[Prevalence of miss triage and outcomes under triage of patients in emergency department]

Introduction: To achieve the most suitable treatment, triage is essential for the first clinical evaluation and classifying all patients referring to the emergency department. Accurate and rapid triage of patients is the key to a successful performance of emergency departments. This study aimed to determine prevalence of miss triage and outcomes under triage of patients in emergency department

Materials and Methods: In this descriptive study, a total of 300 files were randomly selected among patients referred to the emergency department of the hospitals that are educationally related to the Shahid Beheshti University of Medical Sciences where [Emergency Severity Index][ESI] was actively implemented. Data was collected by demographics information and triage form based on triage algorithm [Emergency Severity Index]. To determine the validity, face validity and reliability of the ESI was measured by inter-rater observation [0.85]

Data were analyzed by SPSS/17

Findings: The under triage of 23.7% and over triage of 11.7% were assessed in the research. The largest amount of under triage was at the ESI level 3. Dying risk of under triage [with 95%] was 3.2 times higher than accurate triage and over triage. In addition, there was no meaningful statistical difference for the average period of hospitalization [P=0.77], duration of hospitalization at the emergency department [P=0.50] and waiting time for the initial examination [P=0.39] by the emergency physician in triage group comparing the under triage group

Conclusion: Findings showed that the degree of miss triage is higher than the acceptable threshold and doing an accurate triage or along with miss triage doesn't have any impacts on the timing indicators

[Effect of self care education on knowledge, performance and readmission of heart failure patients admitted in city hospitals of Ardabil]

Introduction: Heart failure, one of the most common chronic diseases and major causes of mortality in the world with high prevalence of progressive with hospital admissions are unpredictable. Self care one important aspect of treatment in patients with heart failure. Self-care education, is necessary part of the comprehensive plan of care for patients during hospitalization to be exposed. This study aimed to determine the effect of educational interventions on knowledge, performance and readmission in heart failure patients was conducted in Ardabil

Methods: This randomized clinical trial, a total of 44 samples from patients with heart failure hospitalization Sabalan and Emam Khomeini [RA] Ardabil gradual sampling were selected randomly in two groups case [n=22] and control [n=22] were studied. Patient groups, for four 20-minute sessions were trained by the researcher. Data from the questionnaires and during interviews with patients before and after the intervention were collected

Results: Data using SPSS version 16 software and using descriptive statistics and chi-square, independent t-test and the paired t-test were analyzed. Results indicate that after training, mean knowledge score in case group 89.60 +/- 5.95 in control group 62.47 +/- 8.84, mean performance score in case group 80.75 +/- 3.7 in control group 54.78 +/- 6.24, readmission rates in case group 15.8 with a mean and standard deviation of 1 +/- 0.15 and in control group 42.1 percent with a mean and standard deviation of 1.37 +/- 0.37 based on independent t-test mean knowledge and performance with P=0.0001 in the two groups had significant differences, but the amount Readmission Based on independent t-test with P>0.05 is not significant

Conclusion: The findings of this study indicate that educational programs implemented to promote awareness, self-care behaviors and decrease readmission of patients is effective. Therefore, planning authorities and health team members and provide educational services to patients with a purpose Improve self care behaviors can be largely prevented the readmission of patients and obviously it helped the family economy and society will and obviously it helped the family economy and society will And recommended the education of the patient privacy and the privacy will be respected

[Physiologic indices of patients before, during and after visit in coronary care unit at Imam Khomeini hospital in Ardebil]

Visit is an essential issue in hospitals and of patients' basic needs in coronary care units [CCUs]. However, there is no evidence regarding its physiologic effects on them. The aim of this was to determine the physiologic indexes of patients before, during and after visit at CCU of Imam Khomeini Hospital in Ardebil. In this descriptive study, 50 patients with acute myocardial infarction were selected through convenience sampling method. A questionnaire and a cardiac monitoring device were used for data collection. Content method and calibration the device were used for validity and reliability of the tools respectively. ANOVA with repeated measurements was used for data analysis. 72% of patients was male and 28% was female. Their mean age was 59.8. Significant differences were found between systolic, diastolic and mean arterial pressures; heart as well as respiratory rates; temperature; and oxygen saturation before, during and after the visits. Accordingly, the indexes increased significantly by the start of visits and turned back to the previous state after them with no significant difference in before-after amounts. It seems that the physiologic indices of patients change in normal range during visits and return to their primary state after 30 minutes from the end of visits with no clinical importance