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| 1 | An attending physician float shift for the improvement of physician productivity in a crowded emergency department显示文摘BACKGROUND:Patients backlogged in the emergency department(ED) waiting for an inpatient bed(boarders) continue to require the attention of ED physicians,exacerbating crowding in the ED.To address this problem,we added a 'float shift' to our winter schedule solely to care for boarders.We sought to quantify the effect of this float shift,hypothesizing greater physician productivity.METHODS:We performed a retrospective observational study in our community hospital ED,measuring the number of new patients seen in each 10-hour shift in the presence or absence of a float shift physician.We calculated the number of new patients seen per shift for each of the 7 daily shifts,during February(float shift scheduled) and May(float shift unscheduled) of 2008.We then compared the mean number of patients seen per shift in February with May.RESULTS:Total monthly patient volume was 6 656 for February and 6 775 for May,with the mean daily census being 230 and 219 patients,respectively.The number of new patients seen during each shift was greater in February than in May,with a mean increase of 1.1 patients per shift(with the float shift).Surveying participants about intervention effectiveness showed 92%of residents,but only 65%of attending physicians,in favor of maintaining the float shift.CONCLUSION:The presence of a 'float shift' physician caring only for boarding patients allows other physicians to maintain and even increase their productivity in our ED,despite the presence of longer throughput times and increased time on diversion. | Muhammad Umer Nasim Chintan Mistry Robert Harwood Erik Kulstad Laura Tommaso | 2013 | World Journal of Emergency Medicine2013，4，1： | 6 |
| 2 | Rosiglitazone attenuates learning and memory deficits in Tg2576 Alzheimer mice 显示文摘 | Pedersen W McMillan P Kulstad J | 2006 | Exp Neurol2006，199，2： | 1 |
| 3 | Delayed presentation of traumatic diaphragmatic hernia显示文摘 | Erik B Kulstad Matt V | 2004 | The Journal of Emergency Medicine2004，24，4： | 1 |
| 4 | Etomidate as an induction agent in septic patients: red flags or false alarms? 显示文摘 | Kulstad EB Kalimullah EA Tekwani KL | 2010 | West J Emerg Med2010，11，2： | 1 |
| 5 | Elevations of B-type natriuretic peptide in pulmonary embolism: a case series 显示文摘 | Bilkovski RN Kulstad EB | 2003 | J Emerg Med2003，25，4： | 1 |
| 6 | Alterations in energy balance Following exenatide administration 显示文摘 | Bradley DP Kulstad R Racine N | 2012 | Appl Physiol Nutr Metab2012，26，： | 1 |
| 7 | Evaluation of the revised trauma and injury severity scores in elderly trauma patients显示文摘 | Watts HF Kerem Y Kulstad EB | 2012 | J Emerg Trauma Shock2012，5，2： | 1 |
| 8 | Rosiglitazone attenuates learning and memory deficits in Tg2576 Alzheimer mice 显示文摘 | Pedersen W A McMillan PJ Kulstad JJ | 2006 | Exp Neurol2006，199，2： | 1 |
| 9 | A rapid quantitative turbimetric D - dimer assay has high sensitivity for detection of pulmonary embolism in the ED 显示文摘 | Kulstad EB Kulstad CE Lovell EO | 2004 | Am J Emerg Med2004，22，2： | 1 |
| 10 | Rosiglitazone at- tenuates learning and memory deficits in Tg2576 Alzheimer mice 显示文摘 | Pedersen W A McMillan P J Kulstad J J | 2006 | Exp Neurol2006，199，2： | 1 |
| 11 | Comparison of severity of illness scoring systems in the prediction of hospital mortality in severe sepsis and septic shock显示文摘 | Crowe C A Kulstad E B Mistry C D | | 0，，04： | 1 |
| 12 | Rosiglitazone attenuates learning and memory deficits in Tg2576 Alzheimer mice显示文摘 | Pedersen W A McMillan P J Kulstad J J | 2006 | Exp Neurol2006，199，： | 1 |
| 13 | Evaluation of the revised trauma and injury severity scores in elderly trauma patients显示文摘 | Watts HF Kerem Kulstad EB | 2012 | J Emerg Trauma Shock2012，5，2： | 1 |
| 14 | Rosiglitazone attenuates learning and memory deficits in Tg2576 Alzheimer mice显示文摘 | Pedersen WA McMillan PJ Kulstad JJ el al | 2006 | Exp Neurol2006，199，： | 1 |
| 15 | ED overcrowding is associated with an increased frequency of medicationerrors 显示文摘 | Kulstad EB Sikka R Sweis RT | 2010 | Am J Emerg Med2010，28，3： | 1 |
| 16 | Exenatide and weight loss显示文摘 | Bradley DP Kulstad R Schoeller DA | 2010 | Nutrition2010，26，3： | 1 |
| 17 | Etomidate as an induction agent in septic patients : red flags or false alarms 显示文摘 | Kulstad EB Kalimullah EA Tekwani KL | 2010 | West J Emerg Med2010，11，2： | 1 |
| 18 | ED overcrowding is associated with an increased frequency of medication errors显示文摘 | Kulstad EB Sikka R Sweis RT | 2010 | Am J Emerg Med2010，28，3： | 1 |
| 19 | Comparison of severity of illness scoring systems in the prediction of hospital mortality in severe sepsis and septic shock 显示文摘 | Crowe CA Kulstad EB Mistry CD | 2010 | J Emerg Trauma Shock2010，3，： | 1 |
| 20 | ED overcrowding is associated with an increased frequency of medication errors 显示文摘 | Kulstad E B Sikka R Sweis RT | 2010 | Am J Emerg Med2010，28，3： | 1 |
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