The Effects of Minimizing Ambulance Diversion Hours on Emergency Departments

Journal of Emergency Medicine

Volumn 33, Issue 2, 2007, Pages 155-159

  Khaleghi, Murdoc ^a   Loh, Angela ^a   Vroman, Dori ^b   Chan, Theodore C ^a   Vilke, Gary M ^a,c  

^a UCSD MEDICAL CENTER   (United States)

^b Tri City Medical Center   (United States)

^c UNIVERSITY OF CALIFORNIA COOPERATIVE EXTENSION   (United States)

Author keywords

ambulance; bypass; diversion; inter facility transfers; prehospital

Indexed keywords

AMBULANCE; ARTICLE; EMERGENCY WARD; GEOGRAPHIC DISTRIBUTION; HOSPITAL; HOSPITAL ADMISSION; INFORMATION PROCESSING; PATIENT TRANSPORT; PRIORITY JOURNAL; STATISTICAL ANALYSIS;

AMBULANCES; CALIFORNIA; EMERGENCY SERVICE, HOSPITAL; HEALTH SERVICES ACCESSIBILITY; HUMANS; INTERINSTITUTIONAL RELATIONS; PATIENT ADMISSION; PROSPECTIVE STUDIES; TRANSPORTATION OF PATIENTS;

EID: 34547594620     PISSN: 07364679     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jemermed.2007.02.014     Document Type: Article

References (26)

1. Warden C.R., Bangs C., Norton R., and Huie J. Temporal trends in ambulance diversion in a mid-sized metropolitan area. Prehosp Emerg Care 7 (2003) 109-113
2. Lagoe R.J., Hunt R.C., Nadle P.A., and Kohlbrenner J.C. Utilization and impact of ambulance diversion at the community level. Prehosp Emerg Care 6 (2002) 191-198
3. Schneider S., Zwemer F., Doniger A., Dick R., Czapranski T., and Davis E. Rochester, New York: a decade of emergency department overcrowding. Acad Emerg Med 8 (2001) 1044-1050
4. Walker A.F. The legal duty of physicians and hospitals to provide emergency care. CMAJ 166 (2002) 465-469
5. Brennan J.A., Allin D.M., Calkins A.M., et al., American College of Emergency Physicians. Guidelines for ambulance diversion. Ann Emerg Med 36 (2000) 376-377
6. Glushak C., Delbridge T.R., and Garrison H.G. Ambulance diversion. Standards and Clinical Practices Committee, National Association of EMS Physicians. Prehosp Emerg Care 1 (1997) 100-103
7. Asplin B.R. Does ambulance diversion matter?. Ann Emerg Med 41 (2003) 477-480
8. NBC News. F.D. Ambulances Turned Away From 16 Chicago Hospitals. February 2005. Available at. http://www.msnbc.msn.com/id/6976703/. Accessed March 19, 2005.
9. Schull M.J., Morrison L.J., Vermeulen M., and Redelmeier D.A. Emergency department gridlock and out-of-hospital delays for cardiac patients. Acad Emerg Med 10 (2003) 709-716
10. Schull M.J., Morrison L.J., Vermeulen M., and Redelmeier D.A. Emergency department overcrowding and ambulance transport delays for patients with chest pain. CMAJ 168 (2003) 277-283
11. Begley C.E., Chang Y., Wood R.C., and Weltge A. Emergency department diversion and trauma mortality: evidence from Houston, Texas. J Trauma 57 (2004) 1260-1265
12. Neely K.W., Norton R.L., and Young G.P. The effect of hospital resource unavailability and ambulance diversions on the EMS system. Prehospital Disaster Med 9 (1994) 172-176 discussion 177
13. Vilke G.M., Castillo E.M., Metz M.A., et al. Community trial to decrease ambulance diversion hours: the San Diego county patient destination trial. Ann Emerg Med 44 (2004) 295-303
14. Vilke G.M., Brown L., Skogland P., Simmons C., and Guss D.A. Approach to decreasing emergency department ambulance diversion hours. J Emerg Med 26 (2004) 189-192
15. 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
16. Litvak E., Long M.C., Cooper A.B., and McManus M.L. Emergency department diversion: causes and solutions. Acad Emerg Med 8 (2001) 1108-1110
17. Fatovich D.M., and Hirsch R.L. Entry overload, emergency department overcrowding, and ambulance bypass. Emerg Med J 20 (2003) 406-409
18. Schull M.J., Mamdani M.M., and Fang J. Community influenza outbreaks and emergency department ambulance diversion. Ann Emerg Med 44 (2004) 61-67
19. Redelmeier D.A., Blair P.J., and Collins W.E. No place to unload: a preliminary analysis of the prevalence, risk factors, and consequences of ambulance diversion. Ann Emerg Med 23 (1994) 43-47
20. Scheulen J.J., Li G., and Kelen G.D. Impact of ambulance diversion policies in urban, suburban, and rural areas of Central Maryland. Acad Emerg Med 8 (2001) 36-40
21. Richardson S.K., Ardagh M., and Gee P. Emergency department overcrowding: the Emergency Department Cardiac Analogy Model (EDCAM). Accid Emerg Nurs 13 (2005) 18-23
22. Cobelas C., Cooper C., Ell M., Hawthorne G., Kennedy M., and Leach D. Quality management and the Emergency Services Enhancement Program. J Qual Clin Pract 21 (2001) 80-85
23. Brewster L.R., and Felland L.E. Emergency department diversions: hospital and community strategies alleviate the crisis. Issue Brief Cent Stud Health Syst Change 78 (2004) 1-4
24. Lagoe R.J., Kohlbrenner J.C., Hall L.D., Roizen M., Nadle P.A., and Hunt R.C. Reducing ambulance diversion: a multihospital approach. Prehosp Emerg Care 7 (2003) 99-108
25. Anderson E., Riddle K., and Bear R. Results of implementation of a contemporary model for ambulance diversions in an integrated healthcare delivery system. Healthc Manage Forum 12 (1999) 49-50
26. Nathens A.B., Maier R.V., Brundage S.I., Jurkovich G.J., and Grossman D.C. The effect of inter-facility transfer on outcome in an urban trauma system. J Trauma 55 (2003) 444-449