8 results on '"Moura, Bruna Roberta Siqueira"'
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2. Factors Associated With Interhospital Transfer of Trauma Victims
- Author
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Viel, Isabelle Lauria, Moura, Bruna Roberta Siqueira, Martuchi, Sérgio Dias, and de Souza Nogueira, Lilia
- Published
- 2019
- Full Text
- View/download PDF
3. Evaluation of triage quality in the emergency department: a scoping review protocol
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Jesus, Ana Paula Santos de, Vilanova, Vanessa Cordeiro, Coifman, Alyne Henri Motta, Moura, Bruna Roberta Siqueira, Nishi, Fernanda Ayache, Pedreira, Larissa Chaves, Batista, Ruth Ester Assayag, and Cruz, Diná de Almeida Lopes Monteiro da
- Published
- 2019
- Full Text
- View/download PDF
4. Rapid triage performed by nurses: Signs and symptoms associated with identifying critically ill patients in the emergency department
- Author
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Moura, Bruna Roberta Siqueira, primary, Oliveira, Gabriella Novelli, additional, Medeiros, Giuliana, additional, Vieira, Alexandre de Souza, additional, and Nogueira, Lilia de Souza, additional
- Published
- 2021
- Full Text
- View/download PDF
5. Performance of the rapid triage conducted by nurses at the emergency entrance
- Author
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Moura, Bruna Roberta Siqueira and Nogueira, Lilia de Souza
- Subjects
Emergency Medical Services ,Eficiência ,Gravidade do Paciente ,Patient Acuity ,Enfermagem ,Nursing ,Efficiency ,Triagem ,Serviços Médicos de Emergência ,Servicios Médicos de Urgencia ,Eficiencia ,Urgencias Médicas ,Emergências ,Enfermería ,Triage ,Emergencies ,Gravedad del Paciente ,Triaje - Abstract
Objetivo: comparar o desempenho da triagem rápida realizada pelos enfermeiros na porta de emergência e do Sistema Manchester de Classificação de Risco (SMCR) na identificação do nível de prioridade de atendimento dos pacientes de demanda espontânea e predição de variáveis relacionadas à internação hospitalar. Método: estudo transversal realizado em um Pronto Socorro (PS) de hospital universitário em São Paulo. Os níveis de prioridade estabelecidos na triagem rápida realizada pelos enfermeiros foram alta prioridade (pacientes de demanda espontânea direcionados à sala de emergência) ou baixa prioridade (aqueles encaminhados ao fluxo habitual da instituição). Medidas de acurácia diagnóstica foram calculadas para avaliar o desempenho dos índices. Resultados: dos 173 pacientes (52,0% sexo feminino; idade média 60,4±21,2 anos) avaliados, observou-se que a triagem rápida foi mais inclusiva para alta prioridade e apresentou melhor sensibilidade e pior especificidade do que o SMCR. A probabilidade de pacientes não graves serem admitidos na observação da emergência foi menor pela triagem rápida. Para a predição das outras variáveis, os sistemas apresentaram resultados insatisfatórios. Conclusão: os enfermeiros superestimaram a classificação de pacientes como alta prioridade e a triagem rápida obteve melhor desempenho que o SMCR na predição de admissão na sala de observação do PS. Objective: to compare the performance of the rapid triage conducted by nurses at the emergency entrance and of the Manchester Triage System (MTS) in identifying the priority level of care for patients with spontaneous demand and predicting variables related to hospitalization. Method: a cross-sectional study carried out in an Emergency Department (ED) of a university hospital in São Paulo. The priority levels established in the rapid triage performed by nurses were high priority (patients of spontaneous demand directed to the emergency room) or low priority (those referred to the institution’s usual flow). Diagnostic accuracy measures were calculated to assess the performance of the indexes. Results: of the 173 patients (52.0% female, with mean age of 60.4 ± 21.2 years old) evaluated, it was observed that rapid triage was more inclusive for high priority and had better sensitivity and worse specificity than the MTS. The probability of non-severe patients being admitted to the emergency observation unit was lower due to the rapid triage. For the prediction of the other variables, the systems presented unsatisfactory results. Conclusion: the nurses overestimated the classification of patients as high priority, and rapid triage performed better than MTS in predicting admission to the emergency observation unit. Objetivo: comparar el desempeño del triaje rápido realizado por el personal de enfermería en la puerta de emergencias y del Manchester Triage System (MTS) al identificar el nivel de prioridad de atención a los pacientes de demanda espontánea y la predicción de las variables relacionadas con la internación. Método: estudio transversal realizado en un Servicio de Emergencias (SE) de un hospital universitario de São Paulo. Los niveles de prioridad establecidos en el triaje rápido realizado por los enfermeros fueron de alta prioridad (pacientes de demanda espontánea dirigidos a la sala de emergencias) o de baja prioridad (los remitidos al flujo habitual de la institución). Se calcularon medidas de exactitud diagnóstica para evaluar el desempeño de los índices. Resultados: de los 173 pacientes (52,0% mujeres; edad promedio 60,4±21,2 años) evaluados, se observó que el triaje rápido fue más inclusivo en casos de alta prioridad y presentó mejor sensibilidad y peor especificidad que el MTS. La probabilidad de que los pacientes no graves fueran admitidos en el área de observación del servicio de emergencias fue menor gracias al procedimiento de triaje rápido. En cuanto a la predicción de las demás variables, los sistemas presentaron resultados no satisfactorios. Conclusión: los enfermeros sobrestimaron la clasificación de los pacientes como alta prioridad y el triaje rápido obtuvo un mejor desempeño que el MTS para predecir el ingreso en la sala de observación del SE.
- Published
- 2020
6. Rapid triage performed by nurses: Signs and symptoms associated with identifying critically ill patients in the emergency department.
- Author
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Moura, Bruna Roberta Siqueira, Oliveira, Gabriella Novelli, Medeiros, Giuliana, Vieira, Alexandre de Souza, and Nogueira, Lilia de Souza
- Subjects
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MEDICAL triage , *HOSPITAL emergency services , *NURSING , *NEUROLOGICAL disorders , *PAIN , *CRITICALLY ill , *CROSS-sectional method , *PATIENTS , *QUANTITATIVE research , *HOSPITAL nursing staff , *DESCRIPTIVE statistics , *RESEARCH funding , *ODDS ratio , *DATA analysis software , *RECEIVER operating characteristic curves , *CONSCIOUSNESS , *PERFUSION - Abstract
Aim: Aim of this study is to identify signs and symptoms associated with identifying critically ill patients by rapid triage assessment performed by nurses in an emergency department. Background: In some emergency services, the immediate assessment of critically ill patients occurs before opening the hospital formal registration and it is based on the nurse's experience. Studies on the topic are essential to improve this process. Design This is a cross‐sectional, quantitative study. Methods: This study was conducted in a Brazilian emergency department in 2017. Adult patients who presented potentially life‐threatening symptoms underwent rapid triage to determine the medical urgency. Those identified as being critically ill were classified as high priority and streamed to the emergency room. Results: A total of 154 (84.6%) patients were classified as high priority from the total of 182 evaluations. Altered state of consciousness (35.2%) and altered skin perfusion (25.3%) were frequently identified. Signs and symptoms associated with identifying critically ill patients by rapid triage were alterations in ventilation (OR 6.09; p = 0.028), neurological dysfunction (OR 44.96; p < 0.001) and pain (OR 5.80; p = 0.004). Conclusion: Nurses should value neurological and ventilation alterations and pain in patients during rapid triage, since these signs and symptoms are associated with high care priority. Summary statement: What is already known about this topic? Research carried out in different countries highlights the importance of triage and risk classification systems, especially in the context of overcrowding in the emergency department.The time that a critically ill patient waits to receive effective treatment is one of the most significant predictors of unsatisfactory clinical outcomes.There are very few studies which have utilized a simple quick‐look method of triage in relation to other studies which commonly used a five‐level triage system in the emergency department. What this paper adds? In this study, we analysed the rapid triage performed by emergency nurses of patients' self‐reporting severe complaints in the emergency department.The results showed that some signs and symptoms identified by nurses during the rapid triage were associated with identifying critically ill patients in the emergency department.Knowing characteristics of rapid triage is essential to direct strategies for improvement in the early and safe identification of critically ill patients who seek care in the emergency service, enhancing the chances of survival. The implications of this paper for practice: Emergency nurses must remain vigilant for acute alterations in patient neurological, respiratory and pain status, as these may potentially herald critical illness and poor patient outcomes.Early detection of patients with critically illness optimizes utilization of finite resources and stabilizes care flows. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
7. Type of admission and nursing workload of critical patients: a cross‐sectional study
- Author
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Romano, Juliana Lemos, primary, Garcia, Paulo Carlos, additional, Silva, Daniela Vieira, additional, Moura, Bruna Roberta Siqueira, additional, and Nogueira, Lilia, additional
- Published
- 2019
- Full Text
- View/download PDF
8. Performance of the rapid triage conducted by nurses at the emergency entrance.
- Author
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Moura BRS and Nogueira LS
- Subjects
- Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Emergencies, Female, Hospitalization, Humans, Male, Middle Aged, Emergency Service, Hospital, Triage
- Abstract
Objective: to compare the performance of the rapid triage conducted by nurses at the emergency entrance and of the Manchester Triage System (MTS) in identifying the priority level of care for patients with spontaneous demand and predicting variables related to hospitalization., Method: a cross-sectional study carried out in an Emergency Department (ED) of a university hospital in São Paulo. The priority levels established in the rapid triage performed by nurses were high priority (patients of spontaneous demand directed to the emergency room) or low priority (those referred to the institution's usual flow). Diagnostic accuracy measures were calculated to assess the performance of the indexes., Results: of the 173 patients (52.0% female, with mean age of 60.4 ± 21.2 years old) evaluated, it was observed that rapid triage was more inclusive for high priority and had better sensitivity and worse specificity than the MTS. The probability of non-severe patients being admitted to the emergency observation unit was lower due to the rapid triage. For the prediction of the other variables, the systems presented unsatisfactory results., Conclusion: the nurses overestimated the classification of patients as high priority, and rapid triage performed better than MTS in predicting admission to the emergency observation unit.
- Published
- 2020
- Full Text
- View/download PDF
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