Emergency Physician Coverage of In-hospital Codes

ABSTRACTBackground:A variety of models are used by hospitals, provincial governments, and departments of emergency medicine to “predict” the number of physician hours of coverage necessary to staff emergency departments. These models have arisen to meet specific requirements—some for the purpose of determining hourly rates of compensation, others to determine the amount of funding that will be provided to “purchase” physician coverage, and others to determine the number of hours of coverage necessary to maintain patient waits within “acceptable” limits. All such models have their strengths and weaknesses and have been criticized as not reflecting the “real” needs of any given department.Objective:In the article that follows, a review of existing models is presented, annotating their strengths and weaknesses to derive the characteristics of an “ideal” workload model.Conclusion:None of the models currently used to measure emergency department workload can be relied on to accurately predict the number of staffed hours necessary. Models that may achieve this objective are suggested.

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Behavioral Emergencies for the Emergency Physician

10.1017/cbo9781139088077 ◽

2013 ◽

Cited By ~ 6

Keyword(s):

Emergency Physician ◽

Behavioral Emergencies

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Sedation and local anesthesia preferences of emergency physician parents

The American Journal of Emergency Medicine ◽

10.1053/ajem.2000.16314 ◽

2000 ◽

Vol 18 (6) ◽

pp. 0737-0738

Author(s):

Jason K. Fleming ◽

Jay T. Ishida ◽

Loren G. Yamamoto

Keyword(s):

Local Anesthesia ◽

Emergency Physician

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Disk Battery Ingestion: A Simple User-Guide

Reviews on Recent Clinical Trials ◽

10.2174/1574887115666200603163448 ◽

2020 ◽

Vol 15 ◽

Author(s):

Carmine Petruzziello ◽

Paolo Maurizio Soave

Keyword(s):

Emergency Physician ◽

Case Reports ◽

Flow Chart ◽

Pediatric Age ◽

Stable Patient ◽

Publication Type ◽

Severe Injuries ◽

X Ray ◽

Study Population ◽

Serious Injuries

Introduction: Disk Battery Ingestion (DBI) is a cause of access to the emergency department (ED), especially in pediatric age. This problem, if not well managed, may lead to serious injuries, with several complications involving the gastrointestinal and respiratory tract. Objective: Aim of this review is to analyze the literature of the last 25 years to make a decisional flow-chart that may help the emergency physician. Methods: For this review 36 articles have been analyzed (8 articles and 28 case reports), from 1995 to 2019. Data considered from each study were: year of publication, type of study, population studied, type of battery, timing of ingestion, treatment, outcomes, complications. Results: A decisional flow-chart has been configured. X-ray should be performed as a first step in every stable patient, meanwhile CT scan should be performed in unstable patients. When the battery is still localized in the esophagus, endoscopy should be performed as soon as possible, meanwhile, when the battery is beyond the esophagus, it should be noted its diameter before taking a decision. Conclusion: The use of the flow-chart proposed may reduce the risk of consequences and severe injuries for the patients, helping the emergency physician in his decisional process.

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Patient Suggestions to Improve Emergency Physician Empathy and Communication

Journal of Patient Experience ◽

10.1177/2374373521996981 ◽

2021 ◽

Vol 8 ◽

pp. 237437352199698

Author(s):

Sophia Aguirre ◽

Kristen M Jogerst ◽

Zachary Ginsberg ◽

Sandeep Voleti ◽

Puneet Bhullar ◽

...

Keyword(s):

Emergency Department ◽

Patient Satisfaction ◽

Emergency Physician ◽

Active Listening ◽

Patient Relationship ◽

Emergency Physicians ◽

Future Improvement ◽

Survey Responses ◽

Physician Empathy

Emergency physician empathy and communication is increasingly important and influences patient satisfaction. This study investigated if there is a need for improvement in provider empathy and communication in our emergency department and what areas could be targeted for future improvement. Patients cared for by emergency physicians with the lowest satisfaction scores were surveyed within 1 week of discharge. Patients rated their emergency provider’s empathy and communication and provided feedback on the patient–provider interaction. Compared to survey responses nationally, our providers fell between the 10th and 25th percentiles for all questions, except question 5 (making a plan of action with [the patient]) which was between the 5th and 10th percentile. Areas most frequently cited for improvement were “wanting to know why” (N = 30), “time is short” (N = 15), and “listen to the patient” (N = 13). Survey percentiles and open-ended suggestions demonstrate a need for providers to give thorough explanations, spend more time with the patient, and demonstrate active listening. These themes can be used to strengthen the provider–patient relationship.

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