scholarly journals System Dynamics and Dysfunctionalities: Levers for Overcoming Emergency Department Overcrowding

2011 ◽  
Vol 18 (12) ◽  
pp. 1255-1261 ◽  
Author(s):  
Gordon D. Schiff
2007 ◽  
Vol 14 (8) ◽  
pp. 702-708 ◽  
Author(s):  
Brian R. Holroyd ◽  
Michael J. Bullard ◽  
Karen Latoszek ◽  
Debbie Gordon ◽  
Sheri Allen ◽  
...  

2011 ◽  
Vol 18 (12) ◽  
pp. 1386-1391 ◽  
Author(s):  
Brent M. Felton ◽  
Earl J. Reisdorff ◽  
Christopher N. Krone ◽  
Gus A. Laskaris

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
John R. Richards ◽  
Gal Ozery ◽  
Mark Notash ◽  
Peter E. Sokolove ◽  
Robert W. Derlet ◽  
...  

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.


Critical Care ◽  
2020 ◽  
Vol 24 (1) ◽  
Author(s):  
June-sung Kim ◽  
Hyun-Jin Bae ◽  
Chang Hwan Sohn ◽  
Sung-Eun Cho ◽  
Jeongeun Hwang ◽  
...  

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