scholarly journals The Impact of Full-Time Attending Physician in the Pediatric Emergency Department

2017 ◽  
Vol 23 (2) ◽  
pp. 92-96
Author(s):  
Tae Ho Kim ◽  
Seung Soo Kim
Keyword(s):  
Emergency Department ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Full Time ◽  
Attending Physician ◽  
The Impact

scholarly journals Doctors documenting: an ethnographic and informatics approach to understanding attending physician documentation in the pediatric emergency department

2020 ◽  
Author(s):  
Sarah D Fouquet ◽  
Laura Fitzmaurice ◽  
Y Raymond Chan ◽  
Evan M Palmer
Keyword(s):  
Emergency Department ◽  
Mixed Methods ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Pediatric Emergency ◽  
Second Phase ◽  
Pediatric Emergency Department ◽  
Mixed Methods Approach ◽  
Time And Motion ◽  
Attending Physician

Abstract Objective The pediatric emergency department is a highly complex and evolving environment. Despite the fact that physicians spend a majority of their time on documentation, little research has examined the role of documentation in provider workflow. The aim of this study is to examine the task of attending physician documentation workflow using a mixed-methods approach including focused ethnography, informatics, and the Systems Engineering Initiative for Patient Safety (SEIPS) model as a theoretical framework. Materials and Methods In a 2-part study, we conducted a hierarchical task analysis of patient flow, followed by a survey of documenting ED providers. The second phase of the study included focused ethnographic observations of ED attendings which included measuring interruptions, time and motion, documentation locations, and qualitative field notes. This was followed by analysis of documentation data from the electronic medical record system. Results Overall attending physicians reported low ratings of documentation satisfaction; satisfaction after each shift was associated with busyness and resident completion. Documentation occurred primarily in the provider workrooms, however strategies such as bedside documentation, dictation, and multitasking with residents were observed. Residents interrupted attendings more often but also completed more documentation actions in the electronic medical record. Discussion Our findings demonstrate that complex work processes such as documentation, cannot be measured with 1 single data point or statistical analysis but rather a combination of data gathered from observations, surveys, comments, and thematic analyses. Conclusion Utilizing a sociotechnical systems framework and a mixed-methods approach, this study provides a holistic picture of documentation workflow. This approach provides a valuable foundation not only for researchers approaching complex healthcare systems but also for hospitals who are considering implementing large health information technology projects.

Resident Related Liability in the Emergency Department

PEDIATRICS ◽  
1991 ◽  
Vol 88 (5) ◽  
pp. 1076-1076
Author(s):  
HAROLD K. SIMON
Keyword(s):  
Emergency Department ◽  
Recent Article ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Professional Liability ◽  
Disproportionate Number ◽  
Attending Physician

In a recent article in Pediatrics, "Professional Liability in a Pediatric Emergency Department" by Reynolds et al, one of the major conclusions is that a disproportionate number of claims occurs when an attending physician is not present in the emergency department. Their conclusions from the facts that 46% of the claims arise from midnight to 8:00 AM when an attending physician is not present, while approximately 8% of total visits occur during this period, are as follows: "It may be that parents had higher expectations at 3:00 AM compared with 10:00 AM or that parents perceived the physician to be less experienced and less self-confident.

The Impact of Mental Health Services in a Pediatric Emergency Department

2017 ◽  
Vol 33 (5) ◽  
pp. 311-314 ◽  
Author(s):  
Sharon M. Holder ◽  
Kenneth Rogers ◽  
Eunice Peterson ◽  
Robbie Shoenleben ◽  
Dawn Blackhurst
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
Mental Health Services ◽  
Health Services ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
The Impact

scholarly journals Using the Social Robot NAO for Emotional Support to Children at a Pediatric Emergency Department: Randomized Clinical Trial (Preprint)

2021 ◽  
Author(s):  
Silvia Rossi ◽  
Silvano Junior Santini ◽  
Daniela Di Genova ◽  
Gianpaolo Maggi ◽  
Alberto Verrotti ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Emergency Department ◽  
Emergency Room ◽  
Randomized Clinical Trial ◽  
Effect Size ◽  
Salivary Cortisol ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Cortisol Levels ◽  
The Impact

BACKGROUND Social robots (SRs) have been used for improving anxiety in children in stressful clinical situations, such as during painful procedures. However, no studies have yet been performed to assess their effect in children while waiting for emergency room consultations. OBJECTIVE This study aims to assess the impact of SRs on managing stress in children waiting for an emergency room procedure through the assessment of salivary cortisol levels. METHODS This was an open randomized clinical trial in children attending a pediatric emergency department. Children accessing the emergency room were randomized to 1 of 3 groups: (1) playing with a NAO SR, (2) playing with a study nurse, or (3) waiting with parents. The salivary cortisol levels of all children were measured through a swab. Salivary cortisol levels before and after the intervention were compared in the 3 groups. We calculated the effect size of our interventions through the Cohen <i>d</i>-based effect size correlation (<i>r</i>). RESULTS A total of 109 children aged 3-10 years were enrolled in the study, and 94 (86.2%) had complete data for the analyses. Salivary cortisol levels significantly decreased more in the group exposed to robot interaction than in the other two groups (<i>r</i>=0.75). Cortisol levels decreased more in girls (<i>r</i>=0.92) than in boys (<i>r</i>=0.57). CONCLUSIONS SRs are efficacious in decreasing stress in children accessing the emergency room and may be considered a tool for improving emotional perceptions of children and their families in such a critical setting. CLINICALTRIAL ClinicalTrials.gov NCT04627909; https://clinicaltrials.gov/ct2/show/study/NCT04627909

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