To determine the timeliness of response of consultants called to evaluate patients in the emergency department of a community hospital.
Consultation requests from an ED located in a medium-sized community hospital were studied for a 1-month period.
Data collected included name and specialty of the consultant, urgency of patients'conditions, times of pages, and times of consultants'responses and arrival in the ED.
Two hundred forty-one consultations were requested and 199 data forms relating to 21 staff physicians were analyzed.
Mean number of pages required to reach a consultant was 1.5±4. Mean time from the first page to telephone response was 8±6 minutes and from first page to ED arrival was 42±23 minutes.
Mean time from the first page to the consultant's arrival in the ED was significantly shorter for emergency (17±10 minutes) than for urgent or nonurgent patients (50±41 and 41±23 minutes, respectively).
There were wide variations in individual patterns of response ; the 7 fastest consultants had a mean first page to arrival time of 25±10 minutes, and for the slowest 5 consultants the time was 56±24 minutes.
Response times of consultants to the ED vary depending on the urgency of the patient's condition and individual behavior patterns.
Mots-clés Pascal : Service urgence, Temps réponse, Médecin, Conseil, Appel téléphonique, Etats Unis, Amérique du Nord, Amérique, Relation professionnelle, Homme, Agent santé
Mots-clés Pascal anglais : Emergency department, Response time, Physician, Council, Telephone call, United States, North America, America, Professional relation, Human, Health worker
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0027344
Code Inist : 002B30A05. Création : 31/05/1999.