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응급 협의진료 질 평가를 위한 기초 연구

Other Titles
 Evaluation of Emergency Consultation Skill: A Preliminary Study 
 전승훈  ;  한경화  ;  김승환  ;  김현종  ;  이누가  ;  유제성  ;  박유석  ;  정성필  ;  박인철  ;  김민정 
 Journal of the Korean Society of Emergency Medicine (대한응급의학회지), Vol.24(1) : 89-94, 2013 
Journal Title
 Journal of the Korean Society of Emergency Medicine (대한응급의학회지) 
Issue Date
Consultation ; Communication ; Emergency physician ; Medical education
Purpose: Emergency consultation is a common and important aspect in the emergency department (ED). Kessler et al. suggested the five Cs of the emergency medicine (EM) consulting checklist; contact, communication, core question, collaboration, and closing the loop as a tool for evaluation of consultation quality. The objective of this study was to evaluate the appropriateness of this checklist as a tool for assessment of the skill of requesting consultation in the ED. Methods: This study was conducted in the ED at an urban training hospital. Three emergency physicians recorded telephone conversations when they contacted consultant physicians for consultation regarding emergency patients. After recording files were collected, eight raters evaluated each conversation using the five Cs of the EM consulting checklist. Results: A total of 58 cases were gathered. The most frequent emergency acuity level of patients was 3, by 72.4%. The mean duration of conversation was 53±30 seconds. The mean total score was 41.9±3.1. When the scores for the five Cs` categories were evaluated, the score was lowest, at 2.9±1.0 for ``contact`` and highest, at 4.8±0.5, for ``communication``. Inter-rater agreement (95%confidence interval) of the total score was 0.819 (0.755-0.875). In the case of acuity level 3, the agreement was high, at 0.859(0.796-0.911), whereas it was 0.691 (0.491-0.874) and 0.426(0.115-0.922) in acuity levels 2 and 4, respectively. Conclusion: EM consultations were evaluated according to the five Cs of the EM consulting checklist showing high inter-rater agreement. This checklist could be used as a tool for monitoring and feedback in EM residency training.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers
Yonsei Authors
Kim, Min Joung(김민정) ORCID logo https://orcid.org/0000-0003-1634-5209
Park, Yoo Seok(박유석) ORCID logo https://orcid.org/0000-0003-1543-4664
Park, In Cheol(박인철) ORCID logo https://orcid.org/0000-0001-7033-766X
You, Je Sung(유제성) ORCID logo https://orcid.org/0000-0002-2074-6745
Rhee, Nu Ga(이누가)
Chung, Sung Pil(정성필) ORCID logo https://orcid.org/0000-0002-3074-011X
Han, Kyung Hwa(한경화)
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