Effect of resident complement on timeliness of stroke team activation in an academic emergency department.

ABSTRACT:

Objectives

Investigations of the impact of residents on emergency department (ED) timeliness of care typically focus only on global ED flow metrics. We sought to describe the association between resident complement/supervisory ratios and timeliness of ED care of a specific time-sensitive condition, acute stroke.

Methods

We matched ED stroke patient arrivals at 1 academic stroke center against resident and attending staffing and constructed a Cox proportional hazards model of door-to-activation (DTA) time (ie, ED arrival ["door"] to stroke team activation). We considered multiple predictors, including calculated ratios of residents supervised by each attending physician.

Results

Among 462 stroke activation patients in 2014-2015, DTA ranged from 1 to 217 minutes, 72% wi

SUBMITTER: Michael SS 

PROVIDER: S-EPMC8769070 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature