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 inc...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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The Korean Society of Emergency Medicine
2016-03-01
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| Series: | Clinical and Experimental Emergency Medicine |
| Subjects: | |
| Online Access: | http://www.ceemjournal.org/upload/pdf/ceem-15-082.pdf |
| _version_ | 1797897259245895680 |
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| author | Jae Hyun Kwon Chang Hwan Sohn Jae Ho Lee Bum Jin Oh |
| author_facet | Jae Hyun Kwon Chang Hwan Sohn Jae Ho Lee Bum Jin Oh |
| author_sort | Jae Hyun Kwon |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-04-10T07:54:39Z |
| format | Article |
| id | doaj.art-cdcfb0019e6e4feebfb605e908b1c8a4 |
| institution | Directory Open Access Journal |
| issn | 2383-4625 |
| language | English |
| last_indexed | 2024-04-10T07:54:39Z |
| publishDate | 2016-03-01 |
| publisher | The Korean Society of Emergency Medicine |
| record_format | Article |
| series | Clinical and Experimental Emergency Medicine |
| spelling | doaj.art-cdcfb0019e6e4feebfb605e908b1c8a42023-02-23T05:41:32ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252016-03-0131465110.15441/ceem.15.08276Efficient utilization of the limited number of emergency medicine specialists and statistics related to clinical outcomes in the emergency departmentJae Hyun Kwon0Chang Hwan Sohn1Jae Ho Lee2Bum Jin Oh3 Department of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Department of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaObjective 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.http://www.ceemjournal.org/upload/pdf/ceem-15-082.pdflength of stayemergency service, hospitalmedical staff |
| spellingShingle | Jae Hyun Kwon Chang Hwan Sohn Jae Ho Lee Bum Jin Oh Efficient utilization of the limited number of emergency medicine specialists and statistics related to clinical outcomes in the emergency department Clinical and Experimental Emergency Medicine length of stay emergency service, hospital medical staff |
| 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 | length of stay emergency service, hospital medical staff |
| url | http://www.ceemjournal.org/upload/pdf/ceem-15-082.pdf |
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