Assuntos
Prestação Integrada de Cuidados de Saúde/organização & administração , Medicina de Família e Comunidade/organização & administração , Hospitais Urbanos/organização & administração , Pessoas Mal Alojadas , Papel do Profissional de Enfermagem , Papel do Médico , Ocupação de Leitos , Prestação Integrada de Cuidados de Saúde/normas , Hospitais Urbanos/normas , Humanos , Tempo de Internação , Avaliação das Necessidades , Profissionais de Enfermagem , Relações Enfermeiro-Paciente , Satisfação do Paciente , Relações Médico-Enfermeiro , Padrões de Prática em Enfermagem/organização & administração , Pesquisa Qualitativa , Melhoria de Qualidade , Qualidade da Assistência à Saúde/normas , Reino UnidoRESUMO
OBJECTIVE: This study tested a hypothesized inverse correlation between the number of crisis intervention team (CIT) officers and the number of Special Weapons and Tactics (SWAT) callouts in an urban police department. METHODS: Data for the number of accrued CIT-trained officers were combined with administrative data on the number of SWAT callouts during 27 four-month intervals. RESULTS: There were no significant correlations for the relationships examined, and implementation of CIT training was not associated with a decrease in SWAT callouts. CONCLUSIONS: Although the CIT model may yield important benefits in other domains, this study found no evidence of declining SWAT utilization as the number of CIT-trained officers accrued. The absence of association is likely due to the relatively low prevalence of SWAT use and the very different nature of CIT versus SWAT responses.
Assuntos
Intervenção em Crise/educação , Emergências , Polícia/educação , Polícia/estatística & dados numéricos , População Urbana , Bases de Dados como Assunto , Educação , Georgia , Humanos , Transtornos Mentais , Gestão da SegurançaRESUMO
OBJECTIVE: We undertook this study to determine the accuracy and reliability of patient initiated blood pressure measurement and recording. METHODS: We recruited 72 women from the antenatal hypertension clinic in a university teaching hospital. All were at high risk for preeclampsia and were asked to measure and record their blood pressure three times per day at home using a validated blood pressure device with an internal memory. RESULTS: From 979 measurements taken only 28 (2.9% were inaccurate). The inaccurate readings were restricted to three women. On further questioning two women admitted that the device had been used by other family members thus making comparison with the memory impossible. Thus the true nonconcordance rate amongst participants was 1/72 (1.4%). CONCLUSIONS: We conclude that blood pressure recordings taken and documented by high-risk women at home are accurate. This allows more frequent measurements to be taken without the inconvenience of additional visits to hospital and may therefore lead to the earlier detection of preeclampsia.
