Clinical review: Emergency department overcrowding and the potential impact on the critically ill

Critical Care

Volumn 9, Issue 3, 2005, Pages 291-295

  Cowan, Robert M ^a   Trzeciak, Stephen ^b  

^a Department of Anesthesiology   (United States)

^b RUTGERS ROBERT WOOD JOHNSON MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTIFICIAL VENTILATION; CLINICAL PROTOCOL; COST CONTROL; CRITICAL ILLNESS; CROWDING; DISEASE SEVERITY; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; EVIDENCE BASED MEDICINE; HEALTH CARE DELIVERY; HOSPITAL ADMISSION; HOSPITAL BED CAPACITY; HOSPITAL COST; HOSPITAL PLANNING; HUMAN; INTENSIVE CARE; INTENSIVE CARE UNIT; MEDICAL DECISION MAKING; MEDICAL ERROR; NURSING STAFF; PATIENT SATISFACTION; PATIENT SCHEDULING; PATIENT TRANSPORT; PREVALENCE; PRIORITY JOURNAL; RESOURCE ALLOCATION; RESUSCITATION; REVIEW; SAFETY; TERRORISM;

CRITICAL CARE; CROWDING; EMERGENCY SERVICE, HOSPITAL; HEALTH SERVICES ACCESSIBILITY; HUMANS;

EID: 20444425797     PISSN: 13648535     EISSN: None     Source Type: Journal    
DOI: 10.1186/cc2981     Document Type: Review

References (50)

1. Brilli RJ, Spevetz A, Branson RD, Campbell GM, Cohen H, Dasta JF, Harvey MA, Kelley MA, Kelly KM, Rudis MI, et al.: Critical care delivery in the intensive care unit: defining clinical roles and the best practice model. Crit Care Med 2001, 29:2007-2019.
2. Hillman K: Critical care without walls. Curr Opin Crit Care 2002, 8:594-599.
3. Rivers EP, Nguyen HB, Huang DT, Donnino MW: Critical care and emergency medicine. Curr Opin Crit Care 2002, 8:600-606.
4. Varon J, Fromm RE Jr, Levine RL: Emergency department procedures and length of stay for critically ill medical patients. Ann Emerg Med 1994, 23:546-549.
5. Fromm RE Jr, Gibbs LR, McCallum WG, Niziol C, Babcock JC, Gueler AC, Levine RL: Critical care in the emergency department: a time-based study. Crit Care Med 1993, 21:970-976.
6. Nelson M, Waldrop RD, Jones J, Randall Z: Critical care provided in an urban emergency department. Am J Emerg Med 1998, 16:56-59.
7. Lambe S, Washington DL, Fink A, Herbst K, Liu H, Fosse JS, Asch SM: Trends in the use and capacity of California's emergency departments, 1990-1999. Ann Emerg Med 2002, 39: 389-396.
8. Gordon JA, Billings J, Asplin BR, Rhodes KV: Safety net research in emergency medicine: proceedings of the Academic Emergency Medicine Consensus Conference on 'The Unraveling Safety Net'. Acad Emerg Med 2001, 8:1024-1029.
9. Schull MJ, Szalai JP, Schwartz B, Redelmeier DA: Emergency department overcrowding following systematic hospital restructuring: trends at twenty hospitals over ten years. Acad Emerg Med 2001, 8:1037-1043.
10. Derlet RW, Richards JR: Emergency department overcrowding in Florida, New York, and Texas. South Med J 2002, 95:846-849.
11. Derlet R, Richards J, Kravitz R: Frequent overcrowding in U.S. emergency departments. Acad Emerg Med 2001, 8:151-155.
12. Andrulis DP, Kellermann A, Hintz EA, Hackman BB, Weslowski VB: Emergency departments and crowding in United States teaching hospitals. Ann Emerg Med 1991, 20:980-986.
13. Richards JR, Navarro ML, Derlet RW: Survey of directors of emergency departments in California on overcrowding. West J Med 2000, 172:385-388.
14. The Lewin Group: Emergency Department Overload: A Growing Crisis. The Results of the American Hospital Association Survey of Emergency Department (ED) and hospital capacity. Vol. 2002, 2002. http://www.hospitalconnect.com/AHA/press_room_info/content/ EdoCrisisSlides.pdf
15. Derlet RW, Richards JR: Overcrowding in the nation's emergency departments: complex causes and disturbing effects. Ann Emerg Med 2000, 35:63-68.
16. Trzeciak S, Rivers EP: Emergency department overcrowding in the United States: an emerging threat to patient safety and public health. Emerg Med J 2003, 20:402-405.
17. Richardson LD, Hwang U: Access to care: a review of the emergency medicine literature. Acad Emerg Med 2001, 8: 1030-1036.
18. Schneider S, Zwemer F, Doniger A, Dick R, Czapranski T, Davis E: Rochester, New York: a decade of emergency department overcrowding. Acad Emerg Med 2001, 8:1044-1050.
19. Burt CW, McCaig LF: Trends in hospital emergency department utilization: United States, 1992-99. Vital Health Stat 2001, 13:1-34.
20. American College of Emergency Physicians: Emergency medicine statistical profile 2001. [http://www.acep.org]
21. Angus DC, Kelley MA, Schmitz RJ, White A, Popovich J Jr: Caring for the critically ill patient. Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease: can we meet the requirements of an aging population? JAMA 2000, 284:2762-2770.
22. Richardson LD, Asplin BR, Lowe RA: Emergency department crowding as a health policy issue: past development, future directions. Ann Emerg Med 2002, 40:388-393.
23. American Hospital Association. Hospital Statistics, 1999. [http://www.hospitalconnect.com/healthforum/hfstats/downloads.html]
24. Schull MJ, Lazier K, Vermeulen M, Mawhinney S, Morrison LJ: Emergency department contributors to ambulance diversion: a quantitative analysis. Ann Emerg Med 2003, 41:467-476.
25. Bagust A, Place M, Posnett JW: Dynamics of bed use in accommodating emergency admissions: stochastic simulation model. BMJ 1999, 319:155-158.
26. Henry M: Overcrowding in America's emergency departments: inpatient wards replace emergency care. Acad Emerg Med 2001, 8:188-189.
27. Derlet RW: Overcrowding in emergency departments: increased demand and decreased capacity. Ann Emerg Med 2002, 39:430-432.
28. Schull MJ, Morrison LJ, Vermeulen M, Redelmeier DA: Emergency department gridlock and out-of-hospital delays for cardiac patients. Acad Emerg Med 2003, 10:709-716.
29. Schull MJ, Morrison LJ, Vermeulen M, Redelmeier DA: Emergency department overcrowding and ambulance transport delays for patients with chest pain. CMAJ 2003, 168:277-283.
30. Schull MJ: Overcrowding of Ontario emergency departments and door-to-needle time delays in acute myocardial infarction [abstract]. Can J Emerg Med, in press.
31. Joint Commission on Accreditation of Healthcare Organizations (JCAHO): Sentinel Event Alert 2002, Issue 26. http://www.jcaho.org/about+us/news+letters/sentinel+event+alert/print/ sea_26.htm
32. Hochman JS, Sleeper LA, Webb JG, Sanborn TA, White HD, Talley JD, Buller CE, Jacobs AK, Slater JN, Col J, et al.: Early revascularization in acute myocardial infarction complicated by cardiogenic shock. SHOCK Investigators. Should we emergently revascularize occluded coronaries for cardiogenic shock? N Engl J Med 1999, 341:625-634.
33. Carcillo JA, Fields AI: Clinical practice parameters for hemodynamic support of pediatric and neonatal patients in septic shock. Crit Care Med 2002, 30:1365-1378.
34. Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, Peterson E, Tomlanovich M; Early Goal-Directed Therapy Collaborative Group: Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med 2001, 345: 1368-1377.
35. Cowley RA: The resuscitation and stabilization of major multiple trauma patients in a trauma center environment. Clin Med 1976, 83:16-22.
36. Blow O, Magliore L, Claridge JA, Butler K, Young JS: The golden hour and the silver day: detection and correction of occult hypoperfusion within 24 hours improves outcome from major trauma. J Trauma 1999, 47:964-969.
37. Karwa M, Bronzert P, Kvetan V: Bioterrorism and critical care. Crit Care Clin 2003, 19:279-313.
38. Joint Commission on Accreditation of Healthcare Organizations (JCAHO): Emergency department overcrowding field review. http://www.jcaho.org/accredited+organizations/hospitals/standards/ field+reviews/ed_fr_std.htm
39. McManus ML, Long MC, Cooper A, Mandell J, Berwick DM, Pagano M, Litvak E: Variability in surgical caseload and access to intensive care services. Anesthesiology 2003, 98:1491-1496.
40. Goldfrank L, Henneman PL, Ling LJ, Prescott JE, Rosen C, Sama A: Emergency center categorization standards. Acad Emerg Med 1999, 6:638-655.
41. Pronovost PJ, Angus DC, Dorman T, Robinson KA, Dremsizov TT, Young TL: Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. JAMA 2002, 288: 2151-2162.
42. The Leapfrog Group: Fact Sheet: ICU Staff. The Leapfrog Group for Patient Safety; 2004. [http://www.leapfroggroup.org/factsheets/ICU_FactSheet.pdf]
43. Holcomb BW, Wheeler AP, Ely EW: New ways to reduce unnecessary variation and improve outcomes in the intensive care unit. Curr Opin Crit Care 2001, 7:304-311.
44. Brown G, Dodek P: Intravenous insulin nomogram improves blood glucose control in the critically ill. Crit Care Med 2001, 29:1714-1719.
45. Brook AD, Ahrens TS, Schaiff R, Prentice D, Sherman G, Shannon W, Kollef MH: Effect of a nursing-implemented sedation protocol on the duration of mechanical ventilation. Crit Care Med 1999, 27:2609-2615.
46. Ely EW, Meade MO, Haponik EF, Kollef MH, Cook DJ, Guyatt GH, Stoller JK: Mechanical ventilator weaning protocols driven by nonphysician health-care professionals: evidence-based clinical practice guidelines. Chest 2001, Suppl:454S-463S.
47. Kollef MH, Shapiro SD, Silver P, St John RE, Prentice D, Sauer S, Ahrens TS, Shannon W, Baker-Clinkscale D: A randomized, controlled trial of protocol-directed versus physician-directed weaning from mechanical ventilation. Crit Care Med 1997, 25: 567-574.
48. Marelich GP, Murin S, Battistella F, Inciardi J, Vierra T, Roby M: Protocol weaning of mechanical ventilation in medical and surgical patients by respiratory care practitioners and nurses: effect on weaning time and incidence of ventilator-associated pneumonia. Chest 2000, 118:459-467.
49. Dellinger RP: Fundamental critical care support: another merit badge or more? Crit Care Med 1996, 24:556-557.
50. Safar P: The critical care continuum from scene to outcome. In Major Issues in Critical Care Medicine. Edited by Parrillo JE, Ayers SM. Baltimore, MD: Williams and Wilkins; 1984:71-84.