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Emergency medicine crowding

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https://www.readbyqxmd.com/read/29759656/well-being-among-emergency-medicine-resident-physicians-results-from-the-abem-longitudinal-study-of-emergency-medicine-residents
#1
Debra G Perina, Catherine A Marco, Rebecca Smith-Coggins, Terry Kowalenko, Mary M Johnston, Anne Harvey
BACKGROUND: The Longitudinal Study of Emergency Medicine Residents (LSEMR) conducted by the American Board of Emergency Medicine queries a randomized cohort of emergency medicine (EM) residents. It is designed to identify residents' perceptions of their training, sources of stress, well-being level, and career choice satisfaction over time. OBJECTIVES: This study utilizes LSEMR to identify resident well-being levels, career satisfaction, factors producing stress, and whether a specific cohort is more stressed than the overall respondent group...
May 11, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29580312/the-shifting-aesthetics-of-expertise-in-the-sharing-economy-of-scientific-medicine
#2
Kirsten Ostherr
Argument The deficit model of science communication assumes that the creation and dissemination of knowledge is limited to researchers with formal credentials. Recent challenges to this model have emerged among "e-patients" who develop extensive online activist communities, demand access to their own health data, conduct crowd-sourced experiments, and "hack" health problems that traditional medical experts have failed to solve. This article explores the aesthetics of medical media that enact the transition from a deficit model to a patient-driven model of visual representation and health communication...
March 2018: Science in Context
https://www.readbyqxmd.com/read/29564087/applications-of-crowdsourcing-in-health-an-overview
#3
Kerri Wazny
Background: Crowdsourcing is a nascent phenomenon that has grown exponentially since it was coined in 2006. It involves a large group of people solving a problem or completing a task for an individual or, more commonly, for an organisation. While the field of crowdsourcing has developed more quickly in information technology, it has great promise in health applications. This review examines uses of crowdsourcing in global health and health, broadly. Methods: Semantic searches were run in Google Scholar for "crowdsourcing," "crowdsourcing and health," and similar terms...
June 2018: Journal of Global Health
https://www.readbyqxmd.com/read/29464134/crowdsourced-curriculum-development-for-online-medical-education
#4
REVIEW
Eric Shappell, Teresa M Chan, Brent Thoma, N Seth Trueger, Bob Stuntz, Robert Cooney, James Ahn
In recent years online educational content, efforts at quality appraisal, and integration of online material into institutional teaching initiatives have increased. However, medical education has yet to develop large-scale online learning centers. Crowd-sourced curriculum development may expedite the realization of this potential while providing opportunities for innovation and scholarship. This article describes the current landscape, best practices, and future directions for crowdsourced curriculum development using Kern's framework for curriculum development and the example topic of core content in emergency medicine...
December 8, 2017: Curēus
https://www.readbyqxmd.com/read/29379339/the-patterns-of-children-poisoning-cases-in-community-teaching-hospital-in-riyadh-saudi-arabia
#5
Sultan Alghadeer, Manal Alrohaimi, Abeer Althiban, Nora A Kalagi, Bander Balkhi, Anas A Khan
Introduction: Although the majority of poisoning-related cases can be managed in home settings, reduction of hospital visits and admissions are still important challenge. Thousands of interventions are involved and the appropriate management of poisoning is therefore a major task and burden to any institution. Therefore, the present study was aimed to identify the most common classes of toxic substances and route of poisoning in children and to investigate the pattern of drug and chemical poisoning in suspected case fatalities, the subsequent need for hospital admission and arrival time to hospital...
January 2018: Saudi Pharmaceutical Journal: SPJ: the Official Publication of the Saudi Pharmaceutical Society
https://www.readbyqxmd.com/read/29280244/complex-systems-thinking-in-emergency-medicine-a-novel-paradigm-for-a-rapidly-changing-and-interconnected-health-care-landscape
#6
Matthew A Widmer, R Chad Swanson, Brian J Zink, Jesse M Pines
INTRODUCTION: The specialty of emergency medicine is experiencing the convergence of a number of transformational forces in the United States, including health care reform, technological advancements, and societal shifts. These bring both opportunity and uncertainty. 21ST CENTURY CHALLENGES: Persistent challenges such as the opioid epidemic, rising health care costs, misaligned incentives, patients with multiple chronic diseases, and emergency department crowding continue to plague the acute, unscheduled care system...
December 27, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28274288/improving-data-quality-in-mass-gatherings-health-research
#7
Andrew Guy, Ross Prager, Sheila Turris, Adam Lund
Mass gatherings attract large crowds and can strain the planning and health resources of the community, city, or nation hosting an event. Mass-Gatherings Health (MGH) is an evolving niche of prehospital care rooted in emergency medicine, emergency management, public health, and disaster medicine. To explore front-line issues related to data quality in the context of mass gatherings, the authors draw on five years of management experience with an online, mass-gathering event and patient registry, as well as clinical and operational experience amassed over several decades...
June 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27978861/a-prospective-analysis-of-patients-presenting-for-medical-attention-at-a-large-electronic-dance-music-festival
#8
Matt S Friedman, Alex Plocki, Antonios Likourezos, Illya Pushkar, Andrew N Bazos, Christian Fromm, Benjamin W Friedman
Mass-Gathering Medicine studies have identified variables that predict greater patient presentation rates (PPRs) and transport to hospital rates (TTHRs). This is a descriptive report of patients who presented for medical attention at an annual electronic dance music festival (EDMF). At this large, single EDMF in New York City (NYC; New York, USA), the frequency of patient presentation, the range of presentations, and interventions performed were identified. This descriptive report examined consecutive patients who presented to the medical tent of a summertime EDMF held at an outdoor venue with an active, mobile, bounded crowd...
February 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27827547/rural-gps-attitudes-toward-participating-in-emergency-medicine-a-qualitative-study
#9
Magnus Hjortdahl, Peder Halvorsen, Mette Bech Risør
OBJECTIVE: Health authorities want to increase general practitioner (GP) participation in emergency medicine, but the role of the GP in this context controversial. We explored GPs' attitudes toward emergency medicine and call outs. DESIGN: Thematic analysis of focus group interviews. SETTING: Four rural casualty clinics in Norway. PARTICIPANTS: GPs with experience ranging from one to 32 years. RESULTS: The GPs felt that their role had changed from being the only provider of emergency care to being one of many...
December 2016: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/27757231/emergency-department-crowding-in-singapore-insights-from-a-systems-thinking-approach
#10
Lukas K Schoenenberger, Steffen Bayer, John P Ansah, David B Matchar, Rajagopal L Mohanavalli, Sean Sw Lam, Marcus Eh Ong
OBJECTIVES: Emergency Department crowding is a serious and international health care problem that seems to be resistant to most well intended but often reductionist policy approaches. In this study, we examine Emergency Department crowding in Singapore from a systems thinking perspective using causal loop diagramming to visualize the systemic structure underlying this complex phenomenon. Furthermore, we evaluate the relative impact of three different policies in reducing Emergency Department crowding in Singapore: introduction of geriatric emergency medicine, expansion of emergency medicine training, and implementation of enhanced primary care...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27706871/what-cognitive-psychology-tells-us-about-emergency-department-physician-decision-making-and-how-to-improve-it
#11
Jesse M Pines
No abstract text is available yet for this article.
January 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27640877/associations-of-emergency-department-length-of-stay-with-publicly-reported-quality-of-care-measures
#12
Anna Marie Chang, Amber Lin, Rongwei Fu, K John McConnell, Benjamin Sun
OBJECTIVE: The Institute of Medicine identified emergency department (ED) crowding as a critical threat to patient safety. We assess the association between changes in publicly reported ED length of stay (LOS) and changes in quality-of-care measures in a national cohort of hospitals. METHODS: Longitudinal analysis of 2012 and 2013 data from the American Hospital Association (AHA) Survey, Center for Medicare and Medicaid Services (CMS) Cost Reports, and CMS Hospital Compare...
February 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27524106/efficiency-in-the-emergency-department-a-complex-relationship-between-throughput-rates-and-staff-perceptions
#13
Ulrica von Thiele Schwarz, Henna Hasson, Åsa Muntlin Athlin
INTRODUCTION: It is well known that emergency departments (EDs) suffer from crowding and throughput challenges, which make the ED a challenging workplace. However, the interplay between the throughput of patients and how staff experience work is seldom studied. The aim of this study was to investigate whether staff experience of work (efficiency, work-related efforts and rewards, and quantity and quality of work) differs between days with low and high patient throughput rates. METHOD: Throughput times were collected from electronic medical records and staff (n=252 individuals, mainly nurses) ratings in daily questionnaires over a total of six weeks...
November 2016: International Emergency Nursing
https://www.readbyqxmd.com/read/27255863/challenges-in-structural-approaches-to-cell-modeling
#14
REVIEW
Wonpil Im, Jie Liang, Arthur Olson, Huan-Xiang Zhou, Sandor Vajda, Ilya A Vakser
Computational modeling is essential for structural characterization of biomolecular mechanisms across the broad spectrum of scales. Adequate understanding of biomolecular mechanisms inherently involves our ability to model them. Structural modeling of individual biomolecules and their interactions has been rapidly progressing. However, in terms of the broader picture, the focus is shifting toward larger systems, up to the level of a cell. Such modeling involves a more dynamic and realistic representation of the interactomes in vivo, in a crowded cellular environment, as well as membranes and membrane proteins, and other cellular components...
July 31, 2016: Journal of Molecular Biology
https://www.readbyqxmd.com/read/27169777/quality-improvement-is-research
#15
COMMENT
Mark Hauswald
No abstract text is available yet for this article.
July 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27162657/emergency-department-enlargement-in-china-exciting-or-bothering
#16
Yan Li, Chen Li, Jun Xu, Hui Zhang, Liangliang Zheng, Dongqi Yao, Yangyang Fu, Huadong Zhu, Shubin Guo, Zhong Wang, Joseph Walline, Xuezhong Yu
BACKGROUND: Emergency department (ED) enlargement became a trend with its development. However, there came some problems such as ED overcrowding and increasing medical disputes. Here we did a survey about the development tendency of EDs in 3A grade hospitals in China, analysed the problems we facing and rendered some solutions combining some special characteristics in China. METHODS: We randomly selected 17 3A grade general hospitals from 12 provinces from the 50 members of Chinese College of Emergency Physician...
May 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27013749/setting-up-and-functioning-of-an-emergency-medicine-department-lessons-learned-from-a-preliminary-study
#17
K Asish, Varun Suresh
BACKGROUND AND AIMS: Tertiary care teaching hospitals remain referral centres for victims of trauma and mass casualty. Often specialists from various disciplines manage these crowded casualty areas. These age old casualty areas are being replaced, throughout the country by Emergency Medicine Departments (EMDs), presumed to be better planned to confront a crisis. We aimed to gather basic data contributive in setting up of an EMD at a tertiary care teaching hospital from the lessons learned from functioning existent systems...
February 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/26986107/what-can-emergency-medicine-learn-from-kinetics-introducing-an-alternative-evaluation-and-a-universal-criterion-standard-for-emergency-department-performance
#18
Chih-Long Pan, Chin-Fu Chang, Chun-Wen Chiu, Chih-Hsien Chi, Zhong Tian, Jyh-Horng Wen, Jet-Chau Wen
This research focuses on developing an improved and robust measurement for emergency department (ED) performance and a criterion standard for global use via kinetic analysis. Based on kinetic approach, the input-throughput-output conceptual model of ED crowding is compared to the procedure of enzyme catalysis. All in average, the retented patients in EDs are defined as substrate (S), whereas the patients who depart the EDs as product (P). Therefore, the average ED departure velocity (V) can be presented as (P)divided by a given time (t) of the ED length of stay (LOS)...
March 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26973739/impact-of-a-dedicated-emergency-medicine-teaching-resident-rotation-at-a-large-urban-academic-center
#19
James Ahn, Andrew Golden, Alyssa Bryant, Christine Babcock
INTRODUCTION: In the face of declining bedside teaching and increasing emergency department (ED) crowding, balancing education and patient care is a challenge. Dedicated shifts by teaching residents (TRs) in the ED represent an educational intervention to mitigate these difficulties. We aimed to measure the perceived learning and departmental impact created by having TR. METHODS: TRs were present in the ED from 12 pm-10 pm daily, and their primary roles were to provide the following: assist in teaching procedures, give brief "chalk talks," instruct junior trainees on interesting cases, and answer clinical questions in an evidence-based manner...
March 2016: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26850577/does-reducing-inpatient-length-of-stay-have-upstream-effects-on-the-emergency-room-exploring-the-impact-of-the-general-internal-medicine-care-transformation-initiative
#20
Finlay A McAlister, Jeffrey A Bakal, Rhonda J Rosychuk, Brian H Rowe
OBJECTIVE: The General Internal Medicine (GIM) Care Transformation Initiative implemented at one of four teaching hospitals in the same city resulted in improved efficiency of in-hospital care. Whether it had beneficial effects upstream in the emergency department (ED) is unclear. METHODS: Controlled before-after study of ED length of stay (LOS) and crowding metrics for the intervention site (n = 108,951 visits) compared to the three other teaching hospitals (controls, n = 300,930 visits)...
June 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
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