PMID: 8970003Nov 1, 1996Paper

Effect of rotational patient assignment on emergency department length of stay

The Journal of Emergency Medicine
J M HirshonG D Kelen

Abstract

The study evaluated the impact of rotational assignment of emergency department (ED) patients to residents on patient's length of stay (LOS) and resident satisfaction. The study was conducted in a university, inner-city, adult ED. Prior to the intervention, residents saw patients at their own rate as patient charts were placed into a common rack waiting to be seen. The intervention involved directly assigning patients with medical emergencies in sequential rotation to residents. Patients with surgical conditions were seen under the old self-paced system for comparison. A retrospective chart review of LOS of all ED visits for a period of 2 wks before, 6 wks after, and 1 yr after the intervention was conducted. ED administration and staffing during the study were unchanged. Comparisons excluded critical cases and nonurgent cases triaged away. A postintervention survey of physician satisfaction was conducted. During the study period, demographic characteristics of medical and surgical patients did not differ significantly between the time periods. The average total ED LOS for moderately ill medical patients decreased significantly from 7.11 to 5.86 h at 6 wks and remained significantly improved 1 yr later at 6.21 h. During the sam...Continue Reading

References

Aug 1, 1987·Annals of Emergency Medicine·L R Schwartz, D T Overton
Feb 1, 1985·Annals of Emergency Medicine·L S FlintK Martens
Jan 1, 1985·Journal of Community Health·S Linder-Pelz, E L Struening
Dec 1, 1985·Annals of Emergency Medicine·J E WhitcombG Kastenson
Mar 1, 1993·Annals of Emergency Medicine·B BurschR Shaw
Dec 12, 1982·Evaluation and Program Planning·J E WareA R Davies

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Citations

Nov 11, 2009·Archives of Internal Medicine·Leora I Horwitz, Elizabeth H Bradley
Dec 20, 2007·Pediatric Emergency Care·Kenneth Yen, Marc H Gorelick
Feb 2, 2016·The Journal of Emergency Medicine·Stephen J TraubSoroush Saghafian
Oct 11, 2015·Annals of Emergency Medicine·Stephen J TraubChristopher A Lipinski
Oct 3, 2009·Annals of Emergency Medicine·Leora I HorwitzElizabeth H Bradley
Mar 10, 2005·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Fuad BasisMoshe Michaelson
Jun 23, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Cindy Y ChangScott G Weiner
Apr 19, 2021·Annals of Emergency Medicine·Abubakar Sadiq Bouda AbdulaiMichael Ehrlich

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