各种学习者安排对急诊室工作人员生产力的影响
Jessica Maher1, Jeff Landreville1,2, Julien Turk1
1Department of Emergency Medicine, University of Ottawa, Ottawa, ON, Canada.
CJEM
|September 24, 2024
概括
学员安排显著影响急诊医生的生产力. 高年级住院医生,特别是医学学生,增加了在门诊和非门诊环境中的患者吞吐量.
科学领域:
- 紧急医疗 紧急医疗
- 医学教育 医学教育
- 医疗保健操作 医疗保健操作
背景情况:
- 紧急诊所 (ED) 面临着越来越多的患者.
- 优化医生效率对于患者流动和护理质量至关重要.
- 学员监督是第三级教学医院运营中不可或缺的一部分.
研究的目的:
- 调查不同学习者安排对员工急诊医生每小时看病的患者数量的影响.
- 为了比较医生的生产力在行走和非行走区域内EDs.
- 为了提高ED效率,为调度策略提供信息.
主要方法:
- 在两个高等教学医院,对8161个ED轮班进行了一年的回顾性队列研究.
- 数据包括班次类型 (行走/非行走),学习者安排和每小时见到的患者.
- 描述性统计和t测试分析了生产力变化.
主要成果:
- 在门诊护理中,高级住院医生 (单独或与学生一起) 与单独工作 (2.1) 相比,每小时 (2.6) 患者的数量显著增加.
- 在非健行护理中,老年居民 (单独或与学生一起) 也表现出更高的生产力 (1.8名患者/小时) 与单独工作 (1.4).
- 医学生本身并没有显著改变医生的生产力在任何设置.
结论:
- 学员安排显然影响员工紧急医生的生产力.
- 学习者的战略安排,特别是老年居民,可以优化EDs的患者吞吐量.
- 这些发现支持基于证据的方法,以提高紧急护理机构的运营效率.
相关概念视频
Methods of Documentation VII: EMR
825
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...
825
Methods of Documentation III: PIE
1.3K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.3K
Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
Methods of Documentation II: POMR
920
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.
920
Methods of Documentation VI: Case Management Model
561
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
561
Obedience
32.8K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.8K


