "abstractNote": "", "publicationTitle": "Emergency Medicine Journal", "publisher": "", "place": "", "date": "2013-04-27", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1136/emermed-2012-201934", "citationKey": "", "url": "http://emj.bmj.com/cgi/doi/10.1136/emermed-2012-201934", "accessDate": "2013-04-28T12:09:12Z", "PMID": "", "PMCID": "", "ISSN": "1472-0205, 1472-0213", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "CrossRef", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Green" } ], "collections": [], "relations": {}, "dateAdded": "2013-05-08T11:30:12Z", "dateModified": "2013-07-01T12:28:48Z" } }, { "key": "RAUVP65C", "version": 45, "library": { "type": "group", "id": 163237, "name": "Frequent Users of AS EMS and Emergency Departments", "links": { "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/163237/items/RAUVP65C", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments/items/RAUVP65C", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1381686, "username": "mattholland", "name": "Matt Holland", "links": { "alternate": { "href": "https://www.zotero.org/mattholland", "type": "text/html" } } }, "creatorSummary": "Sun et al.", "parsedDate": "2003", "numChildren": 2 }, "data": { "key": "RAUVP65C", "version": 45, "itemType": "journalArticle", "title": "Predictors and outcomes of frequent emergency department users", "creators": [ { "creatorType": "author", "firstName": "B C", "lastName": "Sun" }, { "creatorType": "author", "firstName": "H R", "lastName": "Burstin" }, { "creatorType": "author", "firstName": "T A", "lastName": "Brennan" } ], "abstractNote": "OBJECTIVE: To identify predictors and outcomes associated with frequent emergency department (ED) users. METHODS: Cross-sectional intake surveys, medical chart reviews, and telephone follow-up interviews of patients presenting with selected chief complaints were performed at five urban EDs during a one-month study period in 1995. Frequent use was defined by four or more self-reported, prior ED visits. Multivariate logistic regression identified predictors of frequent ED visitors from five domains (demographics, health status, health access, health care preference, and severity of acute illness). Associations between high use and selected outcomes were assessed with logistic regression models. RESULTS: All study components were completed by 2,333 of 3,455 eligible patients (67.5%). Demographics predicting frequent use included being a single parent, single or divorced marital status, high school education or less, and income of less than $10,000 (1995). Health status predictors included hospitalization in the preceding three months, high ratings of psychological distress, and asthma. Health access predictors included identifying an ED or a hospital clinic as the primary care site, having a primary care physician (PCP), and visiting a PCP in the past month. Choosing the ED for free care was the only health preference predictive of heavy use. Illness severity measures were higher in frequent visitors, although these were not independently predictive in the multivariate model. Outcomes correlated with heavy use include increased hospital admissions, higher rates of ED return visits, and lower patient satisfaction, but not willingness to return to the ED or follow-up with a doctor. CONCLUSIONS: Frequent ED visits are associated with socioeconomic distress, chronic illness, and high use of other health resources. Efforts to reduce ED visits require addressing the unique needs of these patients in the emergency and primary care settings.", "publicationTitle": "Academic Emergency Medicine", "publisher": "", "place": "", "date": "2003", "volume": "10", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "320-328", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "80 and over Analysi" }, { "tag": "Acute Disease Adult Aged Aged" } ], "collections": [], "relations": {}, "dateAdded": "2013-04-24T22:50:24Z", "dateModified": "2013-07-01T12:28:48Z" } }, { "key": "B5HUAZAR", "version": 45, "library": { "type": "group", "id": 163237, "name": "Frequent Users of AS EMS and Emergency Departments", "links": { "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/163237/items/B5HUAZAR", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments/items/B5HUAZAR", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1381686, "username": "mattholland", "name": "Matt Holland", "links": { "alternate": { "href": "https://www.zotero.org/mattholland", "type": "text/html" } } }, "creatorSummary": "Rinke et al.", "parsedDate": "2012", "numChildren": 2 }, "data": { "key": "B5HUAZAR", "version": 45, "itemType": "journalArticle", "title": "Operation care: a pilot case management intervention for frequent emergency medical system users", "creators": [ { "creatorType": "author", "firstName": "M L", "lastName": "Rinke" }, { "creatorType": "author", "firstName": "E", "lastName": "Dietrich" }, { "creatorType": "author", "firstName": "T", "lastName": "Kodeck" }, { "creatorType": "author", "firstName": "K", "lastName": "Westcoat" } ], "abstractNote": "OBJECTIVES: This study aims to determine if a prehospital case management intervention reduces transport and nontransport emergency medical system (EMS) responses to frequent EMS users. METHODS: The 25 most frequent EMS users in a major metropolitan area were identified, and 10 were enrolled in the intervention. These patients received linkage to psychosocial and medical resources through weekly case management visits for 5 to 12 weeks between May and August 2008. Main outcome measures were the number of transport and nontransport EMS responses to patients during the intervention as compared with predicted EMS responses based on each patient's previous year's EMS use. Transport data were available for all patients, but nontransport data were unavailable for 1 patient who was homeless and 6 patients living in apartment buildings. Secondary outcome measures included cost savings to the entire health care system and the Baltimore City Fire Department. RESULTS: Transport responses decreased 32% over the 76 predicted transport responses during the intervention, and nontransport responses decreased 79% over the 24 predicted nontransport responses during the intervention. Including the dedicated case manager's salary, this represented a cost savings to the entire health care system and to the Baltimore City Fire Department of $14 461 and $6311, respectively, over 12 weeks. CONCLUSIONS: Prehospital case management may reduce EMS use in high-frequency EMS users and create significant cost savings to municipalities and the health care system. Additional large-scale studies are needed to validate these findings.", "publicationTitle": "American Journal of Emergency Medicine", "publisher": "", "place": "", "date": "2012", "volume": "30", "issue": "2", "section": "", "partNumber": "", "partTitle": "", "pages": "352-357", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1016/j.ajem.2010.12.012", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "80 and over Baltimore Case Management Cost Savings" }, { "tag": "Adult Aged Aged" }, { "tag": "Hospital/economics/ utilization Female Health Care" } ], "collections": [], "relations": {}, "dateAdded": "2013-04-24T22:50:24Z", "dateModified": "2013-07-01T12:28:48Z" } }, { "key": "M8VBPK8U", "version": 45, "library": { "type": "group", "id": 163237, "name": "Frequent Users of AS EMS and Emergency Departments", "links": { "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/163237/items/M8VBPK8U", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments/items/M8VBPK8U", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1381686, "username": "mattholland", "name": "Matt Holland", "links": { "alternate": { "href": "https://www.zotero.org/mattholland", "type": "text/html" } } }, "creatorSummary": "Shumway et al.", "parsedDate": "2008-02", "numChildren": 0 }, "data": { "key": "M8VBPK8U", "version": 45, "itemType": "journalArticle", "title": "Cost-effectiveness of clinical case management for ED frequent users: results of a randomized trial.", "creators": [ { "creatorType": "author", "firstName": "Martha", "lastName": "Shumway" }, { "creatorType": "author", "firstName": "Alicia", "lastName": "Boccellari" }, { "creatorType": "author", "firstName": "Kathy", "lastName": "O'Brien" }, { "creatorType": "author", "firstName": "Robert L", "lastName": "Okin" } ], "abstractNote": "The objective of the study was to test the hypothesis that clinical case management is more cost-effective than usual care for frequent users of the emergency department (ED).", "publicationTitle": "American Journal of Emergency Medicine", "publisher": "", "place": "", "date": "February 2008", "volume": "26", "issue": "2", "section": "", "partNumber": "", "partTitle": "", "pages": "155-64", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1016/j.ajem.2007.04.021", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pubmed/18272094", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Adult" }, { "tag": "Case Management" }, { "tag": "Case Management: economics" }, { "tag": "Comprehensive Health Care" }, { "tag": "Comprehensive Health Care: economics" }, { "tag": "Cost-Benefit Analysis" }, { "tag": "Emergency Service" }, { "tag": "Female" }, { "tag": "Hospital" }, { "tag": "Hospital: economics" }, { "tag": "Humans" }, { "tag": "Male" }, { "tag": "Middle Aged" }, { "tag": "Psychology" } ], "collections": [], "relations": {}, "dateAdded": "2013-04-24T22:50:24Z", "dateModified": "2013-07-01T12:28:48Z" } }, { "key": "HH3AG6QR", "version": 45, "library": { "type": "group", "id": 163237, "name": "Frequent Users of AS EMS and Emergency Departments", "links": { "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/163237/items/HH3AG6QR", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments/items/HH3AG6QR", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1381686, "username": "mattholland", "name": "Matt Holland", "links": { "alternate": { "href": "https://www.zotero.org/mattholland", "type": "text/html" } } }, "creatorSummary": "Soong et al.", "parsedDate": "2012", "numChildren": 2 }, "data": { "key": "HH3AG6QR", "version": 45, "itemType": "journalArticle", "title": "Is inadequate human immunodeficiency virus care associated with increased ED and hospital utilization? A prospective study in human immunodeficiency virus-positive ED patients", "creators": [ { "creatorType": "author", "firstName": "T R", "lastName": "Soong" }, { "creatorType": "author", "firstName": "J J", "lastName": "Jung" }, { "creatorType": "author", "firstName": "G D", "lastName": "Kelen" }, { "creatorType": "author", "firstName": "R E", "lastName": "Rothman" }, { "creatorType": "author", "firstName": "A", "lastName": "Burah" }, { "creatorType": "author", "firstName": "J B", "lastName": "Shahan" }, { "creatorType": "author", "firstName": "Y H", "lastName": "Hsieh" } ], "abstractNote": "BACKGROUND: There is a lack of data on the effect(s) of suboptimal human immunodeficiency virus (HIV) care on subsequent health care utilization among emergency department (ED) patients with HIV. Findings on their ED and inpatient care utilization patterns will provide information on service provision for those who have suboptimal access to HIV-related care. METHODS: A pilot prospective study was conducted on HIV-positive patients in an ED. At enrollment, participants were interviewed regarding health care utilization. Participants were followed up for 1 year, during which time data on ED visits and hospitalizations were obtained from their patient records. Inadequate HIV care (IHC) was defined according to Infectious Diseases Society of America recommendations as less than 3 scheduled clinic visits for HIV care in the year before enrollment. Cox regression models were used to evaluate whether IHC was associated with increased hazard of health care utilization. RESULTS: Of 107 subjects, 36% were found to have IHC. Inadequate HIV care did not predict more frequent ED visits but was significantly associated with fewer hospitalizations (adjusted incidence rate ratio, 0.61 [95% CI: 0.43-0.86]). Inadequate HIV care did not significantly increase the hazard for earlier ED visit or hospitalization. However, further stratification analysis found that IHC increased the hazard of hospitalization for subjects without comorbid diseases (adjusted hazard ratio, 2.50 [95% CI: 1.10-5.68]). CONCLUSIONS: In our setting, IHC does not appear to be associated with earlier or more frequent ED visits but may lead to earlier hospitalization, particularly among those without other chronic diseases.", "publicationTitle": "American Journal of Emergency Medicine", "publisher": "", "place": "", "date": "2012", "volume": "30", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "1466-1473", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1016/j.ajem.2011.11.020", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Adult Baltimore/epidemiology CD4 Lymphocyte Count/" } ], "collections": [], "relations": {}, "dateAdded": "2013-04-24T22:50:24Z", "dateModified": "2013-07-01T12:28:48Z" } }, { "key": "ZHG8ENRB", "version": 45, "library": { "type": "group", "id": 163237, "name": "Frequent Users of AS EMS and Emergency Departments", "links": { "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/163237/items/ZHG8ENRB", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/frequent_users_of_as_ems_and_emergency_departments/items/ZHG8ENRB", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1381686, "username": "mattholland", "name": "Matt Holland", "links": { "alternate": { "href": "https://www.zotero.org/mattholland", "type": "text/html" } } }, "creatorSummary": "Weiss et al.", "parsedDate": "2005", "numChildren": 2 }, "data": { "key": "ZHG8ENRB", "version": 45, "itemType": "journalArticle", "title": "Effect of a social services intervention among 911 repeat users", "creators": [ { "creatorType": "author", "firstName": "S J", "lastName": "Weiss" }, { "creatorType": "author", "firstName": "A A", "lastName": "Ernst" }, { "creatorType": "author", "firstName": "M", "lastName": "Ong" }, { "creatorType": "author", "firstName": "R", "lastName": "Jones" }, { "creatorType": "author", "firstName": "D", "lastName": "Morrow" }, { "creatorType": "author", "firstName": "R", "lastName": "Milch" }, { "creatorType": "author", "firstName": "K", "lastName": "O'Neil" }, { "creatorType": "author", "firstName": "J", "lastName": "Glass" }, { "creatorType": "author", "firstName": "T", "lastName": "Nick" } ], "abstractNote": "OBJECTIVE: To determine whether emergency medical services (EMS) 911 frequent users would benefit from social services intervention. METHODS: The design was a descriptive prospective subject evaluation. All nonhomeless frequent EMS users (>3x in 1 month) were identified monthly from December 2 to May 3 and contacted by 2 social workers. Information extracted from their contact with the subjects included demographics, ability to enter a social services intervention, and reason for transport. RESULTS: Eighty-four patients were eligible for inclusion in the study. Seventy-four patients were unable to enter a social services intervention for the following reasons: not home (2x) (26%), not at address (19%), refused (13%), unable to complete Mini-Mental Status Exam (10%), deceased (6%), hospitalized (5%), safety issues (4%), and others (10%). The reasons for frequent EMS use were cardiac (24%), asthma/chronic obstructive pulmonary disease (25%), seizures (14%), dialysis problems, alcohol problems, and diabetes-related problems (<10% each). CONCLUSION: Among all patients, the primary reasons for transport were cardiac, asthma/chronic obstructive pulmonary disease, and seizures. Only 12% of patients contacted could enter a social services intervention. On the basis of the small cohort of patients that were able to enter a social services interventions, more targeted interventions are warranted.", "publicationTitle": "American Journal of Emergency Medicine", "publisher": "", "place": "", "date": "2005", "volume": "23", "issue": "4", "section": "", "partNumber": "", "partTitle": "", "pages": "492-496", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Adolescent Adult Aged Emergency Medical Services/" } ], "collections": [], "relations": {}, "dateAdded": "2013-04-24T22:50:24Z", "dateModified": "2013-07-01T12:28:48Z" } } ]