1
40
3
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1002/emp2.12238" target="_blank" rel="noreferrer noopener">http://doi.org/10.1002/emp2.12238</a>
Pages
1669-1675
Issue
6
Volume
1
ISSN
2688-1152
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1002/emp2.12238" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1002/emp2.12238</a>
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Update Year & Number
July 2021 List
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Emergency Medicine
NEOMED Student Publications
Affiliated Hospital
Cleveland Clinic Akron General Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Procedural frequency: Results from 18 academic, community and freestanding emergency departments
Publisher
An entity responsible for making the resource available
Journal Of The American College Of Emergency Physicians Open
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-12
Subject
The topic of the resource
emergency medicine; ACQUISITION; DELIBERATE PRACTICE; EXPERT PERFORMANCE; MEDICINE; procedural skills; skills maintenance
Creator
An entity primarily responsible for making the resource
Do ELS; Smalley CM; Meldon SW; Borden BL; Briskin I; Muir MR; Suchan A; Delgado F; Fertel BS
Description
An account of the resource
BackgroundEmergency physicians must maintain procedural skills, but clinical opportunities may be insufficient. We sought to determine how often practicing emergency physicians in academic, community and freestanding emergency departments (EDs) perform 4 procedures: central venous catheterization (CVC), tube thoracostomy, tracheal intubation, and lumbar puncture (LP). MethodsThis was a retrospective study evaluating emergency physician procedural performance over a 12-month period. We collected data from the electronic records of 18 EDs in one healthcare system. The study EDs included higher and lower volume, academic, community and freestanding, and trauma and non-trauma centers. The main outcome measures were median number of procedures performed. We examined differences in procedural performance by physician years in practice, facility type, and trauma status. ResultsOver 12 months, 182 emergency physicians performed 1582 of 2805 procedures (56%) and supervised (resident, nurse practitioner or physician assistant) an additional 1223 of the procedures they did not perform (43%). Median (interquartile range) physician performance for each procedure was CVC 0 [0, 2], tube thoracostomy 0 [0, 0], tracheal intubation 3 [0.25, 8], and LP 0 [0, 2]. The percentage of emergency physicians who did not perform at least one of each procedure during the 1-year time frame ranged from 25.3% (tracheal intubation) to 76.4% (tube thoracostomy). Physicians who work at high-volume EDs (>50,000 visits per year) performed nearly twice as many tracheal intubations, CVCs, and LPs than those at low-volume EDs or freestanding EDs when normalized per 1000 visits. Years out of training were inversely related to total number of procedures performed. Emergency physicians at trauma centers performed almost 3 times as many tracheal intubations and almost 4 times as many CVCs compared to non-trauma centers. ConclusionIn a large healthcare system, regardless of ED type, emergency physicians infrequently performed the 4 procedures studied. Physicians in high-volume EDs, trauma centers, and recent graduates performed more procedures. Our study adds to a growing body of research that suggests clinical frequency alone may be insufficient for all emergency physicians to maintain competency.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1002/emp2.12238" target="_blank" rel="noreferrer noopener">10.1002/emp2.12238</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Format
The file format, physical medium, or dimensions of the resource
journalArticle
2020
acquisition
Borden BL
Briskin I
Cleveland Clinic Akron General Hospital
Delgado F
DELIBERATE PRACTICE
Department of Emergency Medicine
Do ELS
Emergency Medicine
EXPERT PERFORMANCE
Fertel BS
Journal Of The American College Of Emergency Physicians Open
journalArticle
July 2021 List
Medicine
Meldon SW
Muir MR
NEOMED College of Medicine
NEOMED Student Publications
procedural skills
skills maintenance
Smalley CM
Suchan A
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1002/emp2.12100" target="_blank" rel="noreferrer noopener">http://doi.org/10.1002/emp2.12100</a>
Pages
1052-1059
Issue
5
Volume
1
ISSN
2688-1152 2688-1152
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1002/emp2.12100" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1002/emp2.12100</a>
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Update Year & Number
December 2020 List
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Emergency Medicine
Affiliated Hospital
Cleveland Clinic Akron General Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
The impact of hospital boarding on the emergency department waiting room.
Publisher
An entity responsible for making the resource available
Journal Of The American College Of Emergency Physicians Open
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-10
Subject
The topic of the resource
length of stay; crowding; emergency department boarding; emergency department wait times; hospital occupancy; waiting room
Creator
An entity primarily responsible for making the resource
Smalley CM; Simon EL; Meldon SW; Muir McKinsey R; Briskin I; Crane S; Delgado F; Borden BL; Fertel BS
Description
An account of the resource
BACKGROUND: Patient boarding in the emergency department (ED) is a significant issue leading to increased morbidity/mortality, longer lengths of stay, and higher hospital costs. We examined the impact of boarding patients on the ED waiting room. Additionally, we determined whether facility type, patient acuity, time of day, or hospital occupancy impacted waiting rooms in 18 EDs across a large healthcare system. METHODS: This was a retrospective multicenter study that included all ED encounters between January 1, 2018, and September 30, 2019. Encounters with missing Emergency Severity Index (ESI) level were excluded. ESI levels were defined as high (ESI 1,2), middle (ESI 3), and low (ESI 4,5). Spearman correlation coefficients measured the relationship between boarded patients and number of patients in ED waiting room. A multivariable mixed effects model identified drivers of this relationship. RESULTS: A total of 1,134,178 encounters were included. Spearman correlation coefficient was significant between number of patients in the ED waiting room and patient boarding (0.54). For every additional patient boarded/hour, the number of patients waiting/hour in the waiting room increased by 8% (95% confidence interval [CI] = 1.08-1.09). The number of patients waiting for a room/hour was 2.28 times higher for middle than for high acuity. The number of patients in waiting room slightly decreased as hospital occupancy increased (95% CI = 0.997-0.997). CONCLUSION: Number of patients in ED waiting room are directly related to boarding times and hospital occupancy. ED waiting room times should be considered as not just an ED operational issue, but an aspect of hospital throughput.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1002/emp2.12100" target="_blank" rel="noreferrer noopener">10.1002/emp2.12100</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Format
The file format, physical medium, or dimensions of the resource
journalArticle
2020
Borden BL
Briskin I
Cleveland Clinic Akron General Hospital
Crane S
Crowding
December 2020 List
Delgado F
Department of Emergency Medicine
emergency department boarding
emergency department wait times
Fertel BS
hospital occupancy
Journal Of The American College Of Emergency Physicians Open
journalArticle
Length of Stay
Meldon SW
Muir McKinsey R
NEOMED College of Medicine
Simon EL
Smalley CM
waiting room
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.ajem.2020.05.093" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.ajem.2020.05.093</a>
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1016/j.ajem.2020.05.093" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI:10.1016/j.ajem.2020.05.093</a>
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Update Year & Number
July 2020 List
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Emergency Medicine
Affiliated Hospital
Cleveland Clinic Akron General Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
The impact of covid-19 on suicidal ideation and alcohol presentations to emergency departments in a large healthcare system.
Publisher
An entity responsible for making the resource available
The American Journal of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-06
Subject
The topic of the resource
Behavioral health; Coronavirus; COVID-19; Emergency departments; Suicidal ideation
Creator
An entity primarily responsible for making the resource
Smalley CM; Malone DA; Meldon SW; Borden BL; Simon EL; Muir MR; Fertel BS
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.ajem.2020.05.093" target="_blank" rel="noreferrer noopener">10.1016/j.ajem.2020.05.093</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Format
The file format, physical medium, or dimensions of the resource
journalArticle
2020
Behavioral health
Borden BL
Cleveland Clinic Akron General Hospital
coronavirus
COVID-19
Department of Emergency Medicine
Emergency departments
Fertel BS
journalArticle
July 2020 List
Malone DA
Meldon SW
Muir MR
NEOMED College of Medicine
Simon EL
Smalley CM
Suicidal Ideation
The American journal of emergency medicine