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J Korean Soc Emerg Med > Volume 28(6); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(6): 564-571.
응급의학과 입원결정권이 응급실 재실시간에 미치는 영향: 역사적 대조군을 이용한 전후 연구
최현수, 유승, 조용철, 정원준, 조성욱, 안홍준, 주기혁
충남대학교병원 응급의학과
Effect of Hospitalization Decision by Emergency Physicians on Patient’s Emergency Department Length of Stay: Before and After Study using Historical Control
Hyun Soo Choi, Seung Ryu, Yong Chul Cho, Won Joon Jeong, Sung Uk Cho, Hong Joon Ahn, Ki Hyuk Joo
Department of Emergency Medicine, Chungnam National University Hospital, Daejeon, Korea
Correspondence  Seung Ryu ,Tel: 042-280-8129, Fax: 042-280-8052, Email: rs0505@cnuh.co.kr,
Received: June 15, 2017; Revised: June 15, 2017   Accepted: September 11, 2017.  Published online: December 31, 2017.
ABSTRACT
Purpose:
This study analyzed the effects of the hospitalization decisions made by emergency physicians (EP) on the emergency department length of stay (ED-LOS).
Method:
From March 2016, the hospitalization decisions of six internal medicine departments were made by EP, which has been implemented gradually since 2015. Through a retrospective electronic record review, the ED-LOS between EP hospitalization decision departments (group A) and others (group B) was analyzed and the ED-LOS before and after the hospitalization decision method change was compared (2014 vs. 2016).
Results:
Compared to 2014, in 2016, the ED-LOS in departments that hospitalization decision made by EP was reduced significantly (median with interquartile range; 478.0 minutes [319.0 to 900.5 minutes] vs. 259.0 minutes [177.0 to 384.0 minutes]; p<0.001). In addition, the ED-LOS in Group A was reduced more than in Group B (219.0 minutes (45.8%) vs. 30.0 minutes (10.2%).
Conclusion:
ED-LOS can be reduced by the EP hospitalization decisions.
Key words: Emergency service, Hospitals, Length of stay, Hospitalization
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