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{
    "pk": 7391,
    "title": "Bedside Teaching on Time to Disposition Improves Length of Stay for Critically-ill Emergency Departments Patients",
    "subtitle": null,
    "abstract": "Introduction: \nWe tested the effect of a brief disposition process intervention on residents’ time to disposition and emergency department (ED) length of stay (LOS) in high acuity ED patients.\n \nMethods: \nThis was a quasi-experimental study design in a single teaching hospital where ED residents are responsible for administrative bed requests for patients. Enrollment was performed for intervention and control groups on an even-odd day schedule. Inclusion criteria were ED patients triaged as Emergency Severity Index (ESI) 1 and 2. In the intervention group, the attending physician prompted the resident to make the disposition immediately after the evaluation of resuscitation patients. In the control group, the attending physicians did not intervene in the disposition process unless more than 2 hours passed without a disposition. Main outcomes were time to disposition and total ED LOS.\n \nResults: \nA total of 104 patients were enrolled; 53 (51%) in the intervention group and 51 (49%) in the control group. After controlling for ESI and resident training year, mean disposition time was significantly shorter in the intervention group by 41.4 minutes (95% CI: 32.6-50.1). LOS was also shorter in the intervention group by 93.3 minutes (95% CI: 41.9-144.6).\n \nConclusion: \nPrompting residents to enter administrative disposition orders in high acuity patients is associated with significant reduction in both time to disposition and ED LOS. [West J Emerg Med 2013;14(2):137-140.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "Resident education, Overcrowding"
        },
        {
            "word": "education"
        }
    ],
    "section": "Education",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/7xd1w0k3",
    "frozenauthors": [
        {
            "first_name": "Ali",
            "middle_name": "",
            "last_name": "Pourmand",
            "name_suffix": "",
            "institution": "George Washington University, Department of Emergency Medicine, Washington, DC",
            "department": "None"
        },
        {
            "first_name": "Raymond",
            "middle_name": "",
            "last_name": "Lucas",
            "name_suffix": "",
            "institution": "George Washington University, Department of Emergency Medicine, Washington, DC",
            "department": "None"
        },
        {
            "first_name": "Jesse",
            "middle_name": "",
            "last_name": "Pines",
            "name_suffix": "",
            "institution": "George Washington University, Department of Emergency Medicine, Washington, DC; George Washington University, Department of Health Policy, Washington, DC",
            "department": "None"
        },
        {
            "first_name": "Hamid",
            "middle_name": "",
            "last_name": "Shokoohi",
            "name_suffix": "",
            "institution": "George Washington University, Department of Emergency Medicine, Washington, DC",
            "department": "None"
        },
        {
            "first_name": "Kabir",
            "middle_name": "",
            "last_name": "Yadav",
            "name_suffix": "",
            "institution": "George Washington University, Department of Emergency Medicine, Washington, DC",
            "department": "None"
        }
    ],
    "date_submitted": "2012-03-28T22:41:12-04:00",
    "date_accepted": "2012-03-28T22:41:12-04:00",
    "date_published": "2013-01-24T16:31:25-05:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/7391/galley/4382/download/"
        }
    ]
}