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Admission Decisions Made by Emergency Physicians Can Reduce the Emergency Department Length of Stay for Medical Patients
Joint Authors
Kim, Byoung-Gwon
Choi, Yuri
Jeong, Jinwoo
Source
Emergency Medicine International
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-02-11
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Emergency department (ED) overcrowding is a worldwide problem that poses a threat to patient safety by causing treatment delays and increasing mortality.
Consultations are common and important in the emergency medicine profession and are associated with longer ED length of stay (LOS).
The purpose of this study was to evaluate the impact of admission decisions by emergency physicians without consultations on the ED LOS and other quality indicators.
Methods.
The study was a retrospective observational study comparing the ED LOS of patients admitted to the internal medicine (IM) department before and after the policy change regarding admission decisions that was implemented in October 2016.
During and after the policy change, emergency physicians decided how to arrange for and treat medical patients by processing their admission and providing follow-up care without consultations.
The ED LOS and other indicators of patients admitted to the IM department were compared between the study period (January to June 2017) and the control period (January to June 2016).
Results.
The median ED LOS of patients admitted to the IM department decreased from 673 (IQR: 347–1,369) minutes in the control period to 237 (IQR: 166–364) minutes in the study period.
There were no significant differences in the interdepartmental transfer rate or in-hospital mortality between the two periods.
Conclusions.
The admission decisions regarding medical patients made by emergency physicians without specialty consultations reduced the ED LOS without a significant negative effect on mortality or hospital LOS.
American Psychological Association (APA)
Choi, Yuri& Jeong, Jinwoo& Kim, Byoung-Gwon. 2020. Admission Decisions Made by Emergency Physicians Can Reduce the Emergency Department Length of Stay for Medical Patients. Emergency Medicine International،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1159152
Modern Language Association (MLA)
Choi, Yuri…[et al.]. Admission Decisions Made by Emergency Physicians Can Reduce the Emergency Department Length of Stay for Medical Patients. Emergency Medicine International No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1159152
American Medical Association (AMA)
Choi, Yuri& Jeong, Jinwoo& Kim, Byoung-Gwon. Admission Decisions Made by Emergency Physicians Can Reduce the Emergency Department Length of Stay for Medical Patients. Emergency Medicine International. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1159152
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1159152