Assessment of user embracement with risk rating in emergency hospital services

Manchester Triage System: assessment in an emergency hospital service

OBJECTIVES

to analyze demographic data, clinical profile and outcomes of patients in emergency services according to Manchester Triage System's priority level.

METHODS

a cross-sectional, analytical study, carried out with 3,624 medical records. For statistical analysis, the Chi-Square Test was used.

RESULTS

white individuals were more advanced in age. In the red and white categories, there was a higher percentage of men when compared to women (p=0.0018) and higher prevalence of personal history. Yellow priority patients had higher percentage of pain (p<0.0001). Those in red category had a higher frequency of altered vital signs, external causes, and death outcome. There was a higher percentage of exams performed and hospitalization in the orange category. Blue priority patients had a higher percentage of non-specific complaints and dismissal after risk stratification.

CONCLUSIONS

a higher percentage of altered vital signs, number of tests performed, hospitalization and death were evidenced in Manchester protocol's high priority categories.

Care for people with psychiatric comorbidity in a general emergency unit: vision of the nurses

OBJECTIVE

To analyze the difficulties encountered by nurses when providing care to people with psychiatric comorbidity in the general emergency unit and their suggestions for improving the care of these patients.

METHOD

This is a qualitative, descriptive, and exploratory study conducted with twelve nurses at a general hospital in southern Brazil, in 2016. Information was collected during an interview and the results were evaluated using content analysis.

RESULTS

Data interpretation led to two categories: Difficulties of nurses when providing care to people with psychiatric comorbidity and Nurses' suggestions to improve care for people with psychiatric comorbidity. The first category is related to the physical structure and material resources of the service, overcrowding, and lack of preparation of the team and professionals who provide psychiatric consultations. In the second category, the workers suggested a care flow chart, psychiatric consultations, and team training.

CONCLUSIONS

We must transcend the fragmentation of care from the education years of health professionals, emphasize the need for training, and make greater investments in health education.

Acolhimento com classificação de risco em unidade de pronto atendimento: estudo avaliativo

RESUMO Objetivo Descrever a avaliação da estrutura, processo e resultado do Acolhimento com Classificação de Risco, na perspectiva dos médicos e enfermeiros de uma Unidade de Pronto Atendimento. Método Estudo avaliativo, descritivo, quantitativo, desenvolvido em Santa Catarina. Dados coletados com instrumento validado e adaptado, constituído por 21 itens distribuídos nas dimensões Estrutura (instalações), Processo (atividades e relações no atendimento) e Resultado (efeitos do atendimento). Na análise, aplicaram-se a estatística descritiva, o cálculo do Ranking Médio e o da Pontuação Média. Resultados A amostra foi de 37 participantes. Dos 21 itens avaliados, 11 (52,4%) tiveram Ranking Médio entre 3 e 4, e nenhum atingiu o máximo (5 pontos). A “Priorização dos casos graves” e o “Atendimento primário por gravidade do caso” obtiveram maior Ranking Médio (4,5), enquanto a “Discussão sobre fluxograma” revelou menor Ranking (2,1). As dimensões Estrutura, Processo e Resultado atingiram, respectivamente, as pontuações médias 23,9, 21,9 e 25,5, indicando avaliação Precária (17,5 a 26,1 pontos). Conclusão Há precarização do Acolhimento com Classificação de Risco, em especial no que se refere ao processo, que obteve menor nível de satisfação dos participantes.