Assessing competence needs for doctors in the emergency department duty rosters: an observational study
Dublin Core
Title
Assessing competence needs for doctors in the emergency department duty rosters: an observational study
Subject
Emergency epidemiology, Duty roster, Competence requirements, Frequency distribution, Exponential pattern
Description
Background The purpose of our investigation is to analyze if emergency epidemiology is randomly variable or pre-
dictable. If emergency admissions show a predictable pattern, we can use it for multiple planning purposes, especially
defining competence needs for duty roster personnel.
Method An observational study of consecutive emergency admissions at Haukeland University Hospital in Bergen
over six years. We extracted the discharge diagnoses from our electronic patient record and sorted the patients by
diagnoses and frequency. Data were loaded into a Jupyter notebook and presented in form of frequency diagrams.
The study population, 213,801 patients, comprises all emergency admissions in need of secondary emergency care
from the relevant specialities in the catchment area of our hospital in the western health region of Norway. Patients in
need of tertiary care from the whole region are also included.
Results Our analysis shows an annually reproducible distribution pattern regarding type and number of patients.
The pattern adhere to an exponential curve that is stable from year to year. An exponential distribution pattern
also applies when we sort patients according to the capital letters groups in the ICD 10 system. The same applies if
patients are sorted adhering to primarily surgical or medical diagnoses.
Conclusion Analysis of the emergency epidemiology of all admitted emergency patients in a defined geographical
area gives a solid basis for defining competence needs for duty roster work.
Keywords Emergency epidemiology, Duty roster, Competence requirements, Frequency distribution, Exponential
pattern
dictable. If emergency admissions show a predictable pattern, we can use it for multiple planning purposes, especially
defining competence needs for duty roster personnel.
Method An observational study of consecutive emergency admissions at Haukeland University Hospital in Bergen
over six years. We extracted the discharge diagnoses from our electronic patient record and sorted the patients by
diagnoses and frequency. Data were loaded into a Jupyter notebook and presented in form of frequency diagrams.
The study population, 213,801 patients, comprises all emergency admissions in need of secondary emergency care
from the relevant specialities in the catchment area of our hospital in the western health region of Norway. Patients in
need of tertiary care from the whole region are also included.
Results Our analysis shows an annually reproducible distribution pattern regarding type and number of patients.
The pattern adhere to an exponential curve that is stable from year to year. An exponential distribution pattern
also applies when we sort patients according to the capital letters groups in the ICD 10 system. The same applies if
patients are sorted adhering to primarily surgical or medical diagnoses.
Conclusion Analysis of the emergency epidemiology of all admitted emergency patients in a defined geographical
area gives a solid basis for defining competence needs for duty roster work.
Keywords Emergency epidemiology, Duty roster, Competence requirements, Frequency distribution, Exponential
pattern
Creator
Johannes Kolnes1*, Erlend Hodneland1
, Audun Lange1 and Torhild Heggestad1
, Audun Lange1 and Torhild Heggestad1
Source
https://doi.org/10.1186/s12245-023-00515-y
Date
2023
Contributor
Peri Irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Johannes Kolnes1*, Erlend Hodneland1
, Audun Lange1 and Torhild Heggestad1, “Assessing competence needs for doctors in the emergency department duty rosters: an observational study,” Repository Horizon University Indonesia, accessed April 11, 2026, https://repository.horizon.ac.id/items/show/12148.