cabaltera-de guzman / madrid francisco /leo / panela / ramirez / villar beltran / dominguez / de...
TRANSCRIPT
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EMERGENCY ROOMJULY 2014 Census
CABALTERA-DE GUZMAN / MADRIDFRANCISCO /LEO / PANELA / RAMIREZ / VILLARBELTRAN / DOMINGUEZ / DE VERA / OESWADI /TSAI
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Total Triaged Patients(N = 1,463)
Emergency Room
792 54.13%
OPD 630 43.06
HAMA 10 0.68%
THOC 27 1.84%
Absconded 1 0.062%
DOA 3 0.21%
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Comparison of number of triaged patients from MAY to JULY 2014
TOTA
L
Emer
genc
y Roo
m
THOC
HAMA
Absc
onde
d
DOA 0
100
200
300
400
500
600
700
800
900
MAYJUNEJULY
13-14%
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ER Admissions (N=792 )
TotalPercentag
e
Discharged from the ER• SSU• Drop-in Consults
613159454
77.40%20.08%
57.32%
Transferred to Wards 131 16.54%
NICU 6 0.76%
RICU 15 1.89%
Transfer to Other Hospital
14 1.77%
HAMA 5 0.63%
DOA 3 0.38%
Mortality 5 0.63%
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Top 10 ER Cases JUNE 2014 vs JULY 2014 (N=792)
JUNE 2014 % JULY 2014 %
1. Acute Gastroenteritis 67 9.72% 1. Acute Gastroenteritis 87 10.98%
2. Pneumonia 53 7.69% 2. Pneumonia 61 7.70%
3. Febrile Convulsions 33 4.79% 3. Upper Respiratory Tract Infection 53 6.69%
4. Systemic Viral Illness 32 4.64% 4. Non-specific Viral Infection (NSVI) 33 4.17%
5. Leukemia 29 4.21% 5. Urinary Tract Infection 29 3.66%
6. Seizure (LRE, Generalized Epilepsy) 28 4.06% 6. Acute Tonsillo Pharyngitis 28 3.54%
7. Upper Respiratory Tract Infection 21 3.05% 7. Bronchial Asthma 26 3.28%
8. Bronchial Asthma 19 2.76% 8. Dengue Hemorrhagic Fever 17 2.15%
9. Urinary Tract Infection 16 2.32% 9. Benign Febrile Convulsion 16 2.02%
10. Acid-related Disease 14 2.03% 10. Traumatic Brain Injury 16 2.02%
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Top 10 ER ADMISSIONS and Drop-inDrop in (N=454) % Admission %
1. AGE 67 5.63% 1. Pneumonia 29 8.58%
2. URTI 53 4.45% 2. Acute Gastroenteritis 20 5.92%3. Non-specific Viral Infection (NSVI) 33 2.77% 3. DHF 17 5.03%
4. Pneumonia 32 2.69% 4. Neonatal sepsis 12 3.55%
5. Urinary Tract Infection 29 2.44% 5. Seizure Disorder 12 3.55%6. Acute Tonsillo Pharyngitis 28 2.35% 6. Febrile neutropenia 11 3.25%
7. Bronchial Asthma 21 1.76% 7 . Acute Leukemia 8 2.37%8. Benign Febrile Convulsion 16 1.34% 8. Acute glomerulonephritis 8 2.37%9. Traumatic Brain Injury Mild 16 1.34% 9. Abcess 6 1.78%
10. Acid Related Disease 14 1.18% 10. Bronchial Asthma 5 1.48%
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Number of Hours of ER Stay
Time in ER Time in ER <1hr 296 14-15 31-2hr 120 15-16 62-3hr 84 16-17 53-4hr 62 17-18 44-5hr 54 18-19 45-6hr 38 19-20 26-7hr 18 20-21 27-8hr 7 21-22 58-9hr 12 22-23 3
9-10hr 9 23-24 210-11hr 5 >24hr 611-12hr 7 >48h 412-13hr 9 >72hr 213-14 2
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Number of Hours of ER Stay
July 2014
Mean 14.78 HR
Median 13-14 HR
Mode <1 HR
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Transferred to NICU
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NICU ADMISSIONS (N=6)NAME AGE DATE
ADMITTED
No of Hours Stay
ADMITTING DIAGNOSIS
RIC
Furio, Nicole 1 DOL 7/1/2014 4FT, 37-38 weeks by ballard’s
score, Appropriate for Gestational Age, Gastroschisis
De Vera
Sienes, Bb Girl 1 DOL 7/5/2014 6PT, 28 weeks by Ballard’s Score, Necrotizing Entero
Colitis Stage I De Vera
Molina, Quinn 3 wk 7/11/2014 >24FT, Neonatal Pneumonia, Abcess Left Frontal Area,
SepsisTsai
Sadje, Ponce 13 DOL 7/23/2014 15Hypovolemic Shock sec. Acute
Gastroenteritis with severe signs of Dehydration; Sepsis
Leo
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NICU ADMISSIONS (N=6)NAME AGE DATE
ADMITTED
No of Hours Stay
ADMITTING DIAGNOSIS
RIC
Antonio, Jimwell 1 DOL 7/11/2014 6 FT, 39 weeks by Ballard’s
Score, Neonatal Pneumonia Leo
Hipona, Bb Girl 5 DOL 7/27/2014 8 FT, 38 weeks by Ballard’s Score, Omphalocele De Vera
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Transferred to RICU
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RICU ADMISSIONS (N=15)
Name Age/Sex
Date Hours Of Stay
Admitting Diagnosis
RIC
Viola, Arnel 1/M 7/1/2014 3 PCAP D, Sepsis Dominguez
Alvarez, Diefer 13/M 7/8/14 5 DKA, Severe; DM Type 1
poorly controlled Tsai
Balocating, Kristine 1/F 7/13/14 2 DHF III De Vera
Elino, Ariela 2mo/F 7/22/24 6Aspiration Pneumonia, CHD, cyanotic probably
Tetralogy of FallotTsai
Mendoza, Justine 10/M 7/14/14 1 DSS III De Vera
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RICU ADMISSIONS (N=15)
Name Age/Sex
Date Hours Of Stay
Admitting Diagnosis
RIC
Alvero, Alianna 5 mo/F 7/11/14 12 PCAP D Dominguez
Dela Cruz, Rowell 6/M 7/17/14 18
Status Epilepticus probably secondary to
CNS infectionTsai
Ceriola, Angel 14/F 7/17/14 2 DSS III Leo
Fuentes, Junila 16/F 7/21/14 4 Status Asthmaticus De Vera
Lanang, Precious 11/F 7/23/14 2 DSS IV Dominguez
Unabia, Raven 16/M 7/24/14 2 DSS III Leo
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RICU ADMISSIONS (N=15)
Name Age/Sex
Date Hours Of Stay
Admitting Diagnosis
RIC
Bacarro, Lanour Jay 12/M 7/2/14 2 DHF III Panela
Yacub, Jian 2mos/m 7/22/14 6 Aspiration Pneumonia Severe Ramirez
Lorete, Gener 11/M 7/16/14 3 DHF III Dominguez
Maninding, Ma. Alexa 9/F 7/23/14 3 DSS III Oeswadi
Masangcay, John 1mo/M 7/30/14 10 Pneumonia, Severe Beltran
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Mortalities
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NAME
AGE/SEX
DATE
Hours of Stay
Admitting Diagnosis
Final Diagnosis RIC
JJ 11 yo/M
07/08
10 hours
PCAP D, Severe Sepsis, Hypertensive encephalopathy probably sec to Acute glomerulonephritis
Multiple Organ Dysfunction (Acute respiratory distress syndrome, Disseminated intravascular coagulopathy, Acute kidney Injury)
Dr. Panela
AT 11 mo/M
07/11
12 hours
PCAP DCongenital Heart Disease, acyanotic probably VSD in failure
High output heart failure secondary to severe anemiasecondary to:1. chronic illness2. Severe malnutritionPCAP DCongenital Heart Disease, DORV, VSD, PS, Moderate pericardial effusion
Dr. Dominguez
MORTALITIES (N =5)
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NAME
AGE/SEX
DATE Hours of Stay
Admitting Diagnosis
Final Diagnosis RIC
BB NB 07/14 43 hrs
Preterm, 32-33 BS, Respiratory Distress Syndrome vs Neonatal pneumonia
Preterm, 32-33 wks BS, Septic Shock, Neonatal Pneumonia
Dr. De Vera
HT 5 mo /F
07/22 4 hours
PCAP D, Biliary Atresia
PCAP D, Biliary Atresia Dr. Ramirez
BR 6mo /F
07/19 15 hrs
Choledochal Cyst, Type 1 s/p Excision, with some signs of dehydration
MODS (DIC< AKI prerenal), septic shock sec to ascending cholangitis, bile peritonitis, decompensated liver cirrhosis sec to choledocal cyst
Dr. Oeswadi
MORTALITIES (N =5)
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DEAD ON ARRIVAL
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DEAD ON ARRIVAL(N=3)
NAME AGE/SEX DATE RIC
Soriano, Andrei 7/M 7/1/2014 Dr. De Vera
David, Sean 2m/M 7/25/14 Dr. Ramirez
Ramos, Adrian 6m/M 7/24/14 Dr. Beltran
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Coordinated Transfer
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Coordinated (N=14)
NAME DATEHours
of Stay
Admitting Diagnosis RIC
Hospital
Abilong, Princess
7/2 40 TBI sec Epidural Hematoma
Tsai JRMMC
Esguerra, baby Boy
7/2 35Late Preterm 36-37 weeks AGA,
SepsisOeswadi QCGH
Mata, Baby Girl
7/4 17h FT, Neonatal Pneumonia
Dominguez
RMC
Espiller, Eunice
7/4 22h FT, Neonatal Sepsis
Dominguez
QCGH
Seranza, Ariane
7/5 56 CNS infection, subdural Effusion
Tsai RMC
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Coordinated (N=14)
NAME DATEHours
of Stay
Admitting Diagnosis RIC
Hospital
Sanosa, Precious
7/7 42 Bronchopneumonia
Dominguez
RMC
Salamangue
7/9 26 Incarcerated Inguinal Hernia
De Vera PGH
Francisco 7/9 18 t/c Guillain Barre Syndrome
De Vera QCHG
Balliber, John
7/9 30 Status Epilepticus
Tsai QCGH
Tica, Lee 7/11 36 t/c CNS infection (TB Meningitis)
De Vera QCGH
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Coordinated (N=14)
NAME DATEHours
of Stay
Admitting Diagnosis RIC
Hospital
Licuanan, Christine
7/14 7t/c Dysrhythmia;
Relational Problem
Dominguez
UE
Mendoza, Justine
7/14 9 Medulloblastoma Beltran RMC
Vergara, Daryl
7/14 15 Intracranial Mass Oeswadi RMC
Alam, Rose
7/24 24 Neonatal Tetanus t/c CNS infection
Beltran SLH
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THANK YOU