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Accuracy of machine electrocardiogram interpretation and implementation of a de-prioritization protocol in the emergency department
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作者 Adam K Stanley Isobel Sonksen +2 位作者 Henry Morgan Nicola Hilton Sukhbir Bhullar 《World Journal of Emergency Medicine》 2025年第5期486-487,共2页
Computer analysis of electrocardiograms(ECGs)was introduced more than 50 years ago,with the aim to improve efficiency and clinical workflow.[1,2]However,inaccuracies have been documented in the literature.[3,4]Researc... Computer analysis of electrocardiograms(ECGs)was introduced more than 50 years ago,with the aim to improve efficiency and clinical workflow.[1,2]However,inaccuracies have been documented in the literature.[3,4]Research indicates that emergency department(ED)clinician interruptions occur every 4-10 min,which is significantly more common than in other specialties.[5]This increases the cognitive load and error rates and impacts patient care and clinical effi ciency.[1,2,5]De-prioritization protocols have been introduced in certain centers in the United Kingdom(UK),removing the need for clinician ECG interpretation where ECGs have been interpreted as normal by the machine. 展开更多
关键词 cognitive load de prioritization protocol improve efficiency clinical workflow howeverinaccuracies computer analysis electrocardiograms ecgs computer analysis electrocardiograms machine electrocardiogram interpretation emergency department error rates
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Optimizing teaching efficiency in the neuro-ophthalmology clinic
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作者 Sophie Saland Jennifer Dunnigan Andrew G.Lee 《Annals of Eye Science》 2025年第4期80-86,共7页
Physician educators are essential in the development of the next generation of physicians.Mentors can have a profound impact on the patient care of future patients whom their mentees will serve.Thus,the potential impa... Physician educators are essential in the development of the next generation of physicians.Mentors can have a profound impact on the patient care of future patients whom their mentees will serve.Thus,the potential impact of mentorship can extend far beyond the individual learner and hopefully generate a sustainable pipeline effect on future healthcare systems and care.Physician educators and mentors must balance a wide range of roles and responsibilities including research,mentorship,and administrative obligations with the time and effort needed to be a good mentor.In addition to their role as an academic physician,mentors must manage their core clinical commitments and teaching in the clinical environment is often impeded by obstacles(e.g.,time constraints,resource allocation,bureaucratic and administrative tasks,patient-related challenges).These challenges to mentorship can lead to physician burnout at the professional and personal level(e.g.,relationship conflicts,mental and physical health barriers).Burnout presents an existential threat to mentorship in both teaching and learning.The competing demands on physician educators and mentors,in combination with concerning levels of burnout among many physicians,highlight the need to optimize the teaching(and learning)process in the clinic,as well as address the underlying causes of physician burnout.In this manuscript,we highlight potential best practices for optimizing teaching efficiency in the neuro-ophthalmology clinic that we hope will be generalizable to teaching and learning in ophthalmology in general.We believe that personal and professional fulfillment can be built through mentorship,teaching,incorporating time management tools,and prioritizing mental and physical wellbeing. 展开更多
关键词 clinical teaching efficiency physician burnout ophthalmology mentorship
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