[The effect of "seniorization" on the prescription of biological tests in an admissions and emergency service]

Ann Fr Anesth Reanim. 2000 Jan;19(1):62-6. doi: 10.1016/s0750-7658(00)00121-0.
[Article in French]

Abstract

This prospective study compared the prescriptions of biological tests (PBT) for patients admitted to an Emergency medical service (EMS) of a University hospital, according as to whether the staff consisted either of medical residents only (study period P1) or of residents trained in emergency medicine and continuously supervised by a senior specialist (study period P2). During the one-month study periods, a total of 5,948 patients were admitted (2,781 during P1 and 3,167 during P2 respectively). Between P1 and P2 the rate of PBT decreased by 38.8% (P < 0.0001), the mean expenses for PBT per patient by 13.8% (P < 0.0001) and the total expenses by 53.4%. Teaching and training of residents in emergency medicine and supervision by a senior specialist improve the quality of care and decrease health care cost.

Publication types

  • Comparative Study
  • English Abstract

MeSH terms

  • Adult
  • Chi-Square Distribution
  • Clinical Laboratory Techniques* / economics
  • Emergency Medical Services / economics
  • Emergency Medical Services / organization & administration*
  • Emergency Medicine / education*
  • Female
  • Follow-Up Studies
  • Health Care Costs
  • Hospitals, University / organization & administration
  • Humans
  • Internship and Residency / organization & administration*
  • Male
  • Medical Staff, Hospital / organization & administration
  • Patient Admission
  • Prospective Studies
  • Quality of Health Care