Emergency department access block occupancy predicts delay to surgery in patients with fractured neck of femur

EMA - Emergency Medicine Australasia

Volumn 21, Issue 4, 2009, Pages 304-308

  Richardson, Drew ^a,b   McMahon, Kristin Lh ^a  

^a CANBERRA HOSPITAL   (Australia)

^b The Australian National University   (Australia)

Author keywords

Access block; Delay; Emergency; Fracture; Overcrowding

Indexed keywords

ACCESS BLOCK OCCUPANCY; ADULT; AGED; ARTICLE; EMERGENCY WARD; FEMALE; FEMUR NECK FRACTURE; HOSPITAL MANAGEMENT; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; ORTHOPEDIC SURGERY; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; THERAPY DELAY; TREATMENT OUTCOME;

AGED; AGED, 80 AND OVER; AUSTRALASIA; BED OCCUPANCY; COHORT STUDIES; CONFIDENCE INTERVALS; EMERGENCY SERVICE, HOSPITAL; FEMALE; FEMORAL NECK FRACTURES; HUMANS; MALE; MIDDLE AGED; QUALITY OF HEALTH CARE; RETROSPECTIVE STUDIES; TIME FACTORS; TREATMENT OUTCOME;

EID: 68749121515     PISSN: 17426731     EISSN: 17426723     Source Type: Journal    
DOI: 10.1111/j.1742-6723.2009.01201.x     Document Type: Article

References (16)

1. Weiss SJ, Ernst AA, Nick TG. Relationship between the National ED overcrowding scale and the number of patients who leave without being seen in an academic ED. Am. J. Emerg. Med. 2005 23 : 288 94.
2. Dunn R. Reduced access block causes shorter emergency department waiting times: an historical control observational study. Emerg. Med. (Fremantle) 2003 15 : 232 8.
3. Pines JM, Hollander JE, Localio AR et al. The association between emergency department crowding and hospital performance on antibiotic timing for pneumonia and percutaneous intervention for myocardial infarction. Acad. Emerg. Med. 2006 13 : 873 8.
4. Hwang U, Richardson LD, Sonuyi TO, Morrison RS. The effect of emergency department crowding on the management of pain in older adults with hip fracture. J. Am. Geriatr. Soc. 2006 54 : 270 5.
5. Sprivulis PC, Da Silva JA, Jacobs IG et al. The association between hospital overcrowding and mortality among patients admitted via Western Australian emergency departments. Med. J. Aust. 2006 184 : 208 12.
6. Richardson DB. Increase in patient mortality at 10 days associated with emergency department overcrowding. Med. J. Aust. 2006 184 : 213 16.
7. Fatovich DM, Nagree Y, Sprivulis P. Access block causes emergency department overcrowding and ambulance diversion in Perth, Western Australia. Emerg. Med. J. 2005 22 : 351 4.
8. Cameron PA, Campbell DA. Access block: problems and progress. Med. J. Aust. 2003 178 : 99 109.
9. Australasian College for Emergency Medicine. Policy document - standard terminology. Emerg. Med. Australas. 2002 14 : 337 40.
10. Paoloni R, Fowler D. Total access block time: a comprehensive and intuitive way to measure the total effect of access block on the emergency department. Emerg. Med. Australas. 2008 20 : 16 22.
11. Siegmeth AW, Gurusamy K, Parker MJ. Delay to surgery prolongs hospital stay in patients with fractures of the proximal femur. J. Bone Joint Surg. Br. 2005 87 : 1123 6.
12. Bottle A, Aylin P. Mortality associated with delay in operation after hip fracture: observational study. BMJ 2006 332 : 947 51.
13. Turner P, Cocks J, Cade R, Ewing H, Collopy B, Thompson G. Fractured neck of the femur (DRG 210/211): prospective outcome study. Aust. N. Z. J. Surg. 1997 67 : 126 30.
14. Elliott J, Beringer T, Kee F, Marsh D, Willis C, Stevenson M. Predicting survival after treatment for fracture of the proximal femur and the effect of delays to surgery. J. Clin. Epidemiol. 2003 56 : 788 95.
15. Liew D, Liew D, Kennedy MP. Emergency department length of stay independently predicts excess inpatient length of stay. Med. J. Aust. 2003 179 : 524 6.
16. Richardson DB. The access-block effect: relationship between delay to reaching an inpatient bed and inpatient length of stay. Med. J. Aust. 2002 177 : 492 5.