Miriam Saliba

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OBJECTIVE The objective of this study is to determine the incidence of emergency department (ED) visits for acute allergic reactions, identify the triggers, assess the severity, evaluate the management practices, and examine patient outcomes at a single-center ED in Lebanon. PATIENTS AND METHODS A retrospective review of all patient charts presenting with(More)
BACKGROUND At teaching hospitals, radiology residents give preliminary reports for imaging studies requested from the Emergency Department (ED). Discrepancy rates between preliminary and final reports represent an important performance indicator. PURPOSE To present a system for feedback and follow-up of discrepancies, identify the variables associated(More)
The aim of this study is to determine the effectiveness of using lean management methods on improving emergency department door to doctor times at a tertiary care hospital.We performed a before and after study at an academic urban emergency department with 49,000 annual visits after implementing a series of lean driven interventions over a 20 month period.(More)
PURPOSE Hospital accreditation places emphasis on the role of health professionals in quality of patient care. Training physicians in quality and patient safety influences quality improvement efforts in healthcare. Little is known about the attitudes and knowledge of medical students towards the concepts of quality of care, patient safety and accreditation.(More)
BACKGROUND Peer evaluation is increasingly used as a method to assess physicians' interpersonal and communication skills. We report on experience with soliciting registered nurses' feedback on physicians' non-clinical performance in the ED of a large academic medical center in Lebanon. METHODS We utilized a secondary analysis of a de-identified database(More)
BACKGROUND Emergency Department overcrowding has become a global problem and a growing safety and quality concern. Radiology and laboratory turnaround time, ED boarding and increased ED visits are some of the factors that contribute to ED overcrowding. Lean methods have been used in the ED to address multiple flow challenges from improving door-to-doctor(More)
STUDY OBJECTIVE To develop a competency model for emergency physicians from the perspective of nurses, juxtapose this model with the widely adopted Accreditation Council for Graduate Medical Education (ACGME) model, and identify competencies that might be unique to the nurses' perspective. METHODS The study relied on secondary data originally collected as(More)
RESUMEN Antecedentes: se ha planteado la hipótesis de que los pacientes con esquizofrenia emplean la nicotina para reducir los síntomas negativos de su enfermedad y para mejorar su función cognitiva; sin embargo, no existe evidencia concluyente en la literatura sobre el vínculo entre el consumo de nicotina y la disminución de los síntomas negativos de la(More)
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