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Emergency department board rounds: are they worthwhile?
J Chitnis1, G L A Cumberbatch, P W Thomas
1Emergency Department, Poole Hospital, Longfleet Road, Poole BH15 2JB, UK. drchitnis@aol.com
Objective:
To determine whether daily board rounds in the emergency department (ED) alter patient management and whether they provide educational opportunities.
Method:
A prospective observational study of board rounds conducted in a small to medium-sized ED in the United Kingdom. Data were collected on changes made and educational events that took place.
Results:
Data were collected on 120 board rounds (984 patients). 5.8% of patients had a clinical change made. 12% of board rounds led to a significant change in at least one of investigation, treatment or disposition. 2% of board rounds led to a change in diagnosis. In 30% of board rounds teaching events took place.
Conclusion:
Regular conduct of board rounds in a medium-sized UK ED is worthwhile and provides an additional teaching opportunity for juniors.
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