Assessing competence needs for doctors in the emergency department duty rosters: an observational study

Background The purpose of our investigation is to analyze if emergency epidemiology is randomly variable or predictable. If emergency admissions show a predictable pattern, we can use it for multiple planning purposes, especially defining competence needs for duty roster personnel. Method An observa...

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Bibliographic Details
Published in:International journal of emergency medicine 2023-06, Vol.16 (1), p.39-9, Article 39
Main Authors: Kolnes, Johannes, Hodneland, Erlend, Lange, Audun, Heggestad, Torhild
Format: Article
Language:English
Subjects:
Angiology
Cardiology
Competence requirements
Duty roster
Educational Advances in Emergency Medicine
Emergency epidemiology
Emergency medical care
Emergency Medicine
Epidemiology
Exponential pattern
Frequency distribution
Internal Medicine
Medicine
Medicine & Public Health
Observational studies
Pediatrics
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Summary:Background The purpose of our investigation is to analyze if emergency epidemiology is randomly variable or predictable. If emergency admissions show a predictable pattern, we can use it for multiple planning purposes, especially defining competence needs for duty roster personnel. Method An observational study of consecutive emergency admissions at Haukeland University Hospital in Bergen over six years. We extracted the discharge diagnoses from our electronic patient record and sorted the patients by diagnoses and frequency. Data were loaded into a Jupyter notebook and presented in form of frequency diagrams. The study population, 213,801 patients, comprises all emergency admissions in need of secondary emergency care from the relevant specialities in the catchment area of our hospital in the western health region of Norway. Patients in need of tertiary care from the whole region are also included. Results Our analysis shows an annually reproducible distribution pattern regarding type and number of patients. The pattern adhere to an exponential curve that is stable from year to year. An exponential distribution pattern also applies when we sort patients according to the capital letters groups in the ICD 10 system. The same applies if patients are sorted adhering to primarily surgical or medical diagnoses. Conclusion Analysis of the emergency epidemiology of all admitted emergency patients in a defined geographical area gives a solid basis for defining competence needs for duty roster work.
ISSN:1865-1380
1865-1372
1865-1380
DOI:10.1186/s12245-023-00515-y