Effect of Emergency Department Crowding on Outcomes of Admitted Patients
Benjamin C. Sun,Renee Y. Hsia,Robert E. Weiss,David S. Zingmond,Li-Jung Liang,Weijuan Han,Heather McCreath,Steven M. Asch +7 more
TLDR
periods of high ED crowding were associated with increased inpatient mortality and modest increases in length of stay and costs for admitted patients, and those days within the top quartile of diversion hours for a specific facility.About:
This article is published in Annals of Emergency Medicine.The article was published on 2013-06-01 and is currently open access. It has received 542 citations till now. The article focuses on the topics: Crowding & Emergency department.read more
Citations
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Journal ArticleDOI
Emergency department crowding: A systematic review of causes, consequences and solutions
TL;DR: While the review identified increased presentations by the elderly with complex and chronic conditions as an emerging and widespread driver of crowding, more research is required to isolate the precise local factors leading to ED crowding.
Journal ArticleDOI
Emergency department triage prediction of clinical outcomes using machine learning models
Yoshihiko Raita,Tadahiro Goto,Tadahiro Goto,Mohammad Kamal Faridi,David F.M. Brown,Carlos A. Camargo,Kohei Hasegawa +6 more
TL;DR: Compared to the conventional approach, the machine learning models demonstrated a superior performance to predict critical care and hospitalization outcomes and may enhance clinicians’ triage decision making, thereby achieving better clinical care and optimal resource utilization.
Journal ArticleDOI
Effect of the Affordable Care Act Medicaid Expansion on Emergency Department Visits: Evidence From State-Level Emergency Department Databases
TL;DR: Contrary to other studies of the ACA’s effect on ED visits, this study found that the expansion also increased use of the ED, consistent with polls of emergency physicians.
The Effects of Medicaid Coverage — Learning from the Oregon Experiment
TL;DR: In 2008, Oregon used a lottery to allocate a limited number of Medicaid spots for low-income adults to people on the waiting list to permit assessment of the effects of Medicaid coverage on health and use of health care services.
Journal ArticleDOI
Coronary CT Angiography for Suspected ACS in the Era of High-Sensitivity Troponins: Randomized Multicenter Study.
Admir Dedic,Marisa Lubbers,Jeroen Schaap,Jeronymus Lammers,Evert J.P. Lamfers,Benno J. Rensing,Richard L. Braam,Hendrik M. Nathoe,Johannes C. Post,Tim Mj Nielen,Driek Beelen,Marie-Claire le Cocq d’Armandville,Pleunie P.M. Rood,Carl Schultz,Adriaan Moelker,Mohamed Ouhlous,Eric Boersma,Koen Nieman +17 more
TL;DR: CCTA, applied early in the work-up of suspected ACS, is safe and associated with less outpatient testing and lower costs, however, in the era of hs-troponins, CCTA does not identify more patients with significant CAD requiring coronary revascularization, shorten hospital stay, or allow for more direct discharge from the ED.
References
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Book
An introduction to the bootstrap
Bradley Efron,Robert Tibshirani +1 more
TL;DR: This article presents bootstrap methods for estimation, using simple arguments, with Minitab macros for implementing these methods, as well as some examples of how these methods could be used for estimation purposes.
Journal ArticleDOI
The effect of emergency department crowding on clinically oriented outcomes
Steven L. Bernstein,Dominik Aronsky,Reena Duseja,Stephen K. Epstein,Dan Handel,Ula Hwang,Melissa L. McCarthy,K. John McConnell,Jesse M. Pines,Niels K. Rathlev,Robert W. Schafermeyer,Frank L. Zwemer,Michael J. Schull,Brent R. Asplin +13 more
TL;DR: A growing body of data suggests that ED crowding is associated both with objective clinical endpoints, such as mortality, as well as clinically important processes of care,such as time to treatment for patients with time-sensitive conditions such as pneumonia.
Journal ArticleDOI
Overcrowding in the nation's emergency departments: complex causes and disturbing effects.
TL;DR: In this article, a complex web of interrelated issues described in this article is used to show that ED overcrowding has multiple effects, including placing the patient at risk for poor outcome, prolonged pain and suffering of some patients, long patient waits, patient dissatisfaction, ambulance diversions in some cities, decreased physician productivity, increased frustration among medical staff, and violence.
Journal ArticleDOI
Impact of delayed transfer of critically ill patients from the emergency department to the intensive care unit.
Donald B. Chalfin,Stephen Trzeciak,Antonios Likourezos,Brigitte M. Baumann,R. Phillip Dellinger +4 more
TL;DR: Critically ill emergency department patients with a ≥6-hr delay inintensive care unit transfer had increased hospital length of stay and higher intensive care unit and hospital mortality, suggesting the need to identify factors associated with delayed transfer as well as specific determinants of adverse outcomes.
Journal ArticleDOI
The association between hospital overcrowding and mortality among patients admitted via Western Australian emergency departments
TL;DR: The relationship between hospital and emergency department occupancy, as indicators of hospital overcrowding, and mortality after emergency admission, is examined to examine the relationship between hospitals overcrowding and ED occupancy.
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Nathan R. Hoot,Dominik Aronsky +1 more