Effect of trainees on length of stay in the pediatric emergency department

Academic Emergency Medicine

Volumn 16, Issue 9, 2009, Pages 859-865

  James, Catherine ^a,b   Harper, Marvin ^c,d   Johnston, Patrick ^c,d   Sanders, Brian ^e   Shannon, Michael ^c,d  

^a UMASS MEMORIAL MEDICAL CENTER   (United States)

^b UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL   (United States)

^c BOSTON CHILDREN S HOSPITAL   (United States)

^d HARVARD MEDICAL SCHOOL   (United States)

^e EMORY UNIVERSITY   (United States)

Author keywords

ED length of stay; Trainees

Indexed keywords

ARTICLE; CLINICAL ASSESSMENT TOOL; CONTROLLED STUDY; EMERGENCY CARE; EMERGENCY WARD; FEMALE; HOSPITAL ADMISSION; HUMAN; LENGTH OF STAY; MALE; MEDICAL EDUCATION; PATIENT CARE; PATIENT INFORMATION; PEDIATRICS; PRIORITY JOURNAL; STUDENT; TEACHING HOSPITAL; TERTIARY HEALTH CARE; URBAN AREA;

ACADEMIC MEDICAL CENTERS; ADOLESCENT; CHILD; CHILD, PRESCHOOL; EMERGENCY MEDICAL SERVICES; HOSPITALS, PEDIATRIC; HUMANS; INFANT; INTERNSHIP AND RESIDENCY; LENGTH OF STAY; RETROSPECTIVE STUDIES; URBAN HEALTH SERVICES; YOUNG ADULT;

EID: 70149095002     PISSN: 10696563     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1553-2712.2009.00480.x     Document Type: Article

References (21)

1. Institute of Medicine. Emergency Medical Services at the Crossroads. Washington, DC: National Academy of Sciences, 2006.
2. Bourgeois F, Shannon M, Stack A. Left without being seen: a national profile of children who leave the emergency department before evaluation. Ann Emerg Med. 2008; 52:599-605.
3. Weiss S, Derlet R, Arndahl J, et al. Estimating the degree of emergency department overcrowding in academic medical centers: results of the National ED Overcrowding Study (NEDOCS). Acad Emerg Med. 2004; 11:38-50.
4. Asaro P, Lewis L, Boxerman S. Emergency department overcrowding: analysis of the factors of renege rate. Acad Emerg Med. 2007; 14:157-162
5. Rowe B, Channan P, Bullard M, et al. Characteristics of patients who leave emergency departments without being seen. Acad Emerg Med. 2006; 13:848-852
6. The Joint Commission. Sentinel Event Alert: Delays in Treatment. Available at: http://www.jointcommission.org/sentinelevents/sentineleventalert/ sea-26.htm. Accessed Feb 12, 2009.
7. Burt C, McCaig L. Staffing, capacity, and ambulance diversion in emergency departments. Adv Data. 2006; 376:1-23.
8. Chan L, Kass L. Impact of medical student preceptorship on ED patient throughput time. Am J Emerg Med. 1999; 17:41-43
9. French D, Zwemer F, Schneider S. The effects of the absence of emergency medicine residents in an academic emergency department. Acad Emerg Med. 2002; 9:1205-1210
10. Gerbeaux P, Ledoray V, Liauthaud H. Medical student effect on emergency department length of stay. Ann Emerg Med. 2001; 37:275-278
11. Lammers R, Roiger M, Rice L, Overton D, Cucos D. The effect of a new emergency medicine residency program on patient length of stay in a community hospital emergency department. Acad Emerg Med. 2003; 10:725-730
12. Salazar A, Corbella X, Onaga H, Ramon R, Pallares R, Escarrabil J. Impact of a resident strike on emergency department quality indicators at an urban teaching hospital. Acad Emerg Med. 2001; 8:804-808
13. Wuerz RC, Milne LW, Eitel DR, Travers D, Gilboy N. Reliability and validity of a new five-level triage instrument. Acad Emerg Med. 2000; 7:236-242
14. Baumann M, Strout T. Evaluation of the emergency severity index (version 3) triage algorithm in pediatric patients. Acad Emerg Med. 2005; 12:219-224
15. Derlet R, Richards J. Overcrowding in the nation's emergency departments: complex causes and disturbing effects. Ann Emerg Med. 2000; 35:63-68
16. McClimon P, Hansen T. Why are children's hospitals so busy? J Pediatr. 2003; 142:219-220
17. Institute of Medicine. The Future of Emergency Care in the United States Health System. Available at: http://www.iom.edu/cms/3809/16107/35007/35014.aspx. Accessed Feb 12, 2009.
18. Hillier D, Parry GJ, Shannon MW, Stack AM. The effect of hospital bed occupancy on throughput in the pediatric emergency department. Ann Emerg Med. 2009; 53:767-777
19. Magaret ND, Clark TA, Warden CR, Magnusson AR, Hedges JR. Patient satisfaction in the emergency department-a survey of pediatric patients and their parents. Acad Emerg Med. 2002; 9:1379-1388
20. Fernandes C, Price A, Christenson J. Does reduced length of stay decrease the number of emergency department patients who leave without seeing a physician? J Emerg Med. 1997; 15:397-399
21. Whiteman P, Foltin G. Physician bias during patient selection in the pediatric emergency department. Pediatr Emerg Care. 1998; 14:332-333