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Resident Productivity in the Emergency Department After Implementation of an Automated Patient Assignment System; a Brief Report

INTRODUCTION: The clinical diversity of patients presenting to the emergency department (ED) allows emergency medicine (EM) and non-EM residents to sharpen their clinical skills. In most EDs, residents self-assign patients at their discretion. Our institution transitioned from a self-assignment-syst...

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Autores principales: Rosenow, Christian, Aguirre, Sophia, Polveroni, Thomas, Ginsberg, Zachary, Pollock, Jordan, Traub, Stephen, Rappaport, Douglas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Shahid Beheshti University of Medical Sciences 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9187128/
https://www.ncbi.nlm.nih.gov/pubmed/35765612
http://dx.doi.org/10.22037/aaem.v10i1.1516
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author Rosenow, Christian
Aguirre, Sophia
Polveroni, Thomas
Ginsberg, Zachary
Pollock, Jordan
Traub, Stephen
Rappaport, Douglas
author_facet Rosenow, Christian
Aguirre, Sophia
Polveroni, Thomas
Ginsberg, Zachary
Pollock, Jordan
Traub, Stephen
Rappaport, Douglas
author_sort Rosenow, Christian
collection PubMed
description INTRODUCTION: The clinical diversity of patients presenting to the emergency department (ED) allows emergency medicine (EM) and non-EM residents to sharpen their clinical skills. In most EDs, residents self-assign patients at their discretion. Our institution transitioned from a self-assignment-system to an automated-system, after which we sought to determine the productivity of our non-EM residents compared to the previous system. METHODS: In this retrospective cross-sectional study, resident productivity was measured as number of patient visits per hour and per 8.5-hour shift before and after the implementation of an automated patient assignment system in emergency department. The automated-system assigns one patient at the start of the shift, another 30 minutes later, and one patient every hour thereafter, throughout the shift. RESULTS: 28 residents performed 406 total shifts prior to implementation and 14 residents performed 252 total shifts post-implementation. The average number of patient visits per hour significantly increased from 0.52 ± 0.18 (95% CI 0.45-0.59, IQR 0.43-0.60) to 0.82 ± 0.11 (95% CI 0.75-0.88, IQR 0.74-0.89) after implementation of our assignment system (p<0.00001; figure 1). Additionally, the average number of patient visits per 8.5-hour shift significantly increased from 4.46 ± 1.53 (CI 3.86-5.05, IQR 3.66-5.08) to 6.52 ± 0.86 (CI 6.02-7.02, IQR 5.90-7.09) after the implementation of our system (p<0.00001; figure 1). CONCLUSION: These findings warrant further evaluation of the impact of patient assignment systems on trainee education.
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spelling pubmed-91871282022-06-27 Resident Productivity in the Emergency Department After Implementation of an Automated Patient Assignment System; a Brief Report Rosenow, Christian Aguirre, Sophia Polveroni, Thomas Ginsberg, Zachary Pollock, Jordan Traub, Stephen Rappaport, Douglas Arch Acad Emerg Med Original Article INTRODUCTION: The clinical diversity of patients presenting to the emergency department (ED) allows emergency medicine (EM) and non-EM residents to sharpen their clinical skills. In most EDs, residents self-assign patients at their discretion. Our institution transitioned from a self-assignment-system to an automated-system, after which we sought to determine the productivity of our non-EM residents compared to the previous system. METHODS: In this retrospective cross-sectional study, resident productivity was measured as number of patient visits per hour and per 8.5-hour shift before and after the implementation of an automated patient assignment system in emergency department. The automated-system assigns one patient at the start of the shift, another 30 minutes later, and one patient every hour thereafter, throughout the shift. RESULTS: 28 residents performed 406 total shifts prior to implementation and 14 residents performed 252 total shifts post-implementation. The average number of patient visits per hour significantly increased from 0.52 ± 0.18 (95% CI 0.45-0.59, IQR 0.43-0.60) to 0.82 ± 0.11 (95% CI 0.75-0.88, IQR 0.74-0.89) after implementation of our assignment system (p<0.00001; figure 1). Additionally, the average number of patient visits per 8.5-hour shift significantly increased from 4.46 ± 1.53 (CI 3.86-5.05, IQR 3.66-5.08) to 6.52 ± 0.86 (CI 6.02-7.02, IQR 5.90-7.09) after the implementation of our system (p<0.00001; figure 1). CONCLUSION: These findings warrant further evaluation of the impact of patient assignment systems on trainee education. Shahid Beheshti University of Medical Sciences 2022-04-30 /pmc/articles/PMC9187128/ /pubmed/35765612 http://dx.doi.org/10.22037/aaem.v10i1.1516 Text en https://creativecommons.org/licenses/by-nc/3.0/This open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0) https://creativecommons.org/licenses/by-nc/3.0/.
spellingShingle Original Article
Rosenow, Christian
Aguirre, Sophia
Polveroni, Thomas
Ginsberg, Zachary
Pollock, Jordan
Traub, Stephen
Rappaport, Douglas
Resident Productivity in the Emergency Department After Implementation of an Automated Patient Assignment System; a Brief Report
title Resident Productivity in the Emergency Department After Implementation of an Automated Patient Assignment System; a Brief Report
title_full Resident Productivity in the Emergency Department After Implementation of an Automated Patient Assignment System; a Brief Report
title_fullStr Resident Productivity in the Emergency Department After Implementation of an Automated Patient Assignment System; a Brief Report
title_full_unstemmed Resident Productivity in the Emergency Department After Implementation of an Automated Patient Assignment System; a Brief Report
title_short Resident Productivity in the Emergency Department After Implementation of an Automated Patient Assignment System; a Brief Report
title_sort resident productivity in the emergency department after implementation of an automated patient assignment system; a brief report
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9187128/
https://www.ncbi.nlm.nih.gov/pubmed/35765612
http://dx.doi.org/10.22037/aaem.v10i1.1516
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