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A Perspective From Provincial Hospital Chatchai Kraysubun Emergency Department Chaophayaabhaibhubejhr Hospital Prachinburi Province

Research In Emergency Medicine

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Page 1: Research In Emergency Medicine

A Perspective From Provincial Hospital

Chatchai Kraysubun

Emergency Department

Chaophayaabhaibhubejhr Hospital

Prachinburi Province

Page 2: Research In Emergency Medicine

Model of Clinical Practice of Emergency

Medicine

Obstacles VS. challenge

From Routine to Research

Page 3: Research In Emergency Medicine

Clinician

Administrator

Researcher

◦ Evidence-based medicine

◦ Interpretation of medical literature

◦ Performance of research

Page 4: Research In Emergency Medicine

“A study in search for factsfacts or new new

knowledge knowledge using the reliable and valid

methodology”

Page 5: Research In Emergency Medicine

-Tertiary care hospital

-Admission rate = 88%

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How we service?

◦ 1 EP or 1 intern doctor per shift

◦ 4-5 Nurses per shift

◦ 1 EMT-B, 2 EMT-I per shift

Page 8: Research In Emergency Medicine

ED crowdingED crowding EMSEMS

Page 9: Research In Emergency Medicine

“Clearing the crowd”

◦ Spend the time for managing patient

◦ Tired and Exhausted

◦ Research is the furthest thing on their mind

Average EP spend > 40-56 hr/week in patient care activities

Limitation of resource and ability to organize data

Page 10: Research In Emergency Medicine

Positive features Difficulties

Large numbers of patients

Wide range of clinical

conditions

Early access to acute illness

Potential for epidemiological

studies

Studying non-emergency

illness Performing laboratory

research Obtaining research grants Finding a project supervisor Continuing studies “out of

hours” Defining entry criteria in

prospective studies

Page 11: Research In Emergency Medicine

Is it possible to do the research in provincial

hospital ?

Can EP perform the research even in the

limitation of the resource?

Can EP have enough time to do the

research ?

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No exactly definition

Continuous development of

the organization towards the

goal

Strengthen the care of patient

for excellent services

PDCA(Plan-Do-Check-Act)

Prof . Vicharn Panich

Page 14: Research In Emergency Medicine

Development of leadership

Innovation supported by evidence base

Win-Win situation for all levels of personnel

Teamwork

Knowledge management

Page 15: Research In Emergency Medicine

1. I have the collected data, but I don’t but I don’t

have the research questionhave the research question 2. I have the project, but I’ve not started yet 3. I’m very interesting in research, but I but I

don’t know how to startdon’t know how to start 4. I’m interesting in research, but I’m not but I’m not

sure I can do it sure I can do it 5. I don’t like it and I don’t want to do

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Examine everyday standard work and ask “ How can I improve it?”

Review literature to find the room for question

Reduplicate and application of the study Talk with people who are interested in

research

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Step 1: Help me please !!!!

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Comparison protocol checklist

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Research in EM is the challengechallenge

Research is the tool of development

◦ People development

◦ Process of work development

◦ Place development

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