Related Experiment Video
Updated: Jul 1, 2025
09:52
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
17.2K
Measuring Emergency Department Workload Perception Using Electronic Medical Record Measures of Patient Volume and
DaMarcus E Baymon1, Eric Shappell2, Yoon Soo Park3
1Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
The Journal of Emergency Medicine
|February 29, 2024
Summary
Emergency department (ED) physician workload perception showed weak correlation with electronic medical record (EMR) data. Objective EMR measures do not fully capture clinician workload in the ED.
Area of Science:
- Emergency Medicine
- Health Informatics
- Healthcare Management
Background:
- Emergency department (ED) workload fluctuates unpredictably.
- No established model exists for measuring clinician-level ED workload.
Purpose of the Study:
- To measure perceived ED workload among attending physicians.
- To assess the relationship between perceived workload and objective measures from the electronic medical record (EMR).
Main Methods:
- Study conducted in a tertiary care, academic ED from July 2020 to April 2021.
- Attending workload perceptions collected via a 5-point scale across three care areas.
- Eight EMR measures correlated with perceived workload using linear regression and ANOVA.
Main Results:
- 315 workload ratings collected; weak positive correlations found between perceived workload and inpatient admissions, ICU admissions, patient arrivals, critical care visits, CPR activations, and level 5 visits.
- Weak negative correlation observed for ED discharges.
- Stronger correlations noted in specific care areas, but no significant correlation for observation admissions or trauma activations.
Conclusions:
- EMR measures demonstrated a weak correlation with ED attending physician workload perception.
- Future research should explore factors beyond EMR data that contribute to physician workload.
Related Concept Videos
01:30Methods of Documentation VII: EMR
834
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
834
01:17Flow Sheet
1.6K
Flowsheets are valuable tools in nursing documentation. They enable healthcare professionals to efficiently record and monitor various patient assessments and measurements in a consolidated format.
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
1.6K
01:25Assessment of apical radial pulse
742
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
742
01:26Methods of Documentation II: POMR
950
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
950
01:28Special considerations while measuring blood pressure
722
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
722
01:23Assessment of the Cardiovascular System I: Subjective Data
338
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
338