What do emergency physicians in charge do? A qualitative observational study

What do emergency physicians in charge do? A qualitative observational study
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急诊科医生负责做什么?

DOI:
10.1136/emermed-2016-205902
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发表时间:
2018
影响因子:
3.1
通讯作者:
Hosking I
Hosking I
中科院分区:
医学3区
文献类型:
--
作者:
Hosking I

文献摘要

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前言急诊医师在许多大型急诊室的角色已经发展,以协助病人流量。我们的目的是描述和分类的解决问题的行动,这个角色requires.MethodsWe采访了高级急诊医生和进行迭代,定性观察,使用连续的反思性调查,在一个单一的中心。我们审查和分类这些approaches.ResultsNine不同的解决问题的方法被确定。这些是偏转,前加载,放置,采摘,洪水,瞄准,追逐,引导和杂耍。这些都是有用的培训和发展我们的理解如何管理一个艾德.ConclusionsEmergency医师负责有一些解决问题的方法,可以很容易地定义。我们已经描述和分类了这些。这些结果对开发决策支持软件具有潜在的指导意义。
IntroductionThe emergency physician in charge role has developed in many large EDs to assist with patient flow. We aimed to describe and classify the problem-solving actions that this role requires.MethodsWe interviewed senior emergency physicians and performed iterative, qualitative observations, using continuous reflective inquiry, in a single centre. We reviewed and classified these approaches by consensus.ResultsNine different problem-solving approaches were identified. These are deflecting, front loading, placing, plucking, flooding, targeting, chasing, guiding and juggling. These are useful for training and developing our understanding of how to manage an ED.ConclusionsEmergency physicians in charge have a number of problem-solving approaches that can be readily defined. We have described and categorised these. These results are potentially useful for developing decision support software.