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Online Module to Improve Emergency Department Observation Unit Practice.

Sangil Lee1, Ian Young2, James Colletti3

  • 1Emergency Medicine Physician, Mayo Clinic Health System, Mankato, Minnesota.

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|April 23, 2019
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Summary

An online educational module effectively improved emergency medicine providers' knowledge of observation medicine. This training enhanced comfort levels in managing common conditions within the emergency department observation unit.

Keywords:
Adult LearningObservation MedicineOnline Learning ModulePractice Standardization

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Area of Science:

  • Emergency Medicine
  • Medical Education
  • Observation Medicine

Background:

  • The emergency department (ED) observation unit is crucial for managing patient capacity in the US.
  • Variations in clinical practice and provider comfort exist within ED observation units.
  • A targeted educational intervention was developed to address these variations.

Purpose of the Study:

  • To assess the effectiveness of an online educational module for emergency medicine providers.
  • To improve provider knowledge and comfort in observation medicine.
  • To standardize care in the ED observation unit.

Main Methods:

  • A 20-minute online module with pretest, learning content, and posttest was created.
  • The module covered management strategies for common ED observation unit conditions.
  • Pre- and posttest scores were statistically analyzed to determine effectiveness.

Main Results:

  • A statistically significant improvement in posttest scores (p = .0001) was observed compared to pretest scores.
  • Participants reported high levels of comfort in key areas like observation selection, chest pain management, asthma care, anaphylaxis treatment, and documentation.
  • Follow-up survey response rate was 57%.

Conclusions:

  • Online learning modules are a valuable tool for enhancing observation medicine knowledge.
  • This educational approach can improve provider confidence and potentially standardize care.
  • Further implementation may lead to more consistent and effective patient management in ED observation units.