Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/659
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dc.contributor.authorRanaweers, Jeevanien
dc.contributor.authorCraig, Simonen
dc.date.accessioned2015-04-27T04:58:46Zen
dc.date.available2015-04-27T04:58:46Zen
dc.date.issued2015en
dc.identifier.govdoc00641en
dc.identifier.issn1034-4810en
dc.identifier.urihttp://hdl.handle.net/11054/659en
dc.description.abstractAim: Overseas studies have suggested a bias in emergency department patient selection between paediatric and emergency medicine trainees. This study aimed to detect whether a similar bias existed in an Australasian setting. Specifically, we sought to determine whether vocational trainees choose patients based on presenting complaint, triage category or patient age. Methods: A retrospective review of patients attending the Monash Medical Centre Paediatric Emergency Department (PED) was conducted during four consecutive registrar rotations from July 2010 to March 2011. A 2-week period during the middle of each term was chosen, and data were collected from times when both emergency and paediatric registrars were present in the department. Results: A total of 1222 patient records were reviewed. Emergency registrars saw 278 patients, and paediatric registrars saw 413 patients. Of those seen by emergency registrars, 62.9% had medical diagnoses, and 37.1% had non-medical diagnoses; 14.4% were triaged as high acuity, and 85.6% were low acuity. Of those seen by paediatric registrars, 70% had medical diagnoses, and 30% had non-medical diagnoses, while 15.9% were high acuity, and 84.1% were low acuity. Emergency registrars saw 2.5% neonates, 6.5% adolescents. Paediatric registrars saw 3.6% neonates and 6.1% adolescents. There was no significant difference between paediatric and emergency registrars in selecting patients. Conclusions: Bias does not appear to exist in the selection of patients in this Australasian PED. Further study should address the impact of unbiased patient selection on emergency department efficiency and trainee education.en
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2015-04-27T04:58:24Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2015-04-27T04:58:46Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2015-04-27T04:58:46Z (GMT). No. of bitstreams: 0 Previous issue date: 2015en
dc.publisherWileyen
dc.relation.urihttp://onlinelibrary.wiley.com/doi/10.1111/jpc.12694/fullen
dc.title‘Playing favourites’: Is there bias during patient selection by registrars in an Australian paediatric emergency department?en
dc.typeJournal Articleen
dc.type.specifiedArticleen
dc.bibliographicCitation.titleJournal of Paediatrics and Child Healthen
dc.bibliographicCitation.volume51en
dc.bibliographicCitation.issue2en
dc.bibliographicCitation.stpage215en
dc.bibliographicCitation.endpage219en
dc.subject.healththesaurusEDUCATIONen
dc.subject.healththesaurusEMERGENCY MEDICINEen
dc.subject.healththesaurusPAEDIATRICSen
dc.date.issuedbrowse2015-01-01en
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