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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Shahid Beheshti University of Medical Sciences
2022
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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. |
format | Online Article Text |
id | pubmed-9187128 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Shahid Beheshti University of Medical Sciences |
record_format | MEDLINE/PubMed |
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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