[The effect of "seniorization" on the prescription of biological tests in an admissions and emergency service].
This prospective study compared the prescriptions of biological tests (PBT) for patients admitted to an Emergency medical service (EMS) of a University hospital, according as to whether the staff consisted either of medical residents only (study period P1) or of residents trained in emergency medicine and continuously supervised by a senior specialist (study period P2). During the one-month study periods, a total of 5,948 patients were admitted (2,781 during P1 and 3,167 during P2 respectively). Between P1 and P2 the rate of PBT decreased by 38.8% (P < 0.0001), the mean expenses for PBT per patient by 13.8% (P < 0.0001) and the total expenses by 53.4%. Teaching and training of residents in emergency medicine and supervision by a senior specialist improve the quality of care and decrease health care cost.
Gerbeaux
P
P
Service d'accueil des urgences, hôpital de la Conception, Marseille, France.
Ledoray
V
V
Torro
D
D
Thirree
R
R
Nelh
P
P
Jean
P
P
D000328:Adult; D016009:Chi-Square Distribution; D019411:Clinical Laboratory Techniques / Q000191:economics; D004632:Emergency Medical Services / Q000191:economics / Q000458:organization & administration*; D004635:Emergency Medicine / Q000193:education*; D005260:Female; D005500:Follow-Up Studies; D017048:Health Care Costs; D006785:Hospitals, University / Q000458:organization & administration; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration*; D008297:Male; D008505:Medical Staff, Hospital / Q000458:organization & administration; D010343:Patient Admission; D011446:Prospective Studies; D011787:Quality of Health Care