The effect of medical trainees on pediatric emergency department flow: A discrete event simulation modeling study

Academic Emergency Medicine

Volumn 20, Issue 11, 2013, Pages 1112-1120

  Genuis, Emerson D ^a   Doan, Quynh ^a  

^a UNIVERSITY OF BRITISH COLUMBIA   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; EMERGENCY HEALTH SERVICE; EMERGENCY PHYSICIAN; EMERGENCY WARD; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HUMAN; LENGTH OF STAY; MEDICAL EDUCATION; MEDICAL STUDENT; OUTCOME ASSESSMENT; PATIENT CARE; PEDIATRIC HOSPITAL; PRIORITY JOURNAL; SIMULATION;

BRITISH COLUMBIA; CHILD; CLINICAL COMPETENCE; CROWDING; EFFICIENCY, ORGANIZATIONAL; EMERGENCY SERVICE, HOSPITAL; FEMALE; HOSPITALS, PEDIATRIC; HOSPITALS, URBAN; HUMANS; INTERNSHIP AND RESIDENCY; LENGTH OF STAY; MALE; MEDICAL STAFF, HOSPITAL; PERSONNEL STAFFING AND SCHEDULING; STUDENTS, MEDICAL; TIME-TO-TREATMENT; TRIAGE; WAITING LISTS;

EID: 84888062383     PISSN: 10696563     EISSN: 15532712     Source Type: Journal    
DOI: 10.1111/acem.12252     Document Type: Article

References (22)

1. Association of American Medical Colleges. Results of the 2011 Medical School Enrollment Survey. Available at: https://www.aamc.org/download/281126/ data/enrollment2012.pdf. Accessed Aug 24, 2013.
2. The Association of Faculties of Medicine of Canada. Information about Canadian Faculties of Medicine 2011/12. Available at: http://www.afmc.ca/pdf/ 2011-12%20Class%20Size.pdf. Accessed Aug 24, 2013.
3. Sills MR, Fairclough D, Ranade D, Kahn MG,. Emergency department crowding is associated with decreased quality of care for children. Pediatr Emerg Care. 2011; 27: 837-45.
4. Sinclair D,. Emergency department overcrowding-implications for paediatric emergency medicine. Paediatr Child Health. 2007; 12: 491-4.
5. Kennebeck S, Timm N, Kurowski E, Byczkowski T, Reeves S,. The association of emergency department crowding and time to antibiotics in febrile neonates. Acad Emerg Med. 2011; 18: 1380-5.
6. Guttmann A, Schull MJ, Vermeulen MJ, Stukel T,. Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. BMJ. 2011; 342: d2983.
7. Richardson DB,. Increase in patient mortality at 10 days associated with emergency department overcrowding. Med J Aust. 2006; 184: 213-6.
8. McGarry J, Krall S, McLaughlin T,. Impact of resident physicians on emergency department throughput. West J Emerg Med. 2010; 11: 333-5.
9. Lammers R, Rolger 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: 725-30.
10. Gerbeaux P, Ledoray V, Liauthaud H,. Medical student effect on emergency department length of stay. Ann Emerg Med. 2001; 37: 275-8.
11. Salazar A, Corbella X, Onaga H, Ramon R, Pallares R, Escarrabill J,. Impact of a resident strike on emergency department quality indicators at an urban teaching hospital. Acad Emerg Med. 2001; 8: 804-8.
12. 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: 1205-10.
13. Chan L, Kass L,. Impact of medical student preceptorship on ED patient throughput time. Am J Emerg Med. 1999; 17: 41-3.
14. Warren DW, Jarvis A, LeBlanc L, Gravel J,. CTAS National Working Group. Revisions to the Canadian Triage and Acuity Scale paediatric guidelines (PaedCTAS). CJEM. 2008; 10: 224-32.
15. Karnon J, Stahl J, Brennan A, Caro J, Mar J, Moller J,. Modeling using discrete event simulation: a report of the ISPOR-SMDM modeling good research practices task force-4. Value Health. 2012; 15: 821-7.
16. Doan Q., Bringing Physician Assistants to Canadian Pediatric Emergency Departments. Available at: https://circle.ubc.ca/handle/2429/43859. Accessed Aug 24, 2013.
17. James C, Harper M, Johnston P, Sanders B, Shannon M,. Effect of trainees on length of stay in the pediatric emergency department. Acad Emerg Med. 2009; 16: 859-65.
18. 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: 1379-88.
19. Rowe B, Channan P, Bullard M, et al. Characteristics of patients who leave emergency departments without being seen. Acad Emerg Med. 2006; 13: 848-52.
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: 397-9.
21. Yoon P, Steiner I, Reinhardt G,. Analysis of factors influencing length of stay in the emergency department. Can J Emerg Med. 2003; 5: 155-61.
22. Whiteman P, Foltin G,. Physician bias during patient selection in the pediatric emergency department. Pediatr Emerg Care. 1998; 14: 332-3.