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

Autor: Christian Rosenow, Sophia Aguirre, Thomas Polveroni, Zachary Ginsberg, Jordan Pollock, Stephen Traub, Douglas Rappaport
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Archives of Academic Emergency Medicine, Vol 10, Iss 1 (2022)
Druh dokumentu: article
ISSN: 2645-4904
DOI: 10.22037/aaem.v10i1.1516
Popis: 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
Databáze: Directory of Open Access Journals