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Eur J Emerg Med. 2004 Feb;11(1):29-34.

Reduced length of stay in medical emergency department patients: a prospective controlled study on emergency physician staffing.

Author information

1
Medical Emergency Department, University Hospital Basel, Basel, Switzerland.

Abstract

OBJECTIVE:

Patients, emergency department staff and hospital managers are often confronted with a prolonged length of stay of emergency department patients, with resulting overcrowding in the emergency department. We hypothesized that additional medical personnel would reduce the length of stay.

METHODS:

We prospectively studied consecutive patients managed in a medical emergency department by internal medicine residents during the evening shift. Data were collected on patients managed before (n=200) and after (n=160) the addition of a second physician on the shift.

RESULTS:

The addition of a physician in the busy evening shift decreased the length of stay from 176+/-137 to 141+/-86 min (mean+/-SD, P=0.012) for outpatients discharged after evaluation and management in the emergency department. The length of stay for emergency department inpatients admitted for hospitalization was not significantly reduced.

CONCLUSION:

An additional physician significantly reduced the length of stay of medical emergency department outpatients.

PMID:
15167190
[Indexed for MEDLINE]

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