1
|
Villén Villegas T, Campo Linares R, Alonso Viladot JR, Martínez Mas R, Luque Hernández MJ, Ruiz Durán M, Oviedo García A, Álvarez Gregori JA, Aguilar Mulet M, Campos Caubet L, Cárdenas Bravo L, Chaparro Pardo D, Chehayeb Morán J, Esteban Velasco JV, Ferreiro Gómez M, García Martín D, García Suárez I, Martínez Hernández A, Hernández Galán Á, Millán Soria J, Martínez López JF, Rodríguez García JF, Ruano Peña I, Salvador Suárez FJ, Simó Meléndez S, Zafra Sánchez JJ, Nogué Bou R. Description of basic competencies in clinical ultrasound imaging for emergency departments. Emergencias 2022; 34:377-387. [PMID: 36217933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Recent years have seen great advances in the use of clinical ultrasound imaging in both hospital emergency departments and out-of-hospital settings. However, all new techniques require up-to-date definitions of competencies relevant to the clinical realities of different specialties and the geographic settings in which specialists work. To that end, a group of experts in clinical ultrasound reviewed the evidence available in the literature and strictly applied the Delphi method to define the competencies relevant to emergency physicians. The group worked with the starting premise that clinical ultrasound imaging should be a common competency across the specialty.
Collapse
Affiliation(s)
| | | | | | - Roser Martínez Mas
- Servicio de Urgencias de Pediatría, Hospital Universitario de Cruces, Bilbao, España
| | | | - Miriam Ruiz Durán
- Servicio de Urgencias, Hospital Universitario Ramón y Cajal, Madrid, España
| | | | | | | | | | | | - David Chaparro Pardo
- Servicio de Urgencias, Hospital Universitario Clínico San Carlos, Madrid, España
| | | | | | | | | | | | | | | | | | | | | | - Inés Ruano Peña
- Servicio de Urgencias, Hospital Universitario Ramón y Cajal, Madrid, España
| | | | - Susana Simó Meléndez
- Servei d'Emergencies Mèdiques, Xarxa Assistencial Universitària Manresa, Barcelona, España
| | | | | |
Collapse
|
2
|
González Peredo R, Prieto Salceda MDLD, Incera Alvear IM, Fernández Díaz F, Campos Caubet L, Crespo Hualde E, García-Lago Sierra Á, Ortiz Oficialdegui P. [Treatment adherence in a hospital emergency service]. Rev Esp Salud Publica 2019; 93:e201910086. [PMID: 31641097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2018] [Accepted: 08/14/2019] [Indexed: 06/10/2023] Open
Abstract
OBJECTIVE Patients do not always follow medical indications. This is a public health problem, with implications in health care and costs. The objective of this study was to calculate the percentage of non-adherence of adults to the treatment prescribed in a Hospital Emergency Service ("HES") and understanding wich factors led to poor adherence so improvements can be established. METHODS Prospective observational study. Cohort of adults who attended the HES. We collected sociodemographic data, medical history, chronic treatments, diagnosis and treatment at discharge from each individual. We applied Morisky-Green test (tailor made to the HES) to asses secondary non-adherence and multivariate analysis to find a correlation with the factors studied. RESULTS We established a non-adherence of 36.6% (IC95%=30.0-43.8). Patients with chronic endocrine pathology (RR=11.2; IC95%=2.1-60.8), diagnosed with ophthalmological problems (RR=9.8; IC95%=1.1-89.6) or contusions, sprains or fractures (RR=2.9; IC95%=1.1- 7.8), those who were prescribed antibiotics (RR=5.4; IC95%=2.4-11.9), or those who considered that they had received sufficient explanations (RR=3.5; IC95%=1.0-13.2) were more adherent. Those who received analgesics or anti-inflammatories were less adherent (RR=0.4; IC95%=0.2-0.9). CONCLUSIONS Our results provide information on adherence in acute pathologies in the emergency department. Diabetes and ophthalmological problems or trauma are predictors of increased adherence. We observe more adherence in people with antibiotic treatments, although 20% did not complete treatment. There is a lack of adherence to analgesic/anti-inflammatory treatments. We consider it is important for professionals to take into account patient´s concerns about the medication. Patients who considered they had received enough explanations on their treatment were more adherent tan others. We believe it would be useful to provide further information about the outcomes of the medication we prescribe using new technologies such as mobile applications so we could increase adherence. Further studies would be needed to asses the benefit of the changes recently introduced (electronic hisory and prescription).
Collapse
Affiliation(s)
- Rebeca González Peredo
- Hospital Sierrallana (Cantabria). Servicios de Urgencias y Cardiología. Observatorio de Salud Pública de Cantabria (OSPC). Grupo de Investigación de Epidemiología, Salud Pública y Urgencias. Torrelavega. España
- Institut d'Investigació Sanitària Pere Virgili. Reus. España
| | - María de Los Dolores Prieto Salceda
- Hospital Sierrallana (Cantabria). Servicios de Urgencias y Cardiología. Observatorio de Salud Pública de Cantabria (OSPC). Grupo de Investigación de Epidemiología, Salud Pública y Urgencias. Torrelavega. España
- Institut d'Investigació Sanitària Pere Virgili. Reus. España
| | - Isabel María Incera Alvear
- Hospital Sierrallana (Cantabria). Servicios de Urgencias y Cardiología. Observatorio de Salud Pública de Cantabria (OSPC). Grupo de Investigación de Epidemiología, Salud Pública y Urgencias. Torrelavega. España
- Institut d'Investigació Sanitària Pere Virgili. Reus. España
| | - Fernando Fernández Díaz
- Hospital Sierrallana (Cantabria). Servicios de Urgencias y Cardiología. Observatorio de Salud Pública de Cantabria (OSPC). Grupo de Investigación de Epidemiología, Salud Pública y Urgencias. Torrelavega. España
- Institut d'Investigació Sanitària Pere Virgili. Reus. España
| | - Luis Campos Caubet
- Hospital Sierrallana (Cantabria). Servicios de Urgencias y Cardiología. Observatorio de Salud Pública de Cantabria (OSPC). Grupo de Investigación de Epidemiología, Salud Pública y Urgencias. Torrelavega. España
- Institut d'Investigació Sanitària Pere Virgili. Reus. España
| | - Esther Crespo Hualde
- Hospital Sierrallana (Cantabria). Servicios de Urgencias y Cardiología. Observatorio de Salud Pública de Cantabria (OSPC). Grupo de Investigación de Epidemiología, Salud Pública y Urgencias. Torrelavega. España
- Institut d'Investigació Sanitària Pere Virgili. Reus. España
| | - Ángel García-Lago Sierra
- Hospital Sierrallana (Cantabria). Servicios de Urgencias y Cardiología. Observatorio de Salud Pública de Cantabria (OSPC). Grupo de Investigación de Epidemiología, Salud Pública y Urgencias. Torrelavega. España
- Institut d'Investigació Sanitària Pere Virgili. Reus. España
| | - Pilar Ortiz Oficialdegui
- Hospital Sierrallana (Cantabria). Servicios de Urgencias y Cardiología. Observatorio de Salud Pública de Cantabria (OSPC). Grupo de Investigación de Epidemiología, Salud Pública y Urgencias. Torrelavega. España
- Institut d'Investigació Sanitària Pere Virgili. Reus. España
| |
Collapse
|