The Measurement of Daily Surge and Its Relevance to Disaster Preparedness

Academic Emergency Medicine

Volumn 13, Issue 11, 2006, Pages 1138-1141

  McCarthy, Melissa L ^a   Aronsky, Dominik ^a   Kelen, Gabor D ^a  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

catastrophic surge; disaster preparedness; ED overcrowding; emergency department; surge capacity

Indexed keywords

ARTICLE; DISASTER; DISEASE SEVERITY; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; HAZARD; HEALTH CARE SYSTEM; HEALTH SERVICE; HUMAN; INFECTION; INJURY; MEASUREMENT; MEDICAL RESEARCH; PRIORITY JOURNAL;

CROWDING; DISASTER PLANNING; EMERGENCY MEDICINE; EMERGENCY SERVICE, HOSPITAL; HUMANS; TIME FACTORS;

EID: 33750302119     PISSN: 10696563     EISSN: None     Source Type: Journal    
DOI: 10.1197/j.aem.2006.06.046     Document Type: Article

References (17)

1. Andrulis D.P., Kellermann A.L., Hintz E.A., Hackman B.B., and Beers-Weslowski V. Emergency departments and crowding in United States teaching hospitals. Ann Emerg Med 20 (1991) 980-986
2. United States General Accounting Office. Emergency Departments: Unevenly Affected by Growth and Change in Patient Use (1993), United States General Accounting Office, Washington, DC
3. Meggs W.J., Czaplijski T., and Benson N. Trends in emergency department utilization, 1988-1997. Acad Emerg Med 6 (1999) 1030-1035
4. Derlet R.W. Overcrowding in emergency departments: increased demand and decreased capacity. Ann Emerg Med 39 (2002) 430-432
5. General Accounting Office. Hospital Emergency Departments-Crowded Conditions Vary among Hospitals and Communities. GAO-03-460 (2003), United States General Accounting Office, Washington, DC
6. Institute of Medicine of the National Academies, Committee on the Future of Emergency Care in the United States Health System. Hospital-based Emergency Care: At the Breaking Point (2006), National Academy of Science, Washington, DC
7. Epstein S.K., and Tian L. Development of an emergency department work score to predict ambulance diversion. Acad Emerg Med 13 (2006) 421-426
8. Weiss S.J., Derlet R., Arndahl J., et al. Estimating the degree of emergency department overcrowding in academic medical centers: results of the National ED Overcrowding Study (NEDOCS). Acad Emerg Med 11 (2004) 38-50
9. Bernstein S.L., Verghese V., Leung W., Lunney A.T., and Perez I. Development and validation of a new index to measure emergency department crowding. Acad Emerg Med 10 (2003) 938-942
10. National Center for Health Statistics. National Hospital Ambulatory Care Survey (2006), Centers for Disease Control and Prevention, Hyattsville, MD
11. Tandberg D., and Qualls C. Time series forecasts of emergency department patient volume, length of stay, and acuity. Ann Emerg Med 23 (1994) 299-306
12. American College of Emergency Physicians. Health care system surge capacity recognition, preparedness, and response. American College of Emergency Physicians. 2005. Available at: http://www.acep.org/webportal/PracticeResources/PolicyStatements/ems/hlt hcaresyssurgecaprecogpreprespons.htm. Accessed Jun 9, 2006.
13. McManus J., Huebner K., and Scheulen J. The science of surge: detection and situational awareness. Acad Emerg Med 13 (2006) 1179-1182
14. McConnell K.J., Richards C.F., Daya M., Bernell S.L., Weathers C.C., and Lowe R.A. Effects of increased ICU capacity on emergency department length of stay and ambulance diversion. Ann Emerg Med 45 (2005) 471-478
15. Forster A.J., Stiell I.G., Wells G.A., Lee A.J., and Walraven C.V. The effect of hospital occupancy on emergency department length of stay and patient disposition. Acad Emerg Med 10 (2003) 127-133
16. Schull M.J., Lazier K., Vermeulen M., Mawhinney S., and Morrison L.J. Emergency department contributors to ambulance diversion: a quantitative analysis. Ann Emerg Med 41 (2003) 467-476
17. Kyriacou D.N., Ricketts V., Dyne P.L., McCollough M.D., and Talan D.A. A 5-year study analysis of emergency department patient care efficiency. Ann Emerg Med 34 (1999) 326-335