title: A national study examining emergency medicine specialty training and quality measures in the emergency department.
abstract: The objective of this study was to measure the relationship between emergency medicine (EM) specialty training and quality measures in the emergency department (ED). Data were gathered from the 2003-2004 National Hospital Ambulatory Medical Care Survey. The outcome was proportion of patients with acute myocardial infarction (AMI), pneumonia (PNA), and long-bone fracture (LBF) who received recommended therapy. These measures were analyzed with respect to EM residency completion. Compared with EDs with more than 80% EM-trained physicians, EDs with fewer than 80% EM-trained physicians had similar rates of aspirin (43% vs 42%) and β-blocker (26% vs 19%) use for AMI, appropriate antibiotics (78% vs 83%) and pulse oximetry (51% vs 55%) for PNA, and analgesia (85% vs 79%) for LBF. Additionally, a composite end point and an adjusted model showed no statistical difference across these measures. The proportion of residency-trained EM physicians did not affect the use of recommended treatment for AMI, PNA, and LBF.
authors: Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors: Simon C
authors: SC
authors: Mathews
authors: Gabor D
authors: GD
authors: Kelen
authors: Peter J
authors: PJ
authors: Pronovost
authors: Julius Cuong
authors: JC
authors: Pham
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000008:administration & dosage; D000700:Analgesics / Q000008:administration & dosage; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001241:Aspirin / Q000008:administration & dosage; D004635:Emergency Medicine / Q000193:education*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D050723:Fractures, Bone / Q000188:drug therapy; D006801:Humans; D009203:Myocardial Infarction / Q000188:drug therapy; D010043:Outcome and Process Assessment, Health Care / Q000706:statistics & numerical data; D010092:Oximetry; D011014:Pneumonia / Q000175:diagnosis / Q000188:drug therapy; D011787:Quality of Health Care / Q000706:statistics & numerical data*
chemical_list: D000319:Adrenergic beta-Antagonists; D000700:Analgesics; D000900:Anti-Bacterial Agents; D001241:Aspirin