Percentage of US Emergency Department Patients Seen Within the Recommended Triage Time

Horwitz, Leora I.; Bradley, Elizabeth H.

doi:10.1001/archinternmed.2009.336

Cited by 66 publications

(42 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the 1990s, crowding first became a concern in inner city and teaching hospital EDs [3,4]. Over the next decade the majority of suburban and rural EDs would also experience crowded conditions [5,6].…”

Section: Introductionmentioning

confidence: 99%

Providing Care in Emergency Department Hallways: Demands, Dangers, and Deaths

Richards

Linden

Derlet

2014

Advances in Emergency Medicine

View full text Add to dashboard Cite

Emergency departments (ED) worldwide have experienced dramatic increases in crowding over the past 20 years that now have reached critical levels. One consequence of ED crowding has been the routine use of ED hallways for patient care. This includes ED patients who are awaiting care but are considered unstable to remain in the waiting room, patients who are undergoing active medical and trauma treatment, and patients who have been stabilized but await transfer to an inpatient bed (boarding) or another institution. Compared with licensed hospital or standard ED beds, care in ED hallways results in increased patient morbidity and mortality, as well as patient and staff dissatisfaction. Complications experienced by hallway patients include unrecognized sudden respiratory arrest or unstable cardiac arrhythmias, delay in time-sensitive procedures and laboratory testing, delay in receiving important medications, excessive or unrelieved pain, overall increased length of stay, increased disability, and exposure to traumatic psychological events. While much has been published on the general problems of ED crowding, only recently have studies focused exclusively on the issues of providing care in ED hallways. This review summarizes the current issues, challenges, and solutions for hallway care.

show abstract

Section: Introductionmentioning

confidence: 99%

Providing Care in Emergency Department Hallways: Demands, Dangers, and Deaths

Richards

Linden

Derlet

2014

Advances in Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…Several predictors of prolonged WT have been reported such as age of the patient, severity, busyness of the ED, day of the week and time of the day and we confirmed these results in our study. 13,14 However, previous studies have not investigated the influence of the provider on WT, but rather only variables at the patient or the ED level. The association between burnout level of physicians and patient outcomes has rarely been investigated, and evidence of consequences of severe burnout for patients care are scarce.…”

Section: Discussionmentioning

confidence: 99%

“…10,11 There are a few previously reported independent predictors of prolonged WT (time of day of the ED visit, age of the patient, overcrowding or daily census for example). [12][13][14][15] However, studies investigating factors associated with a prolonged WT have so far only analyzed factors at the patient level or the ED level, whereas data on the provider (emergency physician) have not been examined.…”

Section: Introductionmentioning

confidence: 99%

Effect of emergency physician burnout on patient waiting times

et al. 2017

View full text Add to dashboard Cite

Objectives: Burnout is common amongst emergency physicians. This syndrome may negatively affect patient care and alter work productivity. We seek to assess whether burnout of emergency physicians impacts waiting times in the emergency department. Methods:Prospective study in an academic ED. All patients that visited the main ED for a four month period in 2016 were included. Target waiting times are assigned by triage nurse to patients on arrival depending on their severity. The primary endpoint was an exceeded target waiting time for ED patients. All emergency physicians were surveyed by a psychologist to assess their level of burnout using the Maslach Burnout Inventory. We defined the level of burnout of the day in the ED as the mean burnout level of the physicians working that day (8:30 to the 8:30 the next day). A logistic regression model was performed to assess whether burnout level of the day was independently associated with prolonged waiting times, along with previously reported predictors.Results: Target waiting time was exceeded in 7,524 patients (59%). Twenty six emergency physicians were surveyed. Median burnout score was 35 (Interquartile [24-49]). A burnout level of the day higher than 35 was independently associated with an exceeded target waiting time (adjusted odds ratio 1.54, 95% confidence interval 1.39 to 1.70), together with previously reported predictors (i.e. day of the week, time of the day, trauma, age and daily census).

show abstract

“…EDs are the initial points of hospital to where patients refer and they usually suffer from different problems and complications (12). In fact, the final goal of an ED is to provide high quality services in a short time (13)(14)(15). Bernstein et al study on EDWIN scale concluded that the scale could appropriately predict overcrowding in EDs (6).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Overcrowding of Emergency Department in Imam Reza Hospital in 2015 by Implementing 2 Scales: NEDOCS and EDWIN

Rahmani

Rezazadeh

Ala

et al. 2017

Iran Red Crescent Med J

View full text Add to dashboard Cite

Background: The reason behind patients' overcrowding in emergency departments (ED) may be due to several factors such as great number of referring patients or inaccessibility of facilities or hospital beds. Objectives: The present study aimed at evaluating the overcrowding of ED in Tabriz Imam Reza hospital in 2015 using 2 scales: National Emergency Overcrowding Scale (NEDOCS), and Emergency Department Work Index (EDWIN). Methods: This was a cross-sectional descriptive study conducted in the ED of Imam Reza hospital affiliated to Tabriz University of Medical Sciences, Iran, in a one-year period (Jan-Dec 2015). Convenience sampling method was used for data collection. During the study, the researchers randomly selected 10 days out of every month and started to collect index variables 4 times a day at 6 AM, 12 noon, 6 PM, and 12 midnight. In total, 488 samples were gathered and both NEDOCS and EDWIN were implemented for each sample. Then, the frequency of overcrowding in the emergency department was reported based on the obtained results. Results: Based on NEDOCS, ED was extremely busy, but not overcrowded in 51 cases (10.5%), it was overcrowded in 298 (61.1%) cases, severely overcrowded in 138 cases (28.3%), and it was busy only in one case (0.2%). However, based on the EDWIN scale, the ED was active but manageable in 91 cases (18.6%), very busy in 36 cases (7.4%), and extremely busy in the remaining 361 cases (74%). Conclusions: EDWIN scale depicted August, July, December, June, and April to be, respectively, the most overcrowded months. This finding revealed EDWIN scale to perform better when trying to have an overall assessment of ED during the whole year, which helps us have clear-cut results for analysis and policy making in managing EDs.

show abstract

Percentage of US Emergency Department Patients Seen Within the Recommended Triage Time

Cited by 66 publications

References 47 publications

Providing Care in Emergency Department Hallways: Demands, Dangers, and Deaths

Providing Care in Emergency Department Hallways: Demands, Dangers, and Deaths

Effect of emergency physician burnout on patient waiting times

Evaluation of Overcrowding of Emergency Department in Imam Reza Hospital in 2015 by Implementing 2 Scales: NEDOCS and EDWIN

Contact Info

Product

Resources

About