We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Determination of the internal medicine service's role in emergency department length of stay at a military medical center.
- Authors
Glasser JS; Zacher LL; Thompson JC; Murray CK; Glasser, Jessie S; Zacher, Lisa L; Thompson, Jennifer C; Murray, Clinton K
- Abstract
<bold>Objectives: </bold>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.<bold>Methods: </bold>Standardized ED encounter sheets were completed by the medicine physician on duty (MOD) assessing various admission and consultative parameters.<bold>Results: </bold>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%).<bold>Conclusions: </bold>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.
- Publication
Military Medicine, 2009, Vol 174, Issue 11, p1163
- ISSN
0026-4075
- Publication type
journal article
- DOI
10.7205/milmed-d-00-2409