A National Study Examining Emergency Medicine Specialty Training and Quality Measures in the Emergency Department

作者：Mathews Simon C; Kelen Gabor D; Pronovost Peter J; Pham Julius Cuong^*

来源：American Journal of Medical Quality, 2010, 25(6): 429-435.

DOI：10.1177/1062860610369171

• quality of health care
• pneumonia
• myocardial infarction
• long-bone fracture
• emergency medicine
• patient safety
• emergency medicine training
• emergency department

The objective of this study was to measure the relationship between emergency medicine (EM) specialty training and quality measures in the emergency department (ED). Data were gathered from the 2003-2004 National Hospital Ambulatory Medical Care Survey. The outcome was proportion of patients with acute myocardial infarction (AMI), pneumonia (PNA), and long-bone fracture (LBF) who received recommended therapy. These measures were analyzed with respect to EM residency completion. Compared with EDs with more than 80% EM-trained physicians, EDs with fewer than 80% EM-trained physicians had similar rates of aspirin (43% vs 42%) and beta-blocker (26% vs 19%) use for AMI, appropriate antibiotics (78% vs 83%) and pulse oximetry (51% vs 55%) for PNA, and analgesia (85% vs 79%) for LBF. Additionally, a composite end point and an adjusted model showed no statistical difference across these measures. The proportion of residency-trained EM physicians did not affect the use of recommended treatment for AMI, PNA, and LBF.

• 出版日期2010-12