@article {SteinP1.011作者={劳拉·斯坦和安娜速度和Mandip Dhamoon和斯蒂芬·Krieger}, title ={了解居民工作流和教育经验来实现先进实践临床医生在神经病学实习培训项目(P1.011)},体积={90}={15}补充数量,elocation-id = {P1.011} ={2018},出版商= {Wolters Kluwer健康,公司代表美国神经病学学会},抽象={目的:1。首页评估工作流在三级转诊神经病学实习项目2。首页结合先进的实践临床医生(APC)患者安全的解决问题和居民教育服务的平衡。背景:神经病学的倦怠率最首页高的国家之一,并增加病人量会导致人格解体的感觉以及对工作的不满意。在我们的机构、中风服务排放增加从2010 71 \ % {\ textendash} 2015和咨询量增加24 \ %从2014年{\ textendash} 2015年。与此同时,居民没有增加补充或雇佣更多的员工。设计/方法:我们调查现任和前任居民感知的病人数量,教育经验,充足的人力资源,和病人安全。我们跟踪咨询的时间来更好地评估工作流中的模式超过一个月。根据调查结果,我们提出招聘4个APC来满足未满足的工作流和教育需求。结果:临床成交量最高的12到10点,其中包括5个小时的睡眠时间只有一个居民的房子。 Although short call from 5{\textendash}8pm is required for compliance with ACGME duty hour regulations, residents agreed that this yields inefficiencies, with simultaneous requirements for two rounds of handoff while fielding new consults and managing inpatient issues. Residents felt they needed assistance with tasks related to medication reconciliation, obtaining outside records, and preparing discharges before noon. They also felt patient safety was at risk for being compromised during handoff periods and after 8 pm on weekdays and 4 pm on weekends. Based on these results, we hired four APC to work staggered shifts from 7-4:30 pm and 12-8:30 pm seven days per week. Additionally, we designed APC roles around tasks deemed less educational for residents, including medication reconciliation and preparing discharges before noon.Conclusions: Understanding resident workflow and educational experience allows for implementation of an APC program that can optimize patient safety and resident education.Disclosure: Dr. Stein has nothing to disclose. Dr. Pace has nothing to disclose. Dr. Dhamoon has nothing to disclose. Dr. Krieger has received personal compensation for consulting, serving on a scientific advisory board, speaking, or other activities with acorda, bayer, biogen, emd serono, genentech, genzyme, mallinckrodt, medday, novartis, teva, and tg therapeutics .}, issn = {0028-3878}, URL = {//www.ez-admanager.com/content/90/15_Supplement/P1.011}, eprint = {//www.ez-admanager.com/content}, journal = {Neurology} }