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Efficient utilization of the limited number of emergency medicine specialists and statistics related to clinical outcomes in the emergency department

OBJECTIVE: The supply of emergency medicine (EM) specialists has not been able to meet demand in the past decade. This study comparatively analyzed clinical findings to provide fundamental data to inform efficient utilization of a limited number of EM specialists. METHODS: This retrospective study i...

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Autores principales: Kwon, Jae Hyun, Sohn, Chang Hwan, Lee, Jae Ho, Oh, Bum Jin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Emergency Medicine 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5051620/
https://www.ncbi.nlm.nih.gov/pubmed/27752615
http://dx.doi.org/10.15441/ceem.15.082
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author Kwon, Jae Hyun
Sohn, Chang Hwan
Lee, Jae Ho
Oh, Bum Jin
author_facet Kwon, Jae Hyun
Sohn, Chang Hwan
Lee, Jae Ho
Oh, Bum Jin
author_sort Kwon, Jae Hyun
collection PubMed
description OBJECTIVE: The supply of emergency medicine (EM) specialists has not been able to meet demand in the past decade. This study comparatively analyzed clinical findings to provide fundamental data to inform efficient utilization of a limited number of EM specialists. METHODS: This retrospective study included 54,204 patients who visited the emergency department of a tertiary care medical center from March 1 to December 31, 2012. The experimental specialist-supervised (SS) group included patients supervised by an EM specialist, while the control specialist-on-call (SOC) group included patients attended by a senior resident of EM with an EM specialist on call. RESULTS: The mean length of stay in the emergency department was longer in the SS group than in the SOC group for all levels of severe-to-moderate (levels 1 to 3) and mild (levels 4 and 5) patient conditions (P<0.05). The mortality rate of severe-to-moderate patients in the SOC group was 1.63 times higher than that in patient in the SS group. CONCLUSION: Supervision by EM specialists significantly decreased mortality in patients with severe-to-moderate condition. Therefore, EM specialists should focus on this patient group, while training residents should concentrate on patients with relatively mild conditions.
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spelling pubmed-50516202016-10-17 Efficient utilization of the limited number of emergency medicine specialists and statistics related to clinical outcomes in the emergency department Kwon, Jae Hyun Sohn, Chang Hwan Lee, Jae Ho Oh, Bum Jin Clin Exp Emerg Med Original Article OBJECTIVE: The supply of emergency medicine (EM) specialists has not been able to meet demand in the past decade. This study comparatively analyzed clinical findings to provide fundamental data to inform efficient utilization of a limited number of EM specialists. METHODS: This retrospective study included 54,204 patients who visited the emergency department of a tertiary care medical center from March 1 to December 31, 2012. The experimental specialist-supervised (SS) group included patients supervised by an EM specialist, while the control specialist-on-call (SOC) group included patients attended by a senior resident of EM with an EM specialist on call. RESULTS: The mean length of stay in the emergency department was longer in the SS group than in the SOC group for all levels of severe-to-moderate (levels 1 to 3) and mild (levels 4 and 5) patient conditions (P<0.05). The mortality rate of severe-to-moderate patients in the SOC group was 1.63 times higher than that in patient in the SS group. CONCLUSION: Supervision by EM specialists significantly decreased mortality in patients with severe-to-moderate condition. Therefore, EM specialists should focus on this patient group, while training residents should concentrate on patients with relatively mild conditions. The Korean Society of Emergency Medicine 2016-03-31 /pmc/articles/PMC5051620/ /pubmed/27752615 http://dx.doi.org/10.15441/ceem.15.082 Text en Copyright © 2016 The Korean Society of Emergency Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kwon, Jae Hyun
Sohn, Chang Hwan
Lee, Jae Ho
Oh, Bum Jin
Efficient utilization of the limited number of emergency medicine specialists and statistics related to clinical outcomes in the emergency department
title Efficient utilization of the limited number of emergency medicine specialists and statistics related to clinical outcomes in the emergency department
title_full Efficient utilization of the limited number of emergency medicine specialists and statistics related to clinical outcomes in the emergency department
title_fullStr Efficient utilization of the limited number of emergency medicine specialists and statistics related to clinical outcomes in the emergency department
title_full_unstemmed Efficient utilization of the limited number of emergency medicine specialists and statistics related to clinical outcomes in the emergency department
title_short Efficient utilization of the limited number of emergency medicine specialists and statistics related to clinical outcomes in the emergency department
title_sort efficient utilization of the limited number of emergency medicine specialists and statistics related to clinical outcomes in the emergency department
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5051620/
https://www.ncbi.nlm.nih.gov/pubmed/27752615
http://dx.doi.org/10.15441/ceem.15.082
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