Research In Emergency Medicine

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Chatchai Kraysubun, Emergency Department, Chaophayaabhaibhubejhr Hospital, Prachinburi Province

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Research In Emergency Medicine

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

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