bedside teaching on time to disposition improves length of stay for critically-ill emergency departments patients

Clicks: 412
ID: 133563
2013
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Steady

Ranked #5 of 140 articles by views in lwt

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 140 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Introduction: We tested the effect of a brief disposition process intervention on residents’ time todisposition and emergency department (ED) length of stay (LOS) in high acuity ED patients.Methods: This was a quasi-experimental study design in a single teaching hospital where ED residentsare responsible for administrative bed requests for patients. Enrollment was performed for interventionand control groups on an even-odd day schedule. Inclusion criteria were ED patients triaged asEmergency Severity Index (ESI) 1 and 2. In the intervention group, the attending physician prompted theresident to make the disposition immediately after the evaluation of resuscitation patients. In the controlgroup, the attending physicians did not intervene in the disposition process unless more than 2 hourspassed without a disposition. Main outcomes were time to disposition and total ED LOS.Results: A total of 104 patients were enrolled; 53 (51%) in the intervention group and 51 (49%) inthe control group. After controlling for ESI and resident training year, mean disposition time wassignificantly shorter in the intervention group by 41.4 minutes (95% CI: 32.6-50.1). LOS was alsoshorter in the intervention group by 93.3 minutes (95% CI: 41.9-144.6).Conclusion: Prompting residents to enter administrative disposition orders in high acuity patientsis associated with significant reduction in both time to disposition and ED LOS.
Reference Key
md2013westernbedside Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Ali Pourmand, MD;Raymond Lucas;Jesse M. Pines;Hamid Shokoohi;Kabir Yadav
Journal lwt
Year 2013
DOI
DOI not found
URL
http://escholarship.org/uc/item/7xd1w0k3
Keywords
patient education health education emergency medicine critical care first aid intensive care

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.