An attending physician float shift for the improvement of physician productivity in a crowded emergency department

Nasim, Muhammad Umer; Mistry, C.; Harwood, Robert; Kulstad, Erik; Tommaso, Laura

doi:10.5847/wjem.j.issn.1920-8642.2013.01.002

Cited by 5 publications

(1 citation statement)

References 6 publications

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“…[1] The EDs play a vital role in providing acute care and access to the hospital care systems in every community; however their ability is World J Emerg Med, Vol 7, No 3, 2016 Lukin et al limited by the problem of overcrowding which is now occurring worldwide. [2][3][4] A substantial demand on the emergency department comes from patients living in residential aged care facilities (RACFs). [5,6] Residents of RACFs represent the frailest population group in society, with chronic disease, atypical symptoms, multiple co-morbidities, cognitive and functional impairment, and social problems.…”

Section: Introductionmentioning

confidence: 99%

Emergency department use among patients from residential aged care facilities under a Hospital in the Nursing Home scheme in public hospitals in Queensland Australia

Lukin

Fan

Zhao³

et al. 2016

World Journal of Emergency Medicine

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Section: Introductionmentioning

confidence: 99%

Emergency department use among patients from residential aged care facilities under a Hospital in the Nursing Home scheme in public hospitals in Queensland Australia

Lukin

Fan

Zhao³

et al. 2016

World Journal of Emergency Medicine

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Definitions and factors associated with emergency physician productivity: a scoping review

et al. 2023

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Purpose There currently exists no standard productivity measure for emergency physicians. The objectives of this scoping review were to synthesize the literature to identify components of definitions and measurements of emergency physician productivity and to evaluate factors associated with productivity. Methods We searched Medline, Embase, CINAHL, and ProQuest One Business from inception to May 2022. We included all studies that reported on emergency physician productivity. We excluded studies that only reported departmental productivity, studies with non-emergency providers, review articles, case reports, and editorials. Data were extracted into predefined worksheets and a descriptive summary was presented. Quality analysis was performed with Newcastle-Ottawa Scale. Results After screening 5521 studies, 44 studies met full inclusion criteria. Components of the definition for emergency physician productivity included: number of patients managed, revenue generated, patient processing time, and a standardization factor. Most studies measured productivity using patients per hour, relative value units per hour, and provider-to-disposition time. The most studied factors influencing productivity included scribes, resident learners, electronic medical record implementation, and faculty teaching scores. Conclusion Emergency physician productivity is heterogeneously defined, but includes common elements such as patient volume, complexity, and processing time. Commonly reported productivity metrics include patients per hour and relative value units that incorporate patient volume and complexity, respectively. The findings of this scoping review can guide ED physicians and administrators to measure the impact of QI initiatives, promote efficient patient care, and optimize physician staffing.

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Staffing and Provider Productivity in the Emergency Department

Stenson

Anderson

Davis

2020

Emergency Medicine Clinics of North America

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An attending physician float shift for the improvement of physician productivity in a crowded emergency department

Cited by 5 publications

References 6 publications

Emergency department use among patients from residential aged care facilities under a Hospital in the Nursing Home scheme in public hospitals in Queensland Australia

Emergency department use among patients from residential aged care facilities under a Hospital in the Nursing Home scheme in public hospitals in Queensland Australia

Definitions and factors associated with emergency physician productivity: a scoping review

Staffing and Provider Productivity in the Emergency Department

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