Defining and Treating "Problem Patients" in a Hospital Emergency Room
Bibliographic Data
| ID | 9100271 |
|---|---|
| Authors | James M Mannon (DePauw University, corresponding author) |
| Year | 1976 |
| Volume | 15 |
| Issue | 12 |
| Pages | 1004-1013 |
| Publication date | 1976-12-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-197612000-00004 |
| PMID | 1004034 |
| OpenAlex | W2032905186 |
| Language | EN |
| Citations received | 20 |
| References cited | 4 |
Emergency ward doctors and nurses define patients whose illnesses require prolonged and comprehensive care as threats to the mission of the ward. Data were collected by means of direct observation and interviewing of emergency ward doctors and nurses in a 600-bed hospital in the Midwestern United States. In 1973, a total of 270 hours of observational data was collected as part of a larger study of emergency ward social organization. In a setting specializing in emergency treatment of the acutely ill and injured, the presence of the alcoholic, the emotionally disturbed, and the mentally ill patient represent an exercise in futility for emergency ward doctors and nurses. Since these patients often present behavior problems on the ward, one way for medical staff to cope with such patients is to define these patients as management problems rather than as medical cases to be diagnosed and treated. Success or failure with management problems is no longer based on medical criteria, but upon the outcome of management activities. The most successful outcomes are those where the amount of patient's disruptive behavior and the amount of staff time and resources devoted to the patient are held to a minimum
Emergency department · Interview · Medical emergency · Observational study · Emergency and Acute Care Studies · Healthcare Decision-Making and Restraints · Medicine · Nursing · Psychiatric care and mental health services
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Credibility work and moral evaluation at the ED
Nerves, worriation, and black women
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Negotiated Discretion
Keeping out and getting in
When nurse knows best
Why must I wait?' The performance of legitimacy in a hospital emergency department
Reasonableness
Emergency department encounters’ impacts on First Nations members, families and communities
Acute illness behavior
Acute illness behavior
Narratives and gatekeeping
Ethnic Minorities and Their Health Needs
Public Emergency Room Overcrowding in the Era of Mass Imprisonment
Heavy users of an emergency department
Heavy users of an emergency department-A two year follow-up study
Heavy users of emergency services
An ecological study of the relationship between risk indicators for social disintegration and use of a somatic emergency department
Meanings of immediate
| Unique citing works | 20 |
|---|---|
| Citations per year | 0,43 |
| Citation span | 1980 - 2026 (47) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 19 |