The impact of an acute care emergency surgical service on timely surgical decision-making and emergency department overcrowding

Journal of the American College of Surgeons

Volumn 213, Issue 2, 2011, Pages 284-293

  Qureshi, Adnan ^a   Smith, Andy ^a   Wright, Frances ^a   Brenneman, Fred ^a   Rizoli, Sandro ^a   Hsieh, Taulee ^a   Tien, Homer C ^a,b  

^a SUNNYBROOK RESEARCH INSTITUTE   (Canada)

^b Canadian Forces Health Services   (Canada)

Author keywords

ACCESS; acute care emergency surgery service; Canadian Triage and Acuity Scale; CTAS; ED; EDIS; emergency department; Emergency Department Information System; length of stay; LOS

Indexed keywords

ADULT; APPENDECTOMY; APPENDICITIS; APPENDIX PERFORATION; ARTICLE; BILIARY TRACT DISEASE; CLINICAL DECISION MAKING; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CROWDING; DIVERTICULITIS; EMERGENCY SURGERY; EMERGENCY WARD; FEMALE; HUMAN; INTERNAL MEDICINE; INTESTINE OBSTRUCTION; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; PATIENT REFERRAL; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; STRETCHER; UROLOGY;

ADULT; APPENDICITIS; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; INTESTINAL DISEASES; LENGTH OF STAY; MALE; MIDDLE AGED; ONTARIO; TIME FACTORS; TRIAGE;

EID: 79960843387     PISSN: 10727515     EISSN: 18791190     Source Type: Journal    
DOI: 10.1016/j.jamcollsurg.2011.04.020     Document Type: Article

References (34)

1. Canadian Association of Emergency Physicians (CAEP) Emergency Department Overcrowding Statement http://www.caep.ca/template.asp?id= C66C924CF39543D9AF7E62BAB1A67835 2010 Accessed August 5, 2010
2. Canadian Association of Emergency Physicians (CAEP) Position Statement Emergency Department Overcrowding http://www.caep.ca/template.asp?id= 1D7C8FEB2A7C4A939E4C2FE16D654E39 2000 Accessed January 9, 2010
3. N.R. Hoot, and D. Aronsky Systematic review of emergency department crowding: causes, effects, and solutions Ann Emerg Med 52 2008 126 136
4. E.B. Kulstad, and K.M. Kelley Overcrowding is associated with delays in percutaneous coronary intervention for acute myocardial infarction Int J Emerg Med 2 2009 149 154
5. M.J. Schull, J.P. Szalai, B. Schwartz, and D.A. Redelmier Emergency department overcrowding following systematic hospital restructuring: Trends at twenty hospitals over ten years Acad Emerg Med 8 2001 1037 1043 (Pubitemid 33032291)
6. S. Trzeciak, and E.P. Rivers Emergency department overcrowding in the United States: an emerging threat to patient safety and public health Emerg Med J 20 2003 402 405 (Pubitemid 37168210)
7. D.P. Andrulis, A. Kellermann, and E.A. Hintz Emergency departments and crowding in United States teaching hospitals Ann Emerg Med 20 1991 980 986
8. A.J. Drummond No room at the inn: overcrowding in Ontario's emergency departments CJEM 4 2002 91 97
9. Statistics Canada Population by year, by province and territory http://www40.statcan.gc.ca/l01/cst01/demo02a-eng.html 2009 Accessed June 12, 2010
10. Ontario Ministry of HealthLong-Term Care1 (OMH-LTC) Ontario wait times http://www.health.gov.on.ca/en/pro/programs/waittimes/edrs/default.aspx 2010 Accessed June 12, 2010
11. N. Tang, J. Stein, and R.Y. Hsia Trends and characteristics of US emergency department visits, 1997-2007 JAMA 304 2010 2323 2430
12. M.S. Hameed, F.D. Brenneman, and C.G. Ball General surgery 2.0: the emergence of acute care surgery in Canada Can J Surg 53 2010 79 83
13. C.G. Ball, S.M. Hameed, and F.D. Brenneman Acute care surgery: a new strategy for the general surgery patients left behind Can J Surg 53 2010 84 85
14. R.C. Britt, L.J. Weireter, and L.D. Britt Initial implementation of acute care surgery model: implications for timeliness of care J Am Coll Surg 298 2009 421 424
15. A.S. Earley, J.P. Pryor, and P.K. Kim An acute care surgery model improves outcomes in patients with appendicitis Ann Surg 244 2006 498 504
16. Accessibility Working Group Sunnybrook Health Sciences Centre Accessibility Plan Universal access & a culture of inclusion http://www.sunnybrook.ca/uploads/Accessibility-Plan-SB-2009.pdf 2009 Accessed June 12, 2010
17. R. Beveridge, B. Clarke, and L. Janes Canadian emergency department triage and acuity scale: implementation guidelines Can J Emerg Med 1 1999 S1 S24
18. B. Rowe, K. Bond, and M. Ospina Data collection on patients in emergency departments in Canada 2006 Canadian Agency for Drugs and Technologies in Health Ottawa Technology report no 67.2
19. B.R. Asplin, D.J. Magid, and K.V. Rhodes A conceptual model of emergency department crowding Ann Emerg Med 42 2003 173 180 (Pubitemid 36899784)
20. M. Cooke, J. Fisher, and J. Dale Reducing attendances and waits in emergency departments A systematic review of present innovations. A report to the National Co-ordinating Centre for NHS Service Delivery and Organisation R & D (NCCSDO) London, UK http://www.sdo.lshtm.ac.uk/pdf/evalmodels-cooks- final.pdf 2004 Accessed March 17, 2011
21. R.P. Murray, M. Leroux, and E. Sabga Effect of point of care testing on length of stay in an adult emergency department J Emerg Med 17 1999 811 814 (Pubitemid 29444566)
22. M.W. Cooke, S. Wilson, and S. Pearson The effect of a separate stream for minor injuries on accident and emergency department waiting times Emerg Med J 19 2002 28 30 (Pubitemid 34092533)
23. B. Bucheli, and B. Martina Reduced length of stay in medical emergency department patients: a prospective controlled study on emergency physician staffing Eur J Emerg Med 11 2004 29 34
24. G.D. Kelen, J.J. Scheulen, and P.M. Hill Effect of an emergency department (ED) managed acute care unit on ED overcrowding and emergency medical services diversion Acad Emerg Med 8 2001 1095 1100 (Pubitemid 33032301)
25. K. Davis, and G. Rozycki Acute care surgery in evolution Crit Care Med 38 2010 S405 S410
26. A.P. Ekeh, B. Monson, and C.J. Wozniak Management of acute appendicitis by an acute care surgery service: is operative intervention timely? J Am Coll Surg 207 2008 43 48
27. P. Yoon, I. Steiner, and G. Reinhardt Analysis of factors influencing length of stay in the emergency department Can J Emerg Med 5 2003 155 161
28. A. Qureshi, M. Morreale, D. Klisowsky, and J. Lock Presenting with chest or abdominal pain: evaluation of emergency department wait-time internals and factors influencing length of stay McMaster University Med J (MUMJ) 7 2010 19 25
29. C.L. Temple, S.A. Huchcroft, and W.J. Temple The natural history of appendicitis in adults A prospective study Ann Surg 221 1995 278 281
30. M.F. Ditillo, J.D. Dziura, and R. Rabinovici Is it safe to delay appendectomy in adults with acute appendicitis? Ann Surg 244 2006 656 660 (Pubitemid 44629935)
31. D.I. Alaedeen, M. Cook, and W.J. Chwals Appendiceal fecalith is associated with early perforation in pediatric patients J Pediatr Surg 43 2008 889 892 (Pubitemid 351662729)
32. U. Hwang, and J. Concato Care in the emergency department: how crowded is overcrowded Acad Emerg Med 11 2004 1097 1101 (Pubitemid 39244008)
33. M.B. Ospina, K. Bond, and M. Schull Key indicators of overcrowding in Canadian emergency departments: a Delphi study CJEM 9 2009 339 346 (Pubitemid 350302888)
34. Hospital Emergency Department and Ambulance Effectiveness Working Group (HED&AE) http://www.health.gov.on.ca/english/public/pub/ministry-reports/ emerg-dept-05/emerg-dept-05.pdf 2005 Accessed March 18, 2011