The past, present, and future of urgent matters: Lessons learned from a decade of emergency department flow improvement

Academic Emergency Medicine

Volumn 18, Issue 12, 2011, Pages 1392-1399

  McClelland, Mark Stephen ^a   Lazar, Danielle ^a   Sears, Vickie ^a   Wilson, Marcia ^a   Siegel, Bruce ^c   Pines, Jesse M ^a,b  

^a Center for Health Care Quality   (United States)

^b GEORGE WASHINGTON UNIVERSITY MEDICAL CENTER   (United States)

^c National Association of Public Hospitals   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; EMERGENCY WARD; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HOSPITAL MANAGEMENT; LEADERSHIP; LEARNING; PRACTICE GUIDELINE; PRIORITY JOURNAL; THORAX RADIOGRAPHY; TOTAL QUALITY MANAGEMENT;

CROWDING; EMERGENCY MEDICINE; EMERGENCY SERVICE, HOSPITAL; FEMALE; FORECASTING; HUMANS; LEADERSHIP; LENGTH OF STAY; MALE; ORGANIZATIONAL INNOVATION; PATIENT ADMISSION; PATIENT DISCHARGE; PATIENT-CENTERED CARE; QUALITY OF HEALTH CARE; RISK ASSESSMENT; UNITED STATES; WORKFLOW;

EID: 83655182349     PISSN: 10696563     EISSN: 15532712     Source Type: Journal    
DOI: 10.1111/j.1553-2712.2011.01229.x     Document Type: Article

References (35)

1. U.S. Government Accountability Office. Report to the Chairman, Committee on Finance, U.S. Senate: Hospital Emergency Departments: Crowding Continues to Occur, and Some Patients Wait Longer Than Recommended Time Frame. April 2009; GAO-09-347. Available at:. Accessed Sep 10, 2011.
2. Smulowitz PB, Lipton R, Wharam JF, et al., Emergency department utilization after the implementation of Massachusetts health reform. Ann Emerg Med. 2011; 58 (3): 225-34.
3. Pines JM, Garson C, Baxt WG, Rhodes KV, Shofer FS, Hollander JE,. ED crowding is associated with variable perceptions of care compromise. Acad Emerg Med. 2007; 14: 1176-81. (Pubitemid 350123069)
4. Pines JM, Hollander JE,. Emergency department crowding is associated with poor care for patients with severe pain. Ann Emerg Med. 2008; 51: 1-5. (Pubitemid 350309459)
5. Schull MJ, Vermeulen M, Slaughter G, Morrison L, Daly P,. Emergency department crowding and thrombolysis delays in acute myocardial infarction. Ann Emerg Med. 2004; 44: 577-85. (Pubitemid 39573174)
6. Trzeciak S, Rivers EP,. Emergency department overcrowding in the United States: an emerging threat to patient safety and public health. J Emerg Med. 2003; 20: 402-5. (Pubitemid 37168210)
7. Deflitch C, Eitel D, Geeting G, et al., Physician directed queuing (PDQ) improves health care delivery in the ED: early results [abstract]. Ann Emerg Med. 2007; 50: S125-6.
8. Willer JL, Gentle C, Halfpenny JM, et al., Optimizing emergency department front-end operations. Ann Emerg Med. 2009; 55: 142-60.
9. Chan TC, Killeen JP, Kelly D, Guss DA,. Impact of rapid entry and accelerated care at triage on reducing emergency department patient wait times, lengths of stay, and rate of left without being seen. Ann Emerg Med. 2005; 46: 491-7. (Pubitemid 41676745)
10. InQuickER, LLC. InQuickER Participating Facilities. Available at:. Accessed Sep 17, 2011.
11. Regenstein M, Nolan L, Wilson M, Mead H, Siegel B,. Walking a Tightrope: The State of the Safety Net in Ten U.S. Communities. Urgent Matters/The George Washington University Medical Center. Available at:. Accessed Sep 10, 2011.
12. Urgent Matters Toolkit. Available at:. Accessed Sep 10, 2011.
13. Urgent Matters Toolkit: Proven Solutions to ED Crowding. Available at:. Accessed Sep 10, 2011.
14. Viccellio A, Santora C, Singer A, Thode HC, Henry MC,. The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience. Ann Emerg Med. 2009; 54: 487-91.
15. Willer JL, Gentle C, Halfpenny JM, et al., Optimizing emergency department front-end operations. Ann Emerg Med. 2009; 55: 142-60.
16. Urgent Matters. Improving Patient Flow & Reducing Emergency (ED) Crowding. Available at:. Accessed Sep 10, 2011.
17. Kellermann A,. Keynote Address: Building Transparency and Accountability in America's Emergency Departments. Urgent Matters Policy Forum. Available at:. Accessed Sep 10, 2011.
18. Lumpkin J,. Keynote Address: Building Better Policy Through Practice. Urgent Matters Policy Forum. Available at:. Accessed Sep 10, 2011.
19. Welch S, Asplin B, Stone-Griffith SR, Davidson SJ, Augustine J, Schuur JM,. Emergency department operational metrics, measures and definitions: results of the second performance measures and benchmarking summit. Ann Emerg Med. 2011; 58: 33-40.
20. McClelland M, Jones K, Siegel B, Pines J,. A field-test of time-based emergency department quality measures. Ann Emerg Med. doi:10.1016/j.annemergmed. 2011.06.013.x.
21. Federal Register. Section XVI.B.4.c. Final Rule: Changes to the Hospital Outpatient Prospective Payment System and CY 2011 Payment Rates. CMS-Hospital Outpatient Regulations and Notices. 72085-72086. Available at:. Accessed Sep 10, 2011.
22. Center for Medicare & Medicaid Services. 2010 Proposals for Improving Quality of Care During Inpatient Stays in Acute Care Hospitals in the Fiscal Year 2011 Notice of Proposed Rulemaking. Available at:. Accessed Sep 10, 2011.
23. American Health Information Management Association. Clinical Quality Measures for Hospitals Available at:. Accessed Sep 10, 2011.
24. Wilson MJ, Nguyen K,. Bursting at the Seams: Improving Patient Flow to Help America's Emergency Departments. Urgent Matters/George Washington University Medical Center. Available at. Accessed Sep 10, 2011.
25. Timm NL, Ho ML, Luria JW,. Pediatric emergency department overcrowding and impact on patient flow outcomes. Acad Emerg Med. 2008; 15: 832-7.
26. Bair AE, Song WT, Chen YC, Morris BA,. The impact of inpatient boarding on ED efficiency: a discrete-event simulation study. J Med Syst. 2010; 34: 919-29.
27. Pines JM, Batt R, Hilton JM, Terwiesch C,. The financial consequences of lost demand and reducing boarding in hospital emergency departments. Ann Emerg Med. 2011; 58: 331-40.
28. Asplin B, Blum FC, Broida RI, et al., ACEP Task Force Report on Boarding. Emergency Medicine Crowding: High-impact Solutions. Available at:. Accessed Sep 10, 2011.
29. Institute for Healthcare Improvement. Use Pull Systems to Improve Flow. Available at:. Accessed Sep 10, 2011.
30. Joint Commission. Sentinel Event Data-Root Causes by Event Type 2004-Fourth Quarter 2010. Available at:. Accessed Sep 10, 2011.
31. Spaite D, Bartholomeaux F, Guisto J, et al., Rapid process redesign in a university-based emergency department: decreased waiting time intervals and improving patient satisfaction. Ann Emerg Med. 2002; 39: 168-77. (Pubitemid 34118948)
32. Schoor C,. Performance improvement in the management of sepsis. Crit Care Nurs Clin N Am. 2011; 23: 203-13.
33. Aagaard EM, Gonzales R, Camargo CA, et al., Physician champions are key to improving antibiotic prescribing quality. Joint Comm J Qual Patient Safe. 2010; 36: 109-16.
34. Roski J, McClellan M,. Measuring health care performances now, not tomorrow: essential steps to support effective health reform. Health Affairs. 2011; 30: 682-9.
35. Graff L, Stevens C, Spaite D, Foody J,. Measuring and improving quality in emergency medicine. Acad Emerg Med. 2002; 9: 1091-107. (Pubitemid 35291537)