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经验无可替代:从业时间更长的顾问医生在术后医疗查房时效率更高吗?

No substitute for experience: do consultants that have been practising for longer lead faster post-take medical ward rounds?

作者信息

Gill D, Gaunt R, Hamdulay S

机构信息

Hammersmith Hospital, Du Cane Road, London, W12 0HS, UK.

出版信息

Acute Med. 2013;12(3):141-5.

Abstract

AIM

To ascertain whether consultants that have been practising for longer lead faster post-take medical ward rounds.

METHOD

Single-centre observational study of nine consultant physicians at morning post-take medical ward rounds at a district general hospital in the North West of London.

RESULTS

Data were gathered from 25 post-take medical ward rounds. Multivariate regression analysis revealed that less time is spent per patient when consultants have been practising for longer (p<0.01), or have spent more time on the specialist register (p<0.01), with no discernible relation to the outcomes for the patients seen. This time is further reduced when a greater number of patients are seen on the ward round.

CONCLUSION

More experienced consultant physicians conduct faster post-take medical ward rounds.

摘要

目的

确定从业时间较长的会诊医生是否能使接收患者后的内科病房查房速度更快。

方法

在伦敦西北部一家区综合医院,对9名会诊内科医生接收患者后的晨间内科病房查房进行单中心观察性研究。

结果

收集了25次接收患者后的内科病房查房数据。多变量回归分析显示,会诊医生从业时间越长(p<0.01)或在专科注册上花费的时间越多(p<0.01),每位患者花费的时间就越少,且与所诊治患者的结局无明显关联。当在病房查房中诊治的患者数量更多时,这个时间会进一步缩短。

结论

经验更丰富的会诊内科医生进行接收患者后的内科病房查房速度更快。

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