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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Emergency Medicine
2016
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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. |
format | Online Article Text |
id | pubmed-5051620 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | The Korean Society of Emergency Medicine |
record_format | MEDLINE/PubMed |
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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