Trial to end ambulance diversion in Boston: Report from the conference of the boston teaching hospitals consortium

Prehospital and Disaster Medicine

Volumn 26, Issue 2, 2011, Pages 122-126

  Friedman, Franklin D ^a   Rathlev, Niels K ^b,c   White, Laura ^d   Epstein, Stephen K ^e   Sayah, Assaad ^f   Pearlmutter, Mark ^g   Biddinger, Paul ^h   Zane, Richard ⁱ   Moyer, Peter ^j  

^a TUFTS MEDICAL CENTER   (United States)

^b BOSTON MEDICAL CENTER   (United States)

^c BAYSTATE MEDICAL CENTER   (United States)

^d BOSTON UNIVERSITY   (United States)

^e BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

^f CAMBRIDGE HEALTH ALLIANCE   (United States)

^g ST ELIZABETH'S MEDICAL CENTER   (United States)

^h MASSACHUSETTS GENERAL HOSPITAL   (United States)

ⁱ BRIGHAM AND WOMEN S HOSPITAL   (United States)

^j Boston Emergency Medical Services   (United States)

more..

Author keywords

[No Author keywords available]

Indexed keywords

AMBULANCE; ARTICLE; EMERGENCY HEALTH SERVICE; HOSPITAL ADMISSION; HUMAN; LENGTH OF STAY; ORGANIZATION AND MANAGEMENT; PATIENT TRANSPORT; RETROSPECTIVE STUDY; STANDARD; STATISTICS; TEACHING HOSPITAL; TIME; UNITED STATES;

AMBULANCES; BOSTON; EMERGENCY SERVICE, HOSPITAL; HOSPITALS, TEACHING; HUMANS; LENGTH OF STAY; PATIENT ADMISSION; PATIENT TRANSFER; RETROSPECTIVE STUDIES; TIME FACTORS;

EID: 80054808073     PISSN: 1049023X     EISSN: 19451938     Source Type: Journal    
DOI: 10.1017/S1049023X11000070     Document Type: Article

References (21)

1. Institute of Medicine Committee on the Future of Emergency Care in the U.S. Health System: Hospital-based emergency care: At the breaking point, Washington, DC: National Academies Press, 2006
2. Massachusetts Office of Health and Human Services: Uniform Definitions/Rules Governing Ambulance Diversion. 22 April 2002. Available at http://www.mass. gov/Eeohhs2/docs/dph/emergency-services/ambulance-rules- diversion.rtf. Accessed 10 June 2009
3. Metropolitan Boston Emergency Medical Services Council Annual Reports. 1997-2006
4. Koh H: Best practice guidelines for hospitals concerning ambulance diversion. 16 December 1999. Available at http://www.mass.gov/Eeohhs2/docs/dph/ quality. healthcare/ad-best-practice-1999.pdf. Accessed 10 June 2009
5. Koh H: Additional measures that hospitals should take regarding ambulance diversion. 11 December 2000. Avaliable at http://www.mass.gov/Eeohhs2/docs. dph/quality/healthcare/ad-Addtl-recommendations.pdf. Accessed 10 June 2009
6. Friedman F: Chair, Conference of Boston Teaching Hospitals (COBTH) Emergency Medical Services Committee, personal communication, May 2006
7. Rathlev NK, Chessare J, Olshaker J, et al: The probability of ED diversion status as a function of inpatient occupancy. Ann Emerg Med 2004;44(4): S29
8. Southern Massachusetts Emergency Medical Services Council. Monthly and Annual Reports, 2005
9. Dyer S: Medical Director of Boston Emergency Medical Services, Police, and Fire, personal communication, June 2009
10. Boston University Program for the Management of Variability in Health Care Delivery: Root cause analysis of emergency department crowding and ambulance diversion in Massachusetts. October 2002. Available at http://www.mass. gov/Eeohhs2/docs/dph/quality/healthcare/ad-emergency-dept- Analysis.pdf. Accessed 10 June 2009
11. Olshaker JS, Rathlev NK: Emergency department overcrowding and ambulance diversion: The impact and potential solutions of extended boarding of admitted patients in the Emergency Department. J Emerg Med 2006;30(3): 351-356
12. Schneider SM, Gallery ME, Schafermeyer R, et al: Emergency department crowding: A point in time. Ann Emerg Med 2003;43: 167-172
13. Burt CW, McCaig LF, Valverde RH: Analysis of ambulance transports and diversions among US emergency departments. Ann Emerg Med 2006;47: 317-326
14. Sun BC, Mohanty SA, Weiss R, et al: Effects of hospital closures and hospital characteristics on emergency department ambulance diversion, Los Angeles County, 1998 to 2004. Ann Emerg Med 2006;47: 309-316
15. Begley CE, Chang Y, Wood RC, et al: Emergency department diversion and trauma mortality: Evidence from Houston, Texas. J Trauma 2004;57: 1260-1265
16. Schull MJ, Morrison LJ, Vermeulen M, et al: Emergency department gridlock and out-of-hospital delays for cardiac patients. Acad Emerg Med 2003; 10: 709-716
17. Falvo T, Grove L, Stachura R, et al: The financial impact of ambulance diversions and patient elopements. Acad Emerg Med 2007;14: 58-62
18. Handel DA, McConnell KJ: The financial impact of ambulance diversion on inpatient hospital revenues and profits. Acad Emerg Med 2009;16: 29-33
19. McConnell KJ, Richards CF, Dava M, et al: Ambulance diversion and lost hospital revenues. Ann Emerg Med 2006;48: 702-710
20. Pham JC, Patel R, Millin MG, et al: The effects of ambulance diversion: A comprehensive review. Acad Emerg Med 2006;11: 1220-1227
21. Asplin BR: Does ambulance diversion matter? Ann Emerg Med 2003;41: 477-480.