Facilitating EMS turnaround intervals at hospitals in the face of receiving facility overcrowding

Prehospital Emergency Care

Volumn 9, Issue 3, 2005, Pages 267-275

  Eckstein, Marc ^a,b   Isaacs, S Marshal ^c,d   Slovis, Corey M ^e,f   Kaufman, Bradley J ^g   Loflin, James R ^h   O'Connor, Robert E ^i,j   Pepe, Paul E ^k,l,m  

^a UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

^b Los Angeles Fire Department   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

^d San Francisco Fire Department   (United States)

^e VANDERBILT UNIVERSITY MEDICAL CENTER   (United States)

^f Metro Nashville Fire Department   (United States)

^g CITY UNIVERSITY OF NEW YORK   (United States)

^h City of El Paso EMS   (United States)

ⁱ National Association of EMS Physicians   (United States)

^j CHRISTIANA CARE HEALTH SYSTEM   (United States)

^k EAST TEXAS MEDICAL CENTER   (United States)

^l City of Dallas Fire Rescue Department   (United States)

^m UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

more..

Author keywords

9 1 1 systems; Access to care; Ambulance diversion; EMD; Emergency medical dispatch; Emergency medical services; Emergency Medical Treatment and Labor Act; EMS; EMTALA; Hospital overcrowding; Patient choice; Regulatory violations

Indexed keywords

AMBULANCE; CRITICAL ILLNESS; CROWDING; EMERGENCY CARE; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE FACILITY; HEALTH CARE POLICY; HEALTH CARE UTILIZATION; HEALTH INSURANCE; HOSPITAL ADMISSION; HOSPITAL BED CAPACITY; HOSPITAL BED UTILIZATION; HUMAN; PATIENT CARE; PATIENT TRANSPORT; REVIEW; RISK MANAGEMENT;

BED OCCUPANCY; COMMUNITY HEALTH PLANNING; CROWDING; EFFICIENCY, ORGANIZATIONAL; EMERGENCY MEDICAL SERVICES; EMERGENCY SERVICE, HOSPITAL; HEALTH SERVICES NEEDS AND DEMAND; PATIENT TRANSFER; TIME FACTORS; UNITED STATES;

EID: 32144459358     PISSN: 10903127     EISSN: 15450066     Source Type: Journal    
DOI: 10.1080/10903120590962102     Document Type: Review

References (35)

1. Overton J, Stout J. System design. In: Kuehl AD (eds). Prehospital Systems and Medical Oversight (2nd ed). Dubuque, IA: Kendall Hunt, 2002.
2. Spaite DW, Valenzuela TD, Meislen HW, et al. Prospective validation of a new model for evaluating emergency medical services systems by in-field observation of specific time intervals in prehospital care. Ann Emerg Med. 1993;22:638-45.
3. Cummins RO, Ornato JO, Theis WH, Pepe PE. Improving survival from sudden cardiac arrest: the "chain of survival" concept. Circulation. 1991;83:1832-47.
4. Cobb LA, Alvarez H, Copass MK. A rapid response system for out-of- hospital cardiac emergencies. Med Clin North Am. 1976;60:283-90.
5. McManus WF, Tresch DD, Darin JC. An effective prehospital emergency system. J Trauma. 1977;17:304-10.
6. Eisenberg M, Bergner L, Hallstrom A. Paramedic programs and out-of-hospital cardiac arrest: part I - factors associated with successful resuscitation. Am J Public Health. 1979;69:30-8.
7. White RD, Vukov FL, Bugliosi TF. Early defibrillation by police: initial experience with measurement of critical time intervals and patient outcome. Ann Emerg Med. 1995;23:1009-13.
8. Curka PA, Pepe PE, Ginger VF, Sherrard RD, Ivy MV, Zachariah BS. Emergency medical services priority dispatch. Ann Emerg Med. 1993;22:1688-95.
9. Stout J, Pepe PE, Mosesso VN Jr. All-advanced life support vs. tiered-response ambulance systems. Prehosp Emerg Care. 2000;4:1-6.
10. Davis R. Six minutes to live or die. USA Today. 2003;Jul 28:A-01.
11. Pepe PE, Roppolo LP, Cobb LA. Successful systems for out-of-hospital resuscitation. In: Cardiopulmonary Arrest, Ornato JP, Peberdy MA (eds). Totowa, NJ: Humana Press, 2004, pp 649-81.
12. Maio RF. EMS systems: opening the black box. Ann Emerg Med. 1993;22:730-1.
13. Cone DC, Davidson SJ, Nguyen Q. A time motion study of the emergency medical services turnaround interval. Ann Emerg Med. 1998;31:241-6.
14. Eckstein M, Chan LS. The effect of emergency department crowding on paramedic ambulance availability. Ann Emerg Med. 2004;43:100-5.
15. Derlet RW, Richards J, Kravitz RL. Frequent overcrowding in U.S. emergency departments. Acad Emerg Med. 2001;8:151-5.
16. Shute N, Marcus MB. Code blue: crisis in the ER. US News World Rep. 2001; Sept 10: 54-61,64,66.
17. Appleby J. ER conditions critical. USA Today. 2000; Feb 4: A.01.
18. Ornstein C. Crowded ERs put patients on hold. Los Angeles Times, June 23, 2001; p. A01.
19. Canadian Association of Emergency Physicians. Position statement: Emergency department overcrowding. Available at: http://www.caep.ca/002. policies/002-01.guidelines/ overcrowding.htm Accessed Feb 28, 2005.
20. Trzeciak S, Rivers EP. Emergency department overcrowding in the United States: an emerging threat to patient safety and public health. Emerg Med J. 2003;20:402-5.
21. Lewin Group (for the American Hospital Association). Emergency department overload: a growing crisis. The results of the American Hospital Association. survey of emergency department and hospital capacity. Falls Church, VA: American Hospital Association, 2002.
22. Derlet RW. Overcrowding in emergency departments: increased demand and decreased capacity. Ann Emerg Med. 2002;39:430-4.
23. Andrulis DP, Kellermann A, Hintz, EA, et al. Emergency departments and crowding in the United States teaching hospitals. Ann Emerg Med. 1991;20:980-6.
24. Fields WE. Defending America's safety net. Report of the American College of Emergency Physicians 1998-1999 Safety Net Task Force. Irving, TX: American College of Emergency Physicians, 1999.
25. Lambe S, Washington DL, Fink A, et al. Trends in the use and capacity of California's emergency departments: 1990-1999. Ann Emerg Med. April 2002; 39:389-96.
26. U.S. Department of Commerce; US Census Bureau. Health insurance coverage in the United States, 2002. Available at: www.census.gov/prod/2003pubs/p60-223. pdf. Accessed Feb 28, 2005.
27. California's emergency departments: system capacity and demand. California Healthcare Foundation, April 2002. Available at: http://www.library. ca.gov/sitn/2002/0278.htm#S7020. Accessed Feb 28, 2005.
28. Schull MJ, Lazier K, Vermeulen M, et al. Emergency department contributors to ambulance diversion: a quantitative analysis. Ann Emerg Med. 2003;41:467-76.
29. Scheulen JJ, Li G, Kelen GD. Impact of ambulance diversion policies in urban, suburban, and rural areas of central Maryland. Acad Emerg Med. 2001;8:36-40.
30. Brennan JA, Allin DM, Calkins AM, et al. Guidelines for ambulance diversion. American College of Emergency Physicians. Ann Emerg Med. 2000;36:376-7.
31. Redelmeier DA, Blair PJ, Collins WE. No place to unload: a preliminary analysis of the prevalence, risk factors, and consequences of ambulance diversion. Ann Emerg Med. 1994;23:43-7.
32. Zachariah BS, Bryan D, Pepe PE, Griffin M. Followup and outcome of patients who decline or are denied transport by EMS. Prehosp Disaster Med. 1992;7:359-64.
33. Wright DR. Parking of EMS patients in hospitals. Center for Medicare and Medicaid Services, Dallas, Texas [letter to all Region VI hospital associations]. Mar 20, 2002.
34. Clawson J, Dernocouer K. Principles of Emergency Medical Dispatch, 3rd Edition. National Academy of Emergency Medical Dispatch. Salt Lake City, UT: Priority Press, 2000, pages 11.1-11.35.
35. Clawson JJ. Emergency medical dispatch. In: Prehospital Systems and Medical Oversight. National Association of EMS Physicians, AE Kuehl (ed.), Third Edition, Dubuque, IO, Kendall Hunt Publishing, pp. 172-227.