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- W1575366180 abstract "OBJECTIVE: To determine the average length of neurology consultations in the Emergency Department (ED) at an academic medical center with a neurology residency training program. BACKGROUND: Recent studies have shown an association between increased length of ED stay and increased hospital mortality and length of hospital stay. Neurologic consultations can add to ED patient time. The ED at Rush University Medical Center expressed concern that the timing of neurology consults was unacceptably prolonged. While the timing of acute stroke consultations is typically tracked at many institutions, including ours, the same is not true for other neurology consultations. DESIGN/METHODS: All neurology consultations called from the ED, excluding acute strokes, were tracked over one week in August 2013. Neurology residents recorded the time they received a consult page, the time they arrived at the bedside, and the time they communicated recommendations (after staffing the patient with a neurology attending) to the ED. Average consult times (± 1 SD) were calculated. If a consultation took longer than one hour, the resident noted contributing factors. RESULTS: 29 non-acute-stroke ED consult requests were received during the tracking period. The average time from page to resident arrival at bedside was 16 ± 21 minutes, and from page to recommendations was 57 ± 22 minutes. Reasons for prolonged consults (> 1 hour) included waiting for lab/imaging results, staffing a patient with both General Neurology and Stroke attendings, and receiving multiple simultaneous consults. CONCLUSIONS: Neurologic consultations called from the ED, excluding acute strokes, were completed in an average of 57 minutes. Reasons for prolonged consultations included waiting for results, staffing patients with two neurology services, and multiple simultaneous consult requests. Our department plans to re-evaluate ED consult times every three months to troubleshoot any timing issues that arise. Future studies could evaluate how length of neurology ED consults affects outcomes. Disclosure: Dr. Holden has nothing to disclose. Dr. Lewis has received personal compensation in an editorial capacity for Neurology and Continuum: Lifelong Learning in Neurology. Dr. Lewis has received royalty payments from Wolters Kluwer and Wiley." @default.
- W1575366180 created "2016-06-24" @default.
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- W1575366180 date "2014-04-08" @default.
- W1575366180 modified "2023-09-26" @default.
- W1575366180 title "Timeliness of Neurology Consultations in the Emergency Department: A Quality Evaluation (P4.280)" @default.
- W1575366180 hasPublicationYear "2014" @default.
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