Emergency department patient volume and troponin laboratory turnaround time

Academic Emergency Medicine

Volumn 17, Issue 5, 2010, Pages 501-507

  Hwang, Ula ^a,b   Baumlin, Kevin ^a   Berman, Jeremy ^c   Chawla, Neal K ^a,d   Handel, Daniel A ^e   Heard, Kennon ^f   Livote, Elayne ^b   Pines, Jesse M ^c,g   Valley, Morgan ^f   Yadav, Kabir ^c  

^a MOUNT SINAI SCHOOL OF MEDICINE   (United States)

^b VETERANS AFFAIRS MEDICAL CENTER   (United States)

^c GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE AND HEALTH SCIENCES   (United States)

^d INOVA FAIRFAX HOSPITAL   (United States)

^e OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

^f UNIVERSITY OF COLORADO SCHOOL OF MEDICINE   (United States)

^g UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

Emergency department; Emergency department crowding; Laboratory turnaround time

Indexed keywords

TROPONIN;

ADULT; AGED; DECISION MAKING; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; FEMALE; HOSPITAL ADMISSION; HOSPITAL LABORATORY; HUMAN; LABORATORY TEST; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; RETROSPECTIVE STUDY; REVIEW; TERTIARY HEALTH CARE; TURNAROUND TIME; BLOOD; CLINICAL TRIAL; CROWDING (AREA); MIDDLE AGED; MULTICENTER STUDY; ORGANIZATION AND MANAGEMENT; REGRESSION ANALYSIS; SEASON; TIME; UNITED STATES; WORKLOAD;

CROWDING; EFFICIENCY, ORGANIZATIONAL; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; LABORATORIES, HOSPITAL; MALE; MIDDLE AGED; REGRESSION ANALYSIS; RETROSPECTIVE STUDIES; SEASONS; TIME FACTORS; TRIAGE; TROPONIN; UNITED STATES; WORKLOAD;

EID: 77953569355     PISSN: 10696563     EISSN: 15532712     Source Type: Journal    
DOI: 10.1111/j.1553-2712.2010.00738.x     Document Type: Review

References (30)

1. National Center for Health Statistics. Ambulatory Health Care Data -National Hospital Ambulatory Medical Care Survey (NHAMCS) -Emergency Departments, Micro-data 1996 & 2006. Available at: ftp://ftp.cdc.gov/pub/ Health-Statistics/NCHS/Dataset-Documentation/NHAMCS/. Accessed April 2010.
2. Handel DA, Sklar DP, Hollander JE, Asplin BR, Hedges JR. Executive Summary: The Institute of Medicine report and the future of academic Emergency Medicine: The Society for Academic Emergency Medicine and Association of Academic Chairs in Emergency Medicine Panel. Association of American Medical Colleges Annual Meeting, October 28, 2006. Acad Emerg Med. 2007; 14:261-267
3. Institute of Medicine. IOM Report: The future of emergency care in the United States health system. Acad Emerg Med. 2006; 13:1081-1085
4. Schull MJ, Vermuelen M, Slaughter G, Morrison L, Daly P. Emergency department crowding and thrombolysis delays in acute myocardial infarction. Ann Emerg Med. 2004; 44:577-585
5. 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
6. Hwang U, Richardson L, Livote E, Harris B, Spencer N, Morrison RS. Emergency department crowding and decreased quality of pain care. Acad Emerg Med. 2008; 15:1248-1255
7. 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 Amer Geriatr Soc. 2006; 54:270-275
8. Pines JM, Hollander JE, Localio AR, Metlay JP. The association between emergency department crowding and hospital performance on antibiotic timing for pneumonia and percutaneous intervention for myocardial infarction. Acad Emerg Med. 2006; 13:873-878
9. Pines JM, Iyer S, Disbot M, Hollander JE, Shofer RS, Datner EM. The effect of emergency department crowding on patient satisfaction for admitted patients. Acad Emerg Med. 2008; 15:825-831
10. Pines JM, Hollander JE. Emergency department crowding is associated with poor care for patients with severe pain. Ann Emerg Med. 2008; 51:1-5.
11. Chalfin DB, Trzeciak S, Likourezos A, et al. The impact of delayed transfer of critically ill patients from the emergency department to the intensive care unit. Crit Care Med. 2007; 35:1477-1483
12. Derlet RW, Richards JR, Kravitz RL. Frequent overcrowding in U.S. emergency departments. Acad Emerg Med. 2001; 8:151-155
13. Lee-Lewandrowski E, Corboy D, Lewandrowski K, Sinclair J, McDermot S, Benzer TI. Implementation of a point-of-care satellite laboratory in the emergency department of an academic medical center: impact on test turnaround time and patient emergency department length of stay. Arch Pathol Lab Med. 2003; 127:456-460
14. Hwang U, Concato J. Care in the emergency department: how crowded is overcrowded? Acad Emerg Med. 2004; 11:1097-1101
15. Wuerz R, Milne L, Eitel D, Gilboy N. Reliability and validity of a new five-level triage instrument. Acad Emerg Med. 2000; 7:236-242
16. Manning WG. The logged dependent variable, heteroscedasticity, and the retransformation problem. J Health Econ. 1998; 17:283-295
17. Koenker R, Hallock K. Quantile regression: an introduction. J Econ Perspect. 2001; 15:143-156
18. Despa S. StatNews #70: Quantile Regression. Available at: http://www.cscu.cornell.edu/news/statnews/stnews70.pdf. Accessed Aug 20, 2009.
19. Coudrey L. The troponins. Arch Intern Med. 1998; 158:1173-1180
20. Canto JG, Shlipak MG, Rogers WJ, et al. Prevalence, clinical characteristics, and mortality among patients with myocardial infarction presenting without chest pain. JAMA. 2000; 283: 3223-3229
21. Guss DA, Chan TC, Killeen JP. The impact of a pneumatic tube and computerized physician order management on laboratory turnaround time. Ann Emerg Med. 2008; 51:181-195
22. Mitka M. Experts promote adoption of chest pain guidelines by emergency departments. JAMA. 2005; 294:164-165
23. Gibler WB, Cannon CP, Blomkalns AL, et al. Practical implementation of the guidelines for unstable angina/non-ST-segment elevation myocardial infarction in the emergency department: a scientific statement from the American Heart Association Council on Clinical Cardiology (Subcommittee on Acute Cardiac Care), Council on Cardiovascular Nursing, and Quality of Care and Outcomes Research Interdisciplinary Working Group, in Collaboration with the Society of Chest Pain Centers. Circulation. 2005; 111:2699-2710
24. Institute of Medicine. Hospital-based Emergency Care: At the Breaking Point. Washington DC: National Academy of Sciences, 2006.
25. Derlet RW, Richards JR. Overcrowding in the nation's emergency departments: complex causes and disturbing effects. Ann Emerg Med. 2000; 35:63-68
26. Storrow AB, Zhou C, Gaddis G, et al. Decreasing lab turnaround time improves emergency department throughput and decreases emergency medical services diversion: a simulation model. Acad Emerg Med. 2008; 15:1130-1135
27. Francis AJ, Ray MJ, Marshall MC. Pathology processes and emergency department length of stay: the impact of change. Med J Aust. 2009; 190: 665-669
28. Singer AJ, Viccellio P, Thode HC Jr, Bock JL, Henry MC. Introduction of a stat laboratory reduces emergency department length of stay. Acad Emerg Med. 2008; 15:324-328
29. Solberg LI, Asplin BR, Weinick RM, Magid DJ. Emergency department crowding: consensus development of potential measures. Ann Emerg Med. 2003; 42:824-834
30. Wilkerson D. Action on 2005 Council Resolutions. Dallas, TX: American College of Emergency Physicians Board of Directors, September 25, 2008.