The document discusses the importance of research in improving patient care, teaching, and other missions of the emergency medicine department. It provides examples of questions that could be answered through research, such as whether new policies and procedures actually improve outcomes, and how to ensure research studies use proper methodology to obtain reliable evidence. The document emphasizes applying scientific principles and ethics when conducting research with human subjects.
1. Research in Emergency Medicine
Medical School Aspect
Boriboon Chenthanakij MD.
Family Medicine Department
Faculty of Medicine Chiangmai University
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6. Why Research?
• to improve QUALITY of our mission.
• Our Mission
–Patient care
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7. Why Research?
• to improve QUALITY of our mission.
• Our Mission
–Patient care
–Teaching
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8. Why Research?
• to improve QUALITY of our mission.
• Our Mission
–Patient care
–Teaching
• Undergraduate program
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9. Why Research?
• to improve QUALITY of our mission.
• Our Mission
–Patient care
–Teaching
• Undergraduate program
• Postgraduate program
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10. Why Research?
• to improve QUALITY of our mission.
• Our Mission
–Patient care
–Teaching
• Undergraduate program
• Postgraduate program
–Research 2
22. Check
• To ensure that things are in the way we would like to see.
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23. Check
• To ensure that things are in the way we would like to see.
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24. Check
• To ensure that things are in the way we would like to see.
• To find some problems that can occur in our process.
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25. Check
• To ensure that things are in the way we would like to see.
• To find some problems that can occur in our process.
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26. Check
• To ensure that things are in the way we would like to see.
• To find some problems that can occur in our process.
• Can help us find the way to improve our process.
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32. Patient Care
• We have STEMI fast tract, Stroke fast tract.
• Many resources were use in fast tract policies.
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33. Patient Care
• We have STEMI fast tract, Stroke fast tract.
• Many resources were use in fast tract policies.
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34. Patient Care
• We have STEMI fast tract, Stroke fast tract.
• Many resources were use in fast tract policies.
• Were these policies really improve quality of life for our
patient?
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36. Patient care
• We have 5 triage level for patient in Emergency
Department.
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37. Patient care
• We have 5 triage level for patient in Emergency
Department.
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38. Patient care
• We have 5 triage level for patient in Emergency
Department.
• But in the past we use only 3 level triage.
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39. Patient care
• We have 5 triage level for patient in Emergency
Department.
• But in the past we use only 3 level triage.
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40. Patient care
• We have 5 triage level for patient in Emergency
Department.
• But in the past we use only 3 level triage.
• Is 5 level triage improve quality of care compare to
3 level triage ?
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43. Teaching
• Undergraduate
–In the past, before Tsunami attack in 2004, we seldom
teach about disaster for medical student.
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44. Teaching
• Undergraduate
–In the past, before Tsunami attack in 2004, we seldom
teach about disaster for medical student.
–we now have 2 weeks selective program about
disaster medicine for medical student in 4th year.
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45. Teaching
• Undergraduate
–In the past, before Tsunami attack in 2004, we seldom
teach about disaster for medical student.
–we now have 2 weeks selective program about
disaster medicine for medical student in 4th year.
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46. Teaching
• Undergraduate
–In the past, before Tsunami attack in 2004, we seldom
teach about disaster for medical student.
–we now have 2 weeks selective program about
disaster medicine for medical student in 4th year.
–Is our selective program can actually improve our
medical student performance when disaster occur?
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49. Teaching
• Postgraduate
–We look for an advance life support manikin for our
resident to practice in Central line placement before
they perform in real patients.
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50. Teaching
• Postgraduate
–We look for an advance life support manikin for our
resident to practice in Central line placement before
they perform in real patients.
–The price of manikin is around 1 or more million B.
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51. Teaching
• Postgraduate
–We look for an advance life support manikin for our
resident to practice in Central line placement before
they perform in real patients.
–The price of manikin is around 1 or more million B.
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52. Teaching
• Postgraduate
–We look for an advance life support manikin for our
resident to practice in Central line placement before
they perform in real patients.
–The price of manikin is around 1 or more million B.
–Is advance life support manikin can actually improve our
resident’s skill?
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55. POLICY
• Chiangmai University concern about Global warming
and Energy crisis.
• We should know how much energy we use and how
much plastic garbage we produce.
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56. POLICY
• Chiangmai University concern about Global warming
and Energy crisis.
• We should know how much energy we use and how
much plastic garbage we produce.
• And how much we can reduce them.
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61. Interest
• Some questions come from ourself.
• May be we interest in some specific topic.
• We know that IV beta blockers is very helpful to control
heart rate in AF patients, but we don’t have this
medication form in ED.
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62. Interest
• Some questions come from ourself.
• May be we interest in some specific topic.
• We know that IV beta blockers is very helpful to control
heart rate in AF patients, but we don’t have this
medication form in ED.
• So, which medication can be used when we don’t have
this medication. 12
68. Question
• Many questions occur in our daily life practice.
• How can we answer these questions?
• Some questions can be answered easily, but many are not.
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69. Question
• Many questions occur in our daily life practice.
• How can we answer these questions?
• Some questions can be answered easily, but many are not.
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70. Question
• Many questions occur in our daily life practice.
• How can we answer these questions?
• Some questions can be answered easily, but many are not.
• We need evidences before we can do evidence
based ............
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72. How strong is our evidence?
• We must have good methodology while looking for evidence.
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73. How strong is our evidence?
• We must have good methodology while looking for evidence.
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74. How strong is our evidence?
• We must have good methodology while looking for evidence.
• Which methodology is best for our question?
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75. How strong is our evidence?
• We must have good methodology while looking for evidence.
• Which methodology is best for our question?
– Descriptive study
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76. How strong is our evidence?
• We must have good methodology while looking for evidence.
• Which methodology is best for our question?
– Descriptive study
– Experimental study
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77. How strong is our evidence?
• We must have good methodology while looking for evidence.
• Which methodology is best for our question?
– Descriptive study
– Experimental study
– Clinical trial
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78. How strong is our evidence?
• We must have good methodology while looking for evidence.
• Which methodology is best for our question?
– Descriptive study
– Experimental study
– Clinical trial
• Which statistics is/are appropriate for our data?
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79. How strong is our evidence?
• We must have good methodology while looking for evidence.
• Which methodology is best for our question?
– Descriptive study
– Experimental study
– Clinical trial
• Which statistics is/are appropriate for our data?
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80. How strong is our evidence?
• We must have good methodology while looking for evidence.
• Which methodology is best for our question?
– Descriptive study
– Experimental study
– Clinical trial
• Which statistics is/are appropriate for our data?
• Epidemiologist is our good friend in this situation.
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87. ICH GCP
• An international ethical and scientific quality
standard in
–Designing
–Conducting
–Recording
–Reporting
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88. ICH GCP
• An international ethical and scientific quality
standard in
–Designing
–Conducting
–Recording
–Reporting
trials that involve human subjects.
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