Evidence map›Paper›PMID 31360813›Full record

ArticleAEM education and training2019

Emergency Medicine Resident Efficiency and Emergency Department Crowding.

Ryan Kirby, Richard D Robinson, Sasha Dib, Daisha Mclarty, Sajid Shaikh, Radhika Cheeti, Amy F Ho, Chet D Schrader, Nestor R Zenarosa, Hao Wang

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Article in AEM education and training, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ryan KirbyDepartment of Emergency Medicine Integrative Emergency Services John Peter Smith Health Network Fort Worth TX.
Richard D RobinsonDepartment of Emergency Medicine Integrative Emergency Services John Peter Smith Health Network Fort Worth TX.
Sasha DibDepartment of Emergency Medicine Integrative Emergency Services John Peter Smith Health Network Fort Worth TX.
Daisha MclartyDepartment of Emergency Medicine Integrative Emergency Services John Peter Smith Health Network Fort Worth TX.
Sajid ShaikhDepartment of Information Technology John Peter Smith Health Network Fort Worth TX.
Radhika CheetiDepartment of Information Technology John Peter Smith Health Network Fort Worth TX.
Amy F HoDepartment of Emergency Medicine Integrative Emergency Services John Peter Smith Health Network Fort Worth TX.
Chet D SchraderDepartment of Emergency Medicine Integrative Emergency Services John Peter Smith Health Network Fort Worth TX.
Nestor R ZenarosaDepartment of Emergency Medicine Integrative Emergency Services John Peter Smith Health Network Fort Worth TX.
Hao WangDepartment of Emergency Medicine Integrative Emergency Services John Peter Smith Health Network Fort Worth TX.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesProvider efficiency has been reported in the literature but there is a lack of efficiency analysis among emergency medicine (EM) residents. We aim to compare efficiency of EM residents of different training levels and determine if EM resident efficiency is affected by emergency department (ED) crowding.

methodsWe conducted a single-center retrospective observation study from July 1, 2014, to June 30, 2017. The number of new patients per resident per hour and provider-to-disposition (PTD) time of each patient were used as resident efficiency markers. A crowding score was assigned to each patient upon the patient's arrival to the ED. We compared efficiency among EM residents of different training levels under different ED crowding statuses. Dynamic efficiency changes were compared monthly through the entire academic year (July to next June).

resultsThe study enrolled a total of 150,920 patients. A mean of 1.9 patients/hour was seen by PGY-1 EM residents in comparison to 2.6 patients/hour by PGY-2 and -3 EM residents. Median PTD was 2.8 hours in PGY-1 EM residents versus 2.6 hours in PGY-2 and -3 EM residents. There were no significant differences in acuity across all patients seen by EM residents. When crowded conditions existed, residency efficiency increased, but such changes were minimized when the ED became overcrowded. A linear increase of resident efficiency was observed only in PGY-1 EM residents throughout the entire academic year.

conclusionResident efficiency improved significantly only during their first year of EM training. This efficiency can be affected by ED crowding.

Identifiers

PMID31360813
PMCPMC6637007

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.