Engineering Design Centre, Cambridge University, Cambridge, England.
Cambridge University Hospitals Foundation Trust, Cambridge, England.
Emerg Med J. 2018 Mar;35(3):186-188. doi: 10.1136/emermed-2016-205902. Epub 2017 Mar 10.
The emergency physician in charge role has developed in many large EDs to assist with patient flow. We aimed to describe and classify the problem-solving actions that this role requires.
We interviewed senior emergency physicians and performed iterative, qualitative observations, using continuous reflective inquiry, in a single centre. We reviewed and classified these approaches by consensus.
Nine different problem-solving approaches were identified. These are deflecting, front loading, placing, plucking, flooding, targeting, chasing, guiding and juggling. These are useful for training and developing our understanding of how to manage an ED.
Emergency physicians in charge have a number of problem-solving approaches that can be readily defined. We have described and categorised these. These results are potentially useful for developing decision support software.
负责的急诊医师角色在许多大型急诊部发展起来，以协助患者流程。我们旨在描述和分类该角色所需的解决问题的行动。
我们采访了资深的急诊医师，并在一个中心进行了迭代的、定性的观察，使用持续的反思性询问。我们通过共识来审查和分类这些方法。
确定了九种不同的解决问题的方法。这些方法是转移、前置、放置、采摘、淹没、瞄准、追逐、引导和兼顾。这些方法对于培训和加深我们对如何管理急诊室的理解很有用。
负责的急诊医师有许多可以轻易定义的解决问题的方法。我们已经对这些方法进行了描述和分类。这些结果对于开发决策支持软件可能是有用的。
