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Are accident and emergency senior house officers getting slower?
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  • Published on:
    ED workload: Who does what?
    • Roger Dalton, Research Fellow
    • Other Contributors:
      • Tom Burton, Derek Burke

    Dear Editor,

    In response to Drs Gilligan and Campbell, a study carried out in our ED has shown some interesting findings.

    We examined SHO workload on cohorts of ED SHOs in our department, (paediatric ED in a major tertiary centre), between February 2000 and February 2005. SHOs from February 2000 to February 2001 (2 cohorts), saw 22798 patients, 62.52% of total attendances. SHOs from February 2004 to F...

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    Conflict of Interest:
    None declared.
  • Published on:
    Variation in speed is important.
    • Peadar Gilligan, A&E Consultant
    • Other Contributors:
      • R N Illingworth, S Crane, and D Hegarty

    Dear Editor

    We accept, as pointed out by Dr Campbell, that our retrospective findings could be confounded by many factors. Nonetheless our Doctors were on average seeing 154 less patients per six months by the end of the study period.[1]

    The concept of developing "ideal practice patterns" is an interesting one and would in itself merit debate. Certainly from the patient's perspective the time waiting to see a...

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    Conflict of Interest:
    None declared.
  • Published on:
    What about variation in speed between physicians?

    Dear Editor

    The letter by Gilligan and colleagues suggests that SHO's in emergency departments are getting slower, seeing far fewer patients in a standard full shift rota than in previous years. Using 'before-after' comparisons can be confounded by factors such as increased patient acuity, or increased availability of slower tests. Decreased access to actually seeing patients, because ED beds are 'blocked' by admi...

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    Conflict of Interest:
    None declared.