Response to Re: Impact of the four-hour National Emergency Access Target on 30 day mortality, access block and chronic emergency department overcrowding in Australian emergency departments

Objective Telemedicine has the potential to improve the delivery of emergency medical care: however, the extent of its adoption in United States (US) emergency departments is not known. Our objective was to characterise the prevalence of telemedicine use among all US emergency departments, describe clinical applications for which it is most commonly used, and identify emergency department characteristics associated with its use. Methods As part of the National Emergency Department Inventory-USA survey, we queried all 5375 US emergency departments open in 2016. Multivariable logistic regression analyses identified characteristics associated with emergency department receipt of telemedicine services. Results Overall, 4507 emergency departments (84%) responded to our survey, with 4031 responding to both telemedicine questions (75%). Although 1694 emergency departments (42%) reported no telemedicine in 2016, most did: 1923 (48%) emergency departments received telemedicine services, 149 (4%) emergency departments received telemedicine services and were in hospitals that provided telemedicine, and 265 emergency departments (7%) did not receive telemedicine but were in hospitals that provided telemedicine services. Among emergency departments receiving telemedicine, the most common applications were stroke/neurology (76%), psychiatry (38%), and paediatrics (15%). In multivariable analysis, telemedicine-receiving emergency departments had higher annual total visit volume for adults and lower annual total visit volume by children; were less likely to be academic or freestanding; and varied by region. In multivariable analysis, emergency departments in telemedicine-providing hospitals had higher annual total visit volume for adults and children, were more likely to be academic and were less likely to be freestanding. Conclusion In 2016, telemedicine was used in most US emergency departments (58%), especially for stroke/neurology and psychiatry. Future research is needed to understand the value of telemedicine for different clinical applications, and the barriers to its implementation.

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Patients Prefer Boarding in Inpatient Hallways: Correlation with the National Emergency Department Overcrowding Score

Emergency Medicine International ◽

10.1155/2011/840459 ◽

2011 ◽

Vol 2011 ◽

pp. 1-4 ◽

Cited By ~ 14

Author(s):

John R. Richards ◽

Gal Ozery ◽

Mark Notash ◽

Peter E. Sokolove ◽

Robert W. Derlet ◽

...

Keyword(s):

Emergency Department ◽

Real Time ◽

Survey Study ◽

Emergency Department Overcrowding ◽

Urban University ◽

Male Patients ◽

University Level ◽

Level I ◽

National Emergency ◽

Ed Crowding

Objective. The boarding of patients in Emergency Department (ED) hallways when no inpatient beds are available is a major cause of ED crowding. One solution is to board admitted patients in an inpatient rather than ED hallway. We surveyed patients to determine their preference and correlated their responses to real-time National Emergency Department Overcrowding Score (NEDOCS).Methods. This was a survey of admitted patients in the ED of an urban university level I trauma center serving a community of 5 million about their personal preferences regarding boarding. Real-time NEDOCS was calculated at the time each survey was conducted.Results. 99 total surveys were completed during October 2010, 42 (42%) patients preferred to be boarded in an inpatient hallway, 33 (33%) preferred the ED hallway, and 24 (24%) had no preference. Mean (±SD) NEDOCS (range 0–200) was for patients preferring inpatient boarding, for ED boarding, and without preference. Male patients preferred inpatient hallway boarding significantly more than females. Preference for inpatient boarding was associated with a significantly higher NEDOCS.Conclusions. In this survey study, patients prefer inpatient hallway boarding when the hospital is at or above capacity. Males prefer inpatient hallway boarding more than females. The preference for inpatient hallway boarding increases as the ED becomes more crowded.

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27 Patients Prefer Boarding in Inpatient Hallways: Correlation With the National Emergency Department Overcrowding Score (NEDOCS)

Annals of Emergency Medicine ◽

10.1016/j.annemergmed.2011.06.052 ◽

2011 ◽

Vol 58 (4) ◽

pp. S187

Author(s):

J. Richards ◽

R. Derlet ◽

M. Notash ◽

P. Sokolove ◽

G. Ozery ◽

...

Keyword(s):

Emergency Department ◽

Emergency Department Overcrowding ◽

National Emergency

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STRATEGI UNTUK MENGATASI KEPADATAN UNIT GAWAT DARURAT (UGD): TINJAUAN PUSTAKA

Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) ◽

10.33023/jikep.v7i1.683 ◽

2021 ◽

Vol 7 (1) ◽

pp. 41-50

Author(s):

Rosmini Rasimin ◽

Yuliana Syam ◽

Rosyidah Arafat ◽

Sintawati Majid

Keyword(s):

Emergency Department ◽

Literature Review ◽

Google Scholar ◽

Electronic Database ◽

Emergency Department Overcrowding ◽

National Emergency

Latar Belakang: Unit gawat darurat (ED) sebagai pintu gerbang penanganan awal pasien dengan kegawatdarutatan berisiko mengalami Kepadatan. Tujuan literature review ini adalah untuk mencari strategi yang tepat untuk mengatasi kepadatan di ED. Metode yang digunakan yaitu pencarian pada electronic database seperti Pubmed, DOAJ, dan google scholar, menggunakan kata kunci Crowding AND Emergency Department, awal ditemukan 1160 artikel,15 artikel dimasukkan setelah melalui proses screening. Hasil review menyajikan penyebab kepadatan di ED, alat ukur, efek yang ditimbulkan, dan srategi penaganan kepadatan di ED. Kesimpulan, lama tinggal dan keterlambatan pemeriksaan penunjang mempengaruhi kepadatan, system informasi serta pengelompokan pasien dapat menurunkan kepadatan, National Emergency Department Overcrowding Scale (NEDOCS) direkomendasikan untuk mengukur skala kepadatan di ED.

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