Download - Research In Emergency Medicine
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A Perspective From Provincial Hospital
Chatchai Kraysubun
Emergency Department
Chaophayaabhaibhubejhr Hospital
Prachinburi Province
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Model of Clinical Practice of Emergency
Medicine
Obstacles VS. challenge
From Routine to Research
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Clinician
Administrator
Researcher
◦ Evidence-based medicine
◦ Interpretation of medical literature
◦ Performance of research
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“A study in search for factsfacts or new new
knowledge knowledge using the reliable and valid
methodology”
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-Tertiary care hospital
-Admission rate = 88%
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How we service?
◦ 1 EP or 1 intern doctor per shift
◦ 4-5 Nurses per shift
◦ 1 EMT-B, 2 EMT-I per shift
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ED crowdingED crowding EMSEMS
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“Clearing the crowd”
◦ Spend the time for managing patient
◦ Tired and Exhausted
◦ Research is the furthest thing on their mind
Average EP spend > 40-56 hr/week in patient care activities
Limitation of resource and ability to organize data
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Positive features Difficulties
Large numbers of patients
Wide range of clinical
conditions
Early access to acute illness
Potential for epidemiological
studies
Studying non-emergency
illness Performing laboratory
research Obtaining research grants Finding a project supervisor Continuing studies “out of
hours” Defining entry criteria in
prospective studies
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Is it possible to do the research in provincial
hospital ?
Can EP perform the research even in the
limitation of the resource?
Can EP have enough time to do the
research ?
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No exactly definition
Continuous development of
the organization towards the
goal
Strengthen the care of patient
for excellent services
PDCA(Plan-Do-Check-Act)
Prof . Vicharn Panich
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Development of leadership
Innovation supported by evidence base
Win-Win situation for all levels of personnel
Teamwork
Knowledge management
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1. I have the collected data, but I don’t but I don’t
have the research questionhave the research question 2. I have the project, but I’ve not started yet 3. I’m very interesting in research, but I but I
don’t know how to startdon’t know how to start 4. I’m interesting in research, but I’m not but I’m not
sure I can do it sure I can do it 5. I don’t like it and I don’t want to do
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Examine everyday standard work and ask “ How can I improve it?”
Review literature to find the room for question
Reduplicate and application of the study Talk with people who are interested in
research
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Step 1: Help me please !!!!
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Comparison protocol checklist
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Research in EM is the challengechallenge
Research is the tool of development
◦ People development
◦ Process of work development
◦ Place development
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