Ep 191 The Future of EM – Systems Thinking

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7 • 602 Ratings

🗓️ 13 February 2024

⏱️ 73 minutes

🔗️ Recording | iTunes | RSS

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Summary

In order fix EM, each of us needs to understand systems issues and systems thinking, and advocate for a better system based on sound systems principles and specific solutions. In this main episode EM Cases podcast Anton is joined by Dr. Alecs Chochinov and Dr. Davie Petrie, two systems thinkers and leaders in EM. They discuss solutions for how to fix EM in 5 spheres: having a coordinated mission, optimizing access points, accountability, disaster preparedness and adaptation/evolution. They answer questions such as: What can we glean from how EM has evolved in the last few decades to help shape the future? How can we utilize virtual care to make it work for us and our patients well? How can we improve our EMS systems? How can we change the system to prevent emergency provider burnout? How can we integrate systems thinking into the daily operations of EDs to improve patient flow and outcomes? and many more... -Support EM Cases with a Donation https://emergencymedicinecases.com/donation/

Transcript

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0:00.0	Welcome to the Emergency Medicine Cases podcast. I'm your host, Dr. Anton Hellman, bringing you Canada's brightest minds in emergency medicine from EMC studios in Toronto.
0:12.7	EM cases is part of SREMI, Schwartz-Risman Emergency Medicine Institute, the nonprofit organization dedicated to improving EM care through research and education.
0:23.6	The opinions expressed on this podcast are intended for information and education purposes only and should not be used to diagnose, treat, or prevent any medical condition, nor should they be used as a substitute for medical advice and qualified practice and physician.
0:27.6	We have a very large problem in EM that lies outside the walls of our departments.
0:34.6	Our healthcare systems are failing, and this is having profound effects on EDs around
0:40.3	the world.
0:41.6	Packed waiting rooms, treatment delays, frustrated patients, EM provider burnout, ED closures
0:46.9	even, just to name a few of the effects.
0:49.8	I'll quote one of our guest experts that you'll hear very soon on this podcast, Dr. Alex Chochinov.
0:56.5	Waves of medical refugees are landing on our shores.
1:00.0	With the decline and fall of their primary care home, they present to EDs with more comorbidities and in even greater numbers.
1:09.0	Those requiring admission often face soiled services, quotas, closed borders, so they wait.
1:17.0	And those behind them wait with predictable results.
1:22.0	In episode 129 overcrowding causes and solutions, we dove deep into the reasons why we've ended up
1:29.3	like this and discussed some potential solutions for the problem of overcrowding in EM.
1:34.9	We talked about some intra-ED solutions and some extra ED solutions.
1:40.7	But that was five years ago, and a lot has changed in five years, like the COVID pandemic.
1:45.5	And it's time we revisited the problem of overcrowding and figure out what the future of EM should look like.
1:52.4	In that overcrowding episode, we dove deep into what we as individuals can do in the ED and what administrators can do.
1:59.6	In this podcast, what we're going to try and achieve
2:02.3	is we're going to concentrate more on the entire healthcare system that sort of revolves around
2:08.4	the ED in a way. Because it seems to me that we've done just about everything we can as
	...

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