scholarly journals Emergency Medicine Trainee Burnout Is Associated With Lower Patients’ Satisfaction With Their Emergency Department Care

2018 ◽  
Vol 2 (2) ◽  
pp. 86-90 ◽  
Author(s):  
Dave W. Lu ◽  
Paul Logan Weygandt ◽  
Carrie Pinchbeck ◽  
Tania D. Strout
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Emergency Department Care ◽  
Patients Satisfaction

P148: Emergency physicians’ perception on engaging patients in their emergency department care

CJEM ◽  
2019 ◽  
Vol 21 (S1) ◽  
pp. S117-S118
Author(s):  
L. Krebs ◽  
C. Villa-Roel ◽  
S. Couperthwaite ◽  
B. Holroyd ◽  
M. Ospina ◽  
...  
Keyword(s):  
Decision Making ◽  
Emergency Department ◽  
Emergency Medicine ◽  
Patient Engagement ◽  
Controlled Trial ◽  
Research Area ◽  
Management Plan ◽  
Emergency Physicians ◽  
Management Options ◽  
Emergency Department Care

Introduction: Patient engagement in health decision-making is an important research area within emergency medicine. Studies suggest that patients are often not highly engaged in care decisions, and may not be aware that there are decisions in which they can be involved. This study explored emergency physicians (EPs) perceptions of their patient engagement practices. Methods: As part of a stepped-wedge randomized controlled trial, an introductory seminar was held at 15 emergency department (ED) sites in Alberta. Seminars highlighted physician-patient communication and expectation gaps documented in local studies. As part of the seminar evaluation, EPs were asked to reflect on their engagement of patients in their practice. Descriptive results are reported. Results: A total of 114 EP surveys were returned. The majority of respondents were male (68%) and nearly 40% of respondents have practiced emergency medicine for 5 years or less. Less than half of the EPs (43%) reported always or usually asking their patients about their ED visit care expectations. Approximately one-third (32%) reported always or usually checking their patients’ understanding of management options (e.g., tests, treatments and/or procedures). Patients management preferences were always or usually elicited 24% of the time. Despite limited consistency in ascertaining patients’ preferences, 39% of EPs indicated that they always or usually considered their patients’ preferences when choosing a management plan. Half of the EPs (51%) reported that they always or usually involved their patients in decision-making. Yet, when asked whether other EPs involved their patients in decision-making, only 15% reported that they believed their fellow clinicians did this always or usually. On average, 68% of respondents believed their patients wanted to be completely or mostly involved in their ED and decision-making; however, 16% believed patients were actually completely or mostly involved in the ED care and decision-making. Conclusion: EPs agreed that patients want to be actively involved in their ED care decisions. Yet, their reflection on their own practice, and especially their perception of their colleagues’, highlight large gaps between physicians’ perception of what patients would like and what patients actually receive. Further research should explore these interactions in depth, understand what constrains EPs from involving patients and explore patient perceptions of these interactions.

scholarly journals 101OLDER PATIENTS' SATISFACTION WITH EMERGENCY DEPARTMENT CARE

2019 ◽  
Vol 48 (Supplement_1) ◽  
pp. i27-i30
Author(s):  
L C Blomaard ◽  
F E H P van Baarle ◽  
J A Lucke ◽  
J de Gelder ◽  
J Gussekloo ◽  
...  
Keyword(s):  
Emergency Department ◽  
Emergency Department Care ◽  
Patients Satisfaction

Prototype Curriculum for a Fellowship in Emergency Medical Services

1994 ◽  
Vol 9 (1) ◽  
pp. 73-77 ◽  
Author(s):  
Jon R. Krohmer ◽  
Robert A. Swor ◽  
Nicholas Benson ◽  
Steven A. Meador ◽  
Steven J. Davidson
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Emergency Medical Services ◽  
Emergency Care ◽  
Medical Services ◽  
Emergency Department Care ◽  
Emergency Medical

The developments of emergency medicine and emergency medical services (EMS) have occurred simultaneously although at times on parallel paths. The recognition of EMS providers as physician surrogates and emergency care resources as an extension of emergency department care has mandated close physician involvement. This intimate physician involvement in EMS activities is now well accepted. It has, however, pointed out the need for in-depth training of physicians in the subspecialty of EMS.

Patients' satisfaction when denied authorization for emergency department care by their managed care plan

1997 ◽  
Vol 15 (5) ◽  
pp. 611-616 ◽  
Author(s):  
Theodore C. Chan ◽  
Stephen R. Hayden ◽  
Brad Schwartz ◽  
Taylor Fletcher ◽  
Richard F. Clark
Keyword(s):  
Emergency Department ◽  
Managed Care ◽  
Care Plan ◽  
Emergency Department Care ◽  
Patients Satisfaction

scholarly journals National Trends in Emergency Department Care Processes for Acute Myocardial Infarction in the United States, 2005 to 2015

2020 ◽  
Vol 9 (20) ◽  
Author(s):  
Akshay Pendyal ◽  
Craig Rothenberg ◽  
Jean E. Scofi ◽  
Harlan M. Krumholz ◽  
Basmah Safdar ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Emergency Department ◽  
Length Of Stay ◽  
Real World ◽  
The United States ◽  
Emergency Department Care ◽  
Care Processes ◽  
Ed Visits

Background Despite investments to improve quality of emergency care for patients with acute myocardial infarction (AMI), few studies have described national, real‐world trends in AMI care in the emergency department (ED). We aimed to describe trends in the epidemiology and quality of AMI care in US EDs over a recent 11‐year period, from 2005 to 2015. Methods and Results We conducted an observational study of ED visits for AMI using the National Hospital Ambulatory Medical Care Survey, a nationally representative probability sample of US EDs. AMI visits were classified as ST‐segment–elevation myocardial infarction (STEMI) and non‐STEMI. Outcomes included annual incidence of AMI, median ED length of stay, ED disposition type, and ED administration of evidence‐based medications. Annual ED visits for AMI decreased from 1 493 145 in 2005 to 581 924 in 2015. Estimated yearly incidence of ED visits for STEMI decreased from 1 402 768 to 315 813. The proportion of STEMI sent for immediate, same‐hospital catheterization increased from 12% to 37%. Among patients with STEMI sent directly for catheterization, median ED length of stay decreased from 62 to 37 minutes. ED administration of antithrombotic and nonaspirin antiplatelet agents rose for STEMI (23%–31% and 10%–27%, respectively). Conclusions National, real‐world trends in the epidemiology of AMI in the ED parallel those of clinical registries, with decreases in AMI incidence and STEMI proportion. ED care processes for STEMI mirror evolving guidelines that favor high‐intensity antiplatelet therapy, early invasive strategies, and regionalization of care.

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