| Determination of the internal medicine service's role in emergency department length of stay at a military medical center. | |
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MedLine Citation:
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PMID: 19960823 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: Increasing numbers of emergency department (ED) visits and higher leaving-without-being-seen rates resulted in an evaluation of the contribution of the internal medicine service to the admission process. METHODS: Standardized ED encounter sheets were completed by the medicine physician on duty (MOD) assessing various admission and consultative parameters. RESULTS: 304 patient encounters revealed a 44-minute mean time from MOD consultation to order submission; 49% in under 30 minutes and 76% in under an hour. There was no difference in time among MOD shifts, staff and residents, or admission diagnoses. Reasons for delays were receiving multiple consults at a time (36%) and needing further specialty consultation or additional workup (30%). CONCLUSIONS: Most medicine admissions took less than an hour from time of MOD consultation to time orders were written. Areas of improvement include expediting discussion with specialists and timely but appropriate ED workup before consultation. |
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Authors:
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Jessie S Glasser; Lisa L Zacher; Jennifer C Thompson; Clinton K Murray |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Military medicine Volume: 174 ISSN: 0026-4075 ISO Abbreviation: Mil Med Publication Date: 2009 Nov |
Date Detail:
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Created Date: 2009-12-07 Completed Date: 2010-01-26 Revised Date: 2010-05-07 |
Medline Journal Info:
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Nlm Unique ID: 2984771R Medline TA: Mil Med Country: United States |
Other Details:
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Languages: eng Pagination: 1163-6 Citation Subset: IM |
Affiliation:
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Department of Medicine, Brooke Army Medical Center, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Analysis of Variance Emergency Service, Hospital / statistics & numerical data* Hospitals, Military* Humans Internal Medicine* Length of Stay / statistics & numerical data* Time Factors United States |
| Comments/Corrections | |
Comment In:
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Mil Med. 2010 Apr;175(4):iii; author reply iii-iv
[PMID:
20446494
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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