Physician assistants reduce resident workload and improve care in an academic surgical setting

被引：25

作者：

Dies, Natalie ^{[1
]}

Rashid, Saira ^{[1
]}

Shandling, Maureen ^{[2
]}

Swallow, Carol ^{[3
,4
]}

Easson, Alexandra M. ^{[4
,5
]}

Kennedy, Erin ^{[4
,5
]}

机构：

[1] Mt Sinai Hosp, Dept Gen Surg, Practice, Toronto, ON M5G 1X5, Canada

[2] Univ Toronto, Med Affairs, Toronto, ON M5S 1A1, Canada

[3] Univ Toronto, Div Gen Surg, Toronto, ON M5S 1A1, Canada

[4] Univ Toronto, Dept Surg, Toronto, ON M5S 1A1, Canada

[5] Univ Toronto, Inst Hlth Policy Management & Evaluat, Toronto, ON M5S 1A1, Canada

来源：

JAAPA-JOURNAL OF THE AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS | 2016年 / 29卷 / 02期

关键词：

physician assistants; resident education; resident surgical teams; improved patient outcomes; Canada; workforce; NURSE-PRACTITIONER; ORDER ENTRY; EXPERIENCE; EXTENDERS; EDUCATION; SERVICE; IMPACT;

D O I：

10.1097/01.JAA.0000476214.34937.50

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objectives: Educational demands coupled with restricted hours reduce residents' availability to provide care at academic hospitals. Physician assistants (PAs) may address this issue. This study assessed the effect of PAs on patient discharges, resident workload, and resident perceptions of PAs on a surgical team. Methods: Two PAs were employed on teams caring for complex surgical patients. Measures included time of discharge order entry, hours residents spent on the electronic medical record (EMR), and resident opinions of PA effectiveness. Results: The teams with PAs had a 0.5% late discharge and 16% early discharge rate. Junior residents with a PA on the team spent fewer hours on the EMR. Residents reported PAs significantly improved their rotation and quality care. Conclusions: PAs reduce resident workload and improve care on surgical teams in a tertiary hospital.

引用

页码：41 / 46

页数：6

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