Browsing by Author "Berben, S.A.A."

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Samen beslissen in de ambulancezorg!? Het patiëntenperspectief bij mobiel zorgconsult
Gort, M. ; Berben, S.A.A. ; Vloet, L.C.M.
2022, Article / Letter to editor (Vakblad V&VN Ambulancezorg, iss. 2022, (2022), pp. 46-47)
The quality of pre-announcement communication and the accuracy of estimated arrival time in critically ill patients, a prospective observational study
Maris, M. ; Berben, S.A.A. ; Verhoef, W. ; Grunsven, P. van ; Tan, E.
2022, Article / Letter to editor (BMC Emergency Medicine, (2022))BACKGROUND: Efficient communication between (helicopter) emergency medical services ((H)EMS) and healthcare professionals in the emergency department (ED) is essential to facilitate appropriate team mobilization and preparation for critically ill patients. A correct estimated time of arrival (ETA) is crucial for patient safety and time-management since all team members have to be present, but needless waiting must be avoided. The aim of this study is to investigate the quality of the pre-announcement and the accuracy of the ETA. METHODS: A prospective observational study was conducted in potentially critically ill/injured patients transported to the ED of a Level I trauma center by the (H)EMS. Research assistants observed time slots prior to arrival at the ED and during the initial assessment, using a stopwatch and an observation form. Information on the pre-announcement (including mechanisms of injury, vital signs, and the ETA) is also collected. RESULTS: One hundred and ninety-three critically ill/injured patients were included. Information in the pre-announcement was often incomplete; in particular vital signs (86%). Forty percent of the announced critically ill patients were non-critical at arrival in the ED. The observed time of arrival (OTA) for 66% of the patients was later than the provided ETA (median 5:15nmin) and 19% of the patients arrived sooner (3:10nmin). Team completeness prior to the arrival of the patient was achieved for 66% of the patients. CONCLUSIONS: The quality of the pre-announcement is moderate, sometimes lacking essential information on vital signs. Forty percent of the critically ill patients turned out to be non-critical at the ED. Furthermore, the ETA was regularly inaccurate and team completeness was insufficient. However, none of the above was correlated to the rate of complications, mortality, LOS, ward of admission or discharge location.
Gezondheidstoestand van ambulancezorgprofessionals in Nederland na 2 jaar COVID-19
Oosterhuis, M.M.E. ; Vloet, L.C.M. ; Hoefnagel, J. ; Knol, M. ; Schepens, E. ; Berben, S.A.A. ; Ebben, R.H.A.
2022, Article / Letter to editor (Nederlands Tijdschrift voor Bachelor Medisch Hulpverleners, iss. november 2022, (2022), pp. 41-43)
Safe -End studie. Ontwikkeling van het protocol Wegraking en redeneerhulp Syncope binnen de ambulancezorg
Ort, B. ; Vloet, Lilian ; Goosselink, B. ; Zanstra, M. ; Caminada, K. ; Eikendall, T. ; El Yattioui, M. ; Ebben, R.H.A. ; Berben, S.A.A.
2022, Article / Letter to editor (Vakblad V&VN Ambulancezorg, vol. 2022, iss. september 2022, (2022), pp. 42-45)
The updated national research agenda 2021-2026 for prehospital emergency medical services in the Netherlands: a Delphi study
Vloet, L.C.M. ; Hesselink, G. ; Berben, S.A.A. ; Hoogeveen, M. ; Rood, P. ; Ebben, R.H.A.
2021, Article / Letter to editor (Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, (2021))
Quality of solo ambulance care by physician assistants versus ambulance nurses for non-conveyed patients in the Netherlands: An observational study [version 1; peer review: awaiting peer review]
Vloet, L.C.M. ; Winterink, D. ; Gerritsen, A ; Heutz, W. ; Van Zonneveld, T. ; Berben, S.A.A. ; Ebben, R.H.A.
2021, Article / Letter to editor (F1000research, vol. 10, iss. 357, (2021))
Types, characteristics and anatomic location of physical signs in elder abuse: a systematic review Awareness and recognition of injury patterns
Houten, ME van ; Vloet, L.C.M. ; Pelgrim, T. ; Reijnders, UJL ; Berben, S.A.A.
2021, Article / Letter to editor (European Geriatric Medicine, (2021))Purpose Elder abuse is a worldwide problem with serious consequences for individuals and society. The recognition of elder abuse is complex due to a lack of awareness and knowledge. In this systematic review, types, characteristics and anatomic location of physical signs in elder abuse were identified. Methods Databases of MEDLINE, COCHRANE, EMBASE and CINAHL were searched. The publication dates ranged from March 2005 to July 2020. In addition to the electronic searches, the reference lists and citing of included articles were hand-searched to identify additional relevant studies. The quality of descriptive and mixed-methods studies was assessed. Results The most commonly described physical signs in elder abuse were bruises. The characteristics of physical signs can be categorized into size, shape and distribution. Physical signs were anatomically predominantly located on the head, face/maxillofacial area (including eyes, ears and dental area), neck, upper extremities and torso (especially posterior). Physical signs related to sexual elder abuse were mostly located in the genital and perianal area and often accompanied by a significant amount of injury to non-genital parts of the body, especially the area of the head, arms and medial aspect of the thigh. Conclusions Most common types, characteristics and anatomic location of physical signs in elder abuse were identified. To enhance (early) detection of physical signs in elder abuse, it is necessary to invest in (more) in-depth education and to include expertise from a forensic physician or forensic nurse in multidisciplinary team consultations. Key summary pointsAim Identify types, characteristics and anatomic location of physical signs in elder abuse. Findings Physical signs in elder abuse are most common bruises and anatomically predominantly located on the head, face/maxillofacial area, neck, upper extremities and torso. Message Increase knowledge on physical signs in elder abuse so as to enhance timely detection and intervention.
Medical Coordination Rescue Members' and Ambulance Nurses' Perspectives on a New Model for Mass Casualty and Disaster Management and a Novel Terror Attack Mitigation Approach in the Netherlands: A Qualitative study
Berben, S.A.A. ; Vloet, L.C.M. ; Lischer, F. ; Pieters, M. ; Cock, J. de
2021, Article / Letter to editor (Prehospital and Disaster Medicine, vol. 0, iss. 0, (2021), pp. 1-7)
Open kaart over ouderenmishandeling
Waard, L. de ; Vloet, L.C.M. ; Berben, S.A.A. ; Adriaansen, M.J.M.
2021, Article / Letter to editor (Venticare Magazine, vol. 2021, iss. okt 2021, (2021), pp. 22-27)
Triage van pijn op de borst op de huisartsenpost
Drijfholt, M.C.M. ; Vaneker, M.I.M. ; Jacobs, K.M. ; Ebben, R.H.A. ; Berben, S.A.A.
2020, Article / Letter to editor (Venticare Magazine, vol. 2020, iss. 4, (2020), pp. 52-53)
Older persons are frailer after an emergency care visit to the out-of-hours general practitioner cooperative in the Netherlands: a cross-sectional decriptive TOPICS-MDS study
Bloemhoff, A. ; Schoon, Y. ; Smulders, K. ; Akkermans, R. ; Vloet, L.C.M. ; Berg, K. v.d. ; Berben, S.A.A.
2020, Article / Letter to editor (BMC Family Practice, vol. 21, (2020))
De zorg van morgen begint vandaag. Ontwikkeling van een vernieuwd onderwijsprogramma gericht op personen met verward gedrag in de keten van de acute hulpverlening.
Baarslag, B. ; Vloet, L.C.M. ; Vroom, S. de ; Berben, S.A.A. ; Ebben, R.H.A.
2020, Article / Letter to editor (Onderwijs en Gezondheidszorg, vol. 2020, iss. 6, (2020), pp. 21-24)
E-bikers op de SEH; (meestal) Niet levensbedreigend, wel levensbeperkend. Interview met Berben S. Vloet L.
De Waart, L. ; Vloet, L.C.M. ; Berben, S.A.A.
2020, Article / Letter to editor (Venticare Magazine, iss. april 2020, (2020), pp. 22-25)
Eerste Hulp Geen Vervoer en NTS
Goosselink, B. ; Theunissen, V.H.A. ; Hanekamp, A. ; Bevelander, T. ; Ebben, R.H.A. ; Vloet, L.C.M. ; Berben, S.A.A.
2020, Article / Letter to editor (Vakblad V&VN Ambulancezorg, vol. juni 2020, iss. 2, (2020), pp. 30-35)
EHGV. Eerste Hulp Geen Vervoer. Een onderzoek naar de bruikbaarheid van de NTS fysieke triage module
Goosselink, B. ; Theunissen, v. ; Hanekamp, A. ; Bevelander, T. ; Ebben, R.H.A. ; Vloet, L.C.M. ; Berben, S.A.A.
2020, Article / Letter to editor (Dé Verpleegkundig Specialist, vol. 15, iss. 4, (2020))
Zorgcontacten van ouderen in de acute-zorgketen. Een retrospectieve cohortstudie vanuit de Monitor Acute Zorgketen
Berben, S.A.A. ; Bloemhoff, A. ; Habets, K.C.F. ; Liefers, J. ; Hensens, C.J.M. ; Grunsven, P.M. van ; Schoon, Y. ; Berg, H.A.M. van den
2019, Article / Letter to editor (Nederlands Tijdschrift voor Geneeskunde, vol. 2019, iss. 163, (2019), pp. 1-8)
Beter te laat dan te vroeg arriveren op de SEH!?
Verhoef, W. ; Berben, S.A.A. ; Maris, M. ; Tan, E.
2019, Article / Letter to editor (Vakblad V&VN Ambulancezorg, vol. 40, iss. 1, (2019), pp. 13-17)
Ouderenmishandeling signaleren in de acute zorgketen
Berben, S.A.A. ; Vloet, L.C.M. ; Caris, J.A. ; Adriaansen, M.J.M.
2019, Article / Letter to editor (TVZ : verpleegkunde in praktijk en wetenschap, vol. 2019, iss. 2, (2019), pp. 36-39)
The impact of e-bike accidents and changing values of older patients in the Netherlands, a qualitative study
Berben, S.A.A. ; Oerlemans, A.J.M. ; Sleegers, R.H.J.J. ; Tan, E. ; Brants, A. ; Edwards, Michael ; Olthuis, G. ; Vloet, L.C.M.
2019, Article in monograph or in proceedings (EUSEM 2019)
Hoe denken ambulancezorgprofessionals en stakeholders over de doorontwikkeling van de huidige urgentie-indeling
Ebben, R.H.A. ; Hesselink, G. ; Duin, T. van ; Berben, S.A.A. ; Vloet, L.C.M.
2019, Article / Letter to editor (Vakblad V&VN Ambulancezorg, iss. 4, (2019), pp. 38-41)
E-bike ongeval doorkruist vrijheid van ouderen
Berben, S.A.A. ; Vloet, L.C.M.
2019, Part of book or chapter of book (Jubileum jaarboek 25 jaar Stichting Achmea slachtoffer en samenleving, pp. 98-101)
Hoe denken ambulance-zorgprofessionals en stakeholders over de doorontwikkeling van de huidige urgentie-indeling
Ebben, R.H.A. ; Hesselink, G. ; Duin, T. van ; Berben, S.A.A. ; Vloet, L.C.M.
2019, Article / Letter to editor (Vakblad V&VN Ambulancezorg, vol. 2019, iss. 4, (2019), pp. 38-41)
Verbetering opvolging richtlijnen en protocollen ambulance en SEH
Ebben, R.H.A. ; Berben, S.A.A. ; Vloet, L.C.M.
2019, Article / Letter to editor (Venticare Magazine, vol. 2019, iss. 2, (2019), pp. 44-45)
Medical Coordination Rescue Members’ and Ambulance Nurses’ Perspectives on Emergency Mass Casualty and Terrorism Preparedness in the Netherlands - A Qualitative Study
Cock, J. de ; Vloet, L.C.M. ; Berben, S.A.A.
2019, Article in monograph or in proceedings (Medical Coordination Rescue Members’ and Ambulance Nurses’ Perspectives on Emergency Mass Casualty and Terrorism Preparedness in the Netherlands - A Qualitative Study)
O, komt u voor mij?
Alkema, D. ; Wolf, L. ; Berben, S.A.A.
2018, Article / Letter to editor (Vakblad V&VN Ambulancezorg, iss. december, (2018), pp. 25-27)
Grootschalige Geneeskundige bijstand. Eerste praktijkervaringen met model GGB systematisch in kaart gebracht, een kwalitatieve studie
Paarlberg, M. ; Selman, K. ; Cock, J. de ; Lischer, F. ; Vloet, L.C.M. ; Berben, S.A.A.
2018, Article / Letter to editor (Vakblad V&VN Ambulancezorg, vol. 2018, iss. september, (2018), pp. 24-29)
Spoedeisende ambulancezorg en ouderen
Oosterwold, J. ; Berben, S.A.A.
2018, Article / Letter to editor (Vakblad V&VN Ambulancezorg, iss. december, (2018), pp. 32-35)
Factors influencing the decision to convey or not to convey elderly people to the emergency department after emergency ambulance attendance: a systematic mixed studies review
Oosterwold, J. ; Sagel, D. ; Berben, S.A.A. ; Roodbol, Petrie ; Broekhuis, M.
2018, Article / Letter to editor (BMJ Open, vol. 8, iss. 8, (2018))
A patient-safety and professional perspective on non-conveyance in ambulance care: a systematic review
Ebben, R.H.A. ; Vloet, L.C.M. ; Speijers, RF ; Tonjes, NW ; Loef, J. ; Pelgrim, T. ; Hoogeveen, M. ; Berben, S.A.A.
2017, Article / Letter to editor (Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, vol. 25, (2017))Background: This systematic review aimed to describe non-conveyance in ambulance care from patient-safety and ambulance professional perspectives. The review specifically focussed at describing (1) ambulance non-conveyance rates, (2) characteristics of non-conveyed patients, (3) follow-up care after non-conveyance, (4) existing guidelines or protocols, and (5) influencing factors during the non-conveyance decision making process. Methods: We systematically searched MEDLINE, PubMed, CINAHL, EMBASE, and reference lists of included articles, in June 2016. We included all types of peer-reviewed designs on the five topics. Couples of two independent reviewers performed the selection process, the quality assessment, and data extraction. Results: We included 67 studies with low to moderate quality. Non-conveyance rates for general patient populations ranged from 3.7%-93.7%. Non-conveyed patients have a variety of initial complaints, common initial complaints are related to trauma and neurology. Furthermore, vulnerable patients groups as children and elderly are more represented in the non-conveyance population. Within 24 h-48 h after non-conveyance, 2.5%-6.1% of the patients have EMS representations, and 4.6-19.0% present themselves at the ED. Mortality rates vary from 0.2%-3. 5% after 24 h, up to 0.3%-6.1% after 72 h. Criteria to guide non-conveyance decisions are vital signs, ingestion of drugs/alcohol, and level of consciousness. A limited amount of non-conveyance guidelines or protocols is available for general and specific patient populations. Factors influencing the non-conveyance decision are related to the professional (competencies, experience, intuition), the patient (health status, refusal, wishes and best interest), the healthcare system (access to general practitioner/other healthcare facilities/patient information), and supportive tools (online medical control, high risk card). Conclusions: Non-conveyance rates for general and specific patient populations vary. Patients in the nonconveyance population present themselves with a variety of initial complaints and conditions, common initial complaints or conditions are related to trauma and neurology. After non-conveyance, a proportion of patients reenters the emergency healthcare system within 2 days. For ambulance professionals the non-conveyance decisionmaking process is complex and multifactorial. Competencies needed to perform non-conveyance are marginally described, and there is a limited amount of supportive tools is available for general and specific non-conveyance populations. This may compromise patient-safety.
Solo emergency care by a physician assistant versus an ambulance nurse: a cross-sectional document study
Bloemhoff, A. ; Schoonhoven, Lisette ; Kreek, A.J.L. de ; van Grunsven, PM ; Laurant, M.G.H. ; Berben, S.A.A.
2016, Article / Letter to editor (Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, vol. 24, (2016))Background: This study compares the assessment, treatment, referral, and follow up contact with the dispatch centre of emergency patients treated by two types of solo emergency care providers in ambulance emergency medical services (EMS) in the Netherlands: the physician assistant (PA), educated in the medical domain, and the ambulance registered nurse (RN), educated in the nursing domain. The hypothesis of this study was that there is no difference in outcome of care between the patients of PAs and RNs. Methods: In a cross-sectional document study in two EMS regions we included 991 patients, treated by two PAs (n = 493) and 23 RNs (n = 498). The inclusion period was October 2010-December 2012 for region 1 and January 2013-March 2014 for region 2. Emergency care data were drawn from predefined and free text fields in the electronic patient records. Data were analysed using descriptive statistics. We used chi(2) and Mann-Whitney U tests to analyse for differences in outcome of care. Statistical significance was assumed at a level of P < 0.05. Results: Patients treated by PAs and RNs were similar with respect to patient characteristics. In general, diagnostic measurements according to the national EMS standard were applied by RNs and by PAs. In line with the medical education, PAs used a medical diagnostic approach (16 %, n = 77) and a systematic physical exam of organ tract systems (31 %, n = 155). PAs and RNs provided similar interventions. Additionally, PAs consulted more often other medical specialists (33 %) than RNs (17 %) (chi(2) = 35.5, P < 0.0001). PAs referred less patients to the general practitioner or emergency department (50 %) compared to RNs (73 %) (chi(2) = 52.9, P < 0.0001). Patient follow up contact with the dispatch centre within 72 h after completion of the emergency care on scene showed no variation between PAs (5 %) and RNs (4 %). Conclusions: In line with their medical education, PAs seemed to operate from a more general medical perspective. They used a medical diagnostic approach, consulted more medical specialists, and referred significantly less patients to other health care professionals compared to RNs. While the patients of the PAs did not contact the dispatch centre more often afterwards.
Screening of elderly abuse and neglect in pre-hospital ambulance and emergency nursing care
Minkhorst-Otten, C ; Landsbergen, K. ; Caris, J ; Adriaansen, M. ; Vloet, L.C.M. ; Berben, S.A.A.
2016, Article / Letter to editor (Journal of Advanced Nursing, vol. 72, (2016), pp. 97-98)
Review on pharmacological pain management in trauma patients in (pre-hospital) emergency medicine in the Netherlands
Dijkstra, BM ; Berben, S.A.A. ; van Dongen, RTM ; Schoonhoven, L
2014, Article / Letter to editor (European Journal of Pain, vol. 18, iss. 1, (2014), pp. 3-19)Pain is one of the main complaints of trauma patients in (pre-hospital) emergency medicine. Significant deficiencies in pain management in emergency medicine have been identified. No evidence-based protocols or guidelines have been developed so far, addressing effectiveness and safety issues, taking the specific circumstances of pain management of trauma patients in the chain of emergency care into account. The aim of this systematic review was to identify effective and safe initial pharmacological pain interventions, available in the Netherlands, for trauma patients with acute pain in the chain of emergency care. Up to December 2011, a systematic search strategy was performed with MeSH terms and free text words, using the bibliographic databases CINAHL, PubMed and Embase. Methodological quality of the articles was assessed using standardized evaluation forms. Of a total of 2328 studies, 25 relevant studies were identified. Paracetamol (both orally and intravenously) and intravenous opioids (morphine and fentanyl) proved to be effective. Non-steroidal anti-inflammatory drugs (NSAIDs) showed mixed results and are not recommended for use in pre-hospital ambulance or (helicopter) emergency medical services [(H)EMS]. These results could be used for the development of recommendations on evidence-based pharmacological pain management and an algorithm to support the provision of adequate (pre-hospital) pain management. Future studies should address analgesic effectiveness and safety of various drugs in (pre-hospital) emergency care. Furthermore, potential innovative routes of administration (e.g., intranasal opioids in adults) need further exploration.
Met spoed van de pijn af : De rol van de traumachirurg in pijnbehandeling op de spoedeisende hulp
Berben, S.A.A. ; Vugt, A. van ; Winkelhorst, J.
2012, Article / Letter to editor (Nederlands Tijdschrift voor Traumatologie, vol. 20, iss. 5, (2012), pp. 138-143)Pijn is de meest voorkomende klacht op de spoedeisende hulp (SEH). Dit artikel richt zich op de prevalentie van pijn en de onderbehandeling van pijn bij volwassen traumapatiënten op de SEH. Het artikel presenteert nieuwe inzichten in de pijnbehandeling, gebaseerd op een recentelijk ontwikkelde richtlijn voor pijnbehandeling bij traumapatiënten in de spoedzorgketen. Tot slot beschrijven we specifiek de rol van de traumachirurg bij de behandeling van pijn bij traumapatiënten op de SEH.
Facilitators and barriers in pain management for trauma patients in the chain of emergency care
Berben, S.A.A. ; Meijs, T. ; Schoonhoven, Lisette ; Achterberg, Theo van ; Grunsven, P.M. van
2011, Article / Letter to editor (Injury : International Journal of the Care of the Injured, vol. 43, iss. 9, (2011), pp. 1397-1402)The aim of the study is to give insight into facilitators and barriers in pain management in trauma patients in the chain of emergency care in the Netherlands. A qualitative approach was adopted with the use of the implementation Model of Change of Clinical Practice. The chain of emergency care concerned prehospital Emergency Medical Services (EMS) and Emergency Departments (EDs). We included two EMS ambulance services and three EDs and conducted five focus groups and 10 individual interviews. Stakeholders and managers of organisations were interviewed individually. Focus group participants were selected based on availability and general characteristics. Transcripts of the audio recordings and field notes were analysed in consecutive steps, based on thematic content analysis. Each step was independently performed by the researchers, and was discussed afterwards. We analysed differences and similarities supported by software for qualitative analysis MaxQDA.
Prevalence and relief of pain in trauma patients in Emergency Medical Services
Schoonhoven, Lisette ; Meijs, T. ; Berben, S.A.A. ; Vugt, A. van ; Grunsven, P.M. van
2011, Article / Letter to editor (Clinical Journal of Pain, vol. 27, iss. 7, (2011), pp. 587-592)The aim of this study was to give insight in the prevalence of pain, and the (effect of) pain management according to the national emergency medical services analgesia protocol in trauma patients in the Netherlands. The retrospective document study included adult and alert trauma patients. Data collection concerned patient characteristics, prevalence of pain, and the (effect of) pain management. Actual pain management was compared with the national emergency medical services analgesia protocol for paramedics. Pain relief was defined as a decrease on the Numeric Rating Scale. One thousand four hundred and seven trauma patients were included. A report on pain was missing in 28% of the patients (n=393), 2% of the patients (n=34) reported no pain, and the prevalence of pain was reported by 70% of the patients (n=980). Of the patients in pain, 31% (n=311) had a systematic pain assessment (Numeric Rating Scale) at the scene of accident and the median pain score was 6 (interquartile range=3 to 8). Pharmacological pain treatment was administered to 42% of the patients in pain (n=410), and consisted mainly of intravenous fentanyl. Nonpharmacological pain treatments were cleaning of wounds (n=189), and application of splints or immobilizing bandages (n=130). Pain relief on arrival in the emergency department could only be evaluated in 15% of the patients in pain (n=149).
Pijn bij trauma : Gids voor pijnbestrijding in de spoedzorg
Schoonhoven, Lisette ; Vloet, L.C.M. ; Berben, S.A.A.
2011, Book (monograph) Dit boek is een gids voor pijnbestrijding bij trauma patiënten. Verpleegkundigen in de ambulancezorg en op de spoedeisende hulp werken dagelijks met deze patiënten. De praktijkgids bundelt de wetenschappelijke kennis uit een richtlijn en promotieonderzoek op een toegankelijke manier. Helder geordend en compact geschreven behandelt deze gids alle aspecten van de zorg voor pijn bij trauma: wat is pijn, hoe kun je pijn meten en bestrijden en tot slot hoe kun je de pijnbestrijding in de spoedzorg goed organiseren? De informatie is geïllustreerd met casuïstiek en uitspraken van patiënten, verpleegkundigen en artsen. Ook is een stroomschema voor farmacologische pijnbehandeling toegevoegd. Aan het eind van de hoofdstukken zijn de aanbevelingen voor de praktijk in een kader samengevat.
Much to gain in pain. Pain management in trauma patients in prehospital and hospital based emergency care : Samenvatting proefschrift
Berben, S.A.A.
2011, Article / Letter to editor (Nederlands Tijdschrift voor Traumatologie, vol. 19, iss. 6, (2011), pp. 170-171)Adequate pijnbehandeling voor traumapatiënten is een complex probleem in de (prehospitale) spoedzorg. Het proefschrift geeft inzicht in de vroegtijdige, initiële pijnbehandeling voor evalueerbare traumapatiënten in de spoedzorg. Daarnaast wordt kennis aangereikt en is een landelijke richtlijn ontwikkeld voor pijnbehandeling bij traumapatiënten in de spoedzorgketen.
Acute pijn op de Spoedeisende Hulp : Beter behandelen
Berben, S.A.A. ; Bierens, J.J. ; Gakeer, M.I. ; Veugelers, R. ; Houser, C.M.
2010, Article / Letter to editor (Nederlands Tijdschrift voor Geneeskunde, vol. 2011, iss. 155, (2010), pp. A2241)Acute pijn komt vaak voor bij patiënten op de afdeling Spoedeisende Hulp en wordt nog steeds onderbehandeld. Herhaaldelijk meten en documenteren van pijn is essentieel voor adequate pijnbehandeling. De patiënt is richtinggevend in hoeveel analgesie nodig is. Gedurende het diagnostische proces hoort medicamenteuze pijnstilling niet te worden uitgesteld, ook niet in geval van buikpijn. Opioïden hebben een centrale rol in de behandeling van acute pijn; opiofobie is niet gerechtvaardigd. Adequate pijnbestrijding op de SEH dient zowel bij opname in het ziekenhuis als bij ontslag naar huis een effectief vervolg te krijgen.
Patient experiences regarding pain management in emergency care : A qualitative study
Kemps, H.H.L.M. ; Vruchte, te M. ; Berben, S.A.A. ; Mans, P.
2010, Article / Letter to editor (Critical Care, vol. 2010, iss. 6, (2010), pp. 16-21)Pijn is één van de meest voorkomende klachten in de spoedzorg. De behandeling van acute pijn in de spoedzorg is echter onvoldoende. Diverse zaken spelen hierbij een rol: bijvoorbeeld mythevorming, spanningsveld tussen pijnbestrijding en patiëntveiligheid tijdens spoedeisende hulp en de aanwezigheid van angst bij patiënten ten aanzien van pijnbestrijding. Daarnaast ontbreekt het veelal aan protocollen voor pijnbestrijding in de acute zorg en is er (dientengevolge) vaak sprake van tegenstrijdig handelen in de diverse schakels van de zorgketen. Het ontwikkelen van een multidisciplinaire, evidence based pijnrichtlijn voor patiënten in de spoedzorg levert antwoord op vragen en mispercepties uit de dagelijkse praktijk en draagt bij aan het verbeteren van de pijnbestrijding in de spoedzorg.
Definition of Health 2.0 and Medicine 2.0 : A systematic review
Berben, S.A.A. ; Belt, T. van de ; Schoonhoven, Lisette ; Engelen, M.M.
2010, Article / Letter to editor (Journal of Medical Internet Research, vol. 12, iss. 2, (2010), pp. e18)During the last decade, the Internet has become increasingly popular and is now an important part of our daily life. When new "Web 2.0" technologies are used in health care, the terms "Health 2.0" or "Medicine 2.0" may be used. The objective was to identify unique definitions of Health 2.0/Medicine 2.0 and recurrent topics within the definitions. A systematic literature review of electronic databases (PubMed, Scopus, CINAHL) and gray literature on the Internet using the search engines Google, Bing, and Yahoo was performed to find unique definitions of Health 2.0/Medicine 2.0. We assessed all literature, extracted unique definitions, and selected recurrent topics by using the constant comparison method.
Met spoed van de pijn af : In aantocht: multidisciplinaire richtlijn pijnbestrijding in de spoedzorg
Kemps, H.H.L.M. ; Berben, S.A.A. ; Meijs, T.
2009, Article / Letter to editor (Nursing, vol. 2009, iss. 3, (2009), pp. 33)Pijn bij traumapatiënten is een veel voorkomend probleem, waar tijdens de behandeling te weinig aandacht voor is. Dat blijkt uit onderzoek van verpleegkundig onderzoeker Sivera Berben. Samen met collega’s ontwikkelt ze een richtlijn hiervoor.

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