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Impact of Emergency Department Built Environment on Timeliness of Physician Assessment of Patients With Chest Pain.

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Title: Impact of Emergency Department Built Environment on Timeliness of Physician Assessment of Patients With Chest Pain.
Authors: Hall, Kendall K.1 khall004@umaiyland.edu, Kyriacou, Dernetrios N.2, Handler, Jonathan A.3,4,5, Adams, James G.6
Source: Environment & Behavior. Mar2008, Vol. 40 Issue 2, p233-248. 16p. 2 Diagrams, 3 Charts.
Subject Terms: Emergency medical services, Chest pain, Hospital emergency services, Emergency medicine, Medical care, Hospital care, Patients
Abstract: A retrospective cohort study was conducted to evaluate the effect of the built environment of an emergency department (ED) on the timeliness of physician assessment of chest pain patients. The main outcome variable was time to initial physician assessment. Potential predictor variables included presence of a solid door, distance of treatment room from work area, staffing team, day of week, and the patient's age, sex, and triage level. After multi-variate adjustment, the only predictors of time to initial assessment greater than 10 minutes were being placed in a room with a door (adjusted odds ratio [ORI 1.58; 95% confidence interval [CI] 1.01-2.48) and being placed in a room 25 feet or more from the main physician work area (adjusted OR 1.38; 95% CII. 13-1.67). These findings suggest that the ED built environment can be a barrier for providing timely care for this group of patients and may have implications for future ED architectural designs. [ABSTRACT FROM AUTHOR]
Copyright of Environment & Behavior is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
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  Data: Impact of Emergency Department Built Environment on Timeliness of Physician Assessment of Patients With Chest Pain.
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  Data: <searchLink fieldCode="AR" term="%22Hall%2C+Kendall+K%2E%22">Hall, Kendall K.</searchLink><relatesTo>1</relatesTo><i> khall004@umaiyland.edu</i><br /><searchLink fieldCode="AR" term="%22Kyriacou%2C+Dernetrios+N%2E%22">Kyriacou, Dernetrios N.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Handler%2C+Jonathan+A%2E%22">Handler, Jonathan A.</searchLink><relatesTo>3,4,5</relatesTo><br /><searchLink fieldCode="AR" term="%22Adams%2C+James+G%2E%22">Adams, James G.</searchLink><relatesTo>6</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Environment+%26+Behavior%22">Environment & Behavior</searchLink>. Mar2008, Vol. 40 Issue 2, p233-248. 16p. 2 Diagrams, 3 Charts.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22Emergency+medical+services%22">Emergency medical services</searchLink><br /><searchLink fieldCode="DE" term="%22Chest+pain%22">Chest pain</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+emergency+services%22">Hospital emergency services</searchLink><br /><searchLink fieldCode="DE" term="%22Emergency+medicine%22">Emergency medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+care%22">Hospital care</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: A retrospective cohort study was conducted to evaluate the effect of the built environment of an emergency department (ED) on the timeliness of physician assessment of chest pain patients. The main outcome variable was time to initial physician assessment. Potential predictor variables included presence of a solid door, distance of treatment room from work area, staffing team, day of week, and the patient's age, sex, and triage level. After multi-variate adjustment, the only predictors of time to initial assessment greater than 10 minutes were being placed in a room with a door (adjusted odds ratio [ORI 1.58; 95% confidence interval [CI] 1.01-2.48) and being placed in a room 25 feet or more from the main physician work area (adjusted OR 1.38; 95% CII. 13-1.67). These findings suggest that the ED built environment can be a barrier for providing timely care for this group of patients and may have implications for future ED architectural designs. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Environment & Behavior is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=8gh&AN=31122663
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    Identifiers:
      – Type: doi
        Value: 10.1177/0013916507311548
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 16
        StartPage: 233
    Subjects:
      – SubjectFull: Emergency medical services
        Type: general
      – SubjectFull: Chest pain
        Type: general
      – SubjectFull: Hospital emergency services
        Type: general
      – SubjectFull: Emergency medicine
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Hospital care
        Type: general
      – SubjectFull: Patients
        Type: general
    Titles:
      – TitleFull: Impact of Emergency Department Built Environment on Timeliness of Physician Assessment of Patients With Chest Pain.
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            NameFull: Hall, Kendall K.
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            NameFull: Kyriacou, Dernetrios N.
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            NameFull: Handler, Jonathan A.
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            NameFull: Adams, James G.
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              M: 03
              Text: Mar2008
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              Y: 2008
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            – TitleFull: Environment & Behavior
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