High hospital occupancy is associated with increased risk for patients boarding in the Emergency Department

American Journal of Medicine

Volumn 125, Issue 4, 2012, Pages

  Zhou, Jian Cang ^a   Pan, Kong Han ^a   Zhou, Dao Yang ^a   Zheng, San Wei ^a   Zhu, Jian Qing ^a   Xu, Qiu Ping ^a   Wang, Chang Liang ^a  

^a ZHEJIANG UNIVERSITY   (China)

Author keywords

Complication; Crowding; Emergency department

Indexed keywords

ADULT; ARTICLE; CROWDING; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; FEMALE; HOSPITAL ADMISSION; HOSPITAL BED UTILIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MORTALITY; MULTIVARIATE LOGISTIC REGRESSION ANALYSIS; PRIORITY JOURNAL; RISK FACTOR;

CHINA; CROWDING; EMERGENCY SERVICE, HOSPITAL; FEMALE; HOSPITALIZATION; HUMANS; INTUBATION, INTRATRACHEAL; LOGISTIC MODELS; MALE; MIDDLE AGED; MORTALITY; MULTIVARIATE ANALYSIS; SHOCK; STATISTICS AS TOPIC;

EID: 84858987209     PISSN: 00029343     EISSN: 15557162     Source Type: Journal    
DOI: 10.1016/j.amjmed.2011.07.030     Document Type: Article

References (21)

1. McCarthy ML, Aronsky D, Jones ID, et al. The emergency department occupancy rate: a simple measure of emergency department crowding? Ann Emerg Med. 2008;51:15-24.
2. Pines J, Isserman J. The association between ED crowding and delays in time to OR in acute appendicitis [abstract]. Acad Emerg Med. 2009;16:S207-S208.
3. Pines JM, Pollack CV Jr, Diercks DB, et al. The association between emergency department crowding and adverse cardiovascular outcomes in patients with chest pain. Acad Emerg Med. 2009;16:617-625.
4. Institute of Medicine. Hospital-based emergency care: at the breaking point. Available at: http://www.iom.edu. Accessed August 10, 2010.
5. Bernstein SL, Aronsky D, Duseja R, et al. The effect of emergency department crowding on clinically oriented outcomes. Acad Emerg Med. 2009;16:1-10.
6. Lucas R, Farley H, Twanmoh J, et al. Emergency department patient flow: the influence of hospital census variables on emergency department length of stay. Acad Emerg Med. 2009;16:597-602.
7. Richardson DB. Increase in patient mortality at 10 days associated with emergency department overcrowding. Med J Aust. 2006;184:213-216.
8. Clem KJ, Thomas TL, Wang YT, Bradley D. United States physician assistance in development of emergency medicine in Hangzhou, China. Ann Emerg Med. 1998;32(1):86-92. (Pubitemid 28299936)
9. Tanabe P, Gimbel R, Yarnold P, et al. Reliability and validity of scores on the emergency severity index version 3. Acad Emerg Med. 2004; 11:59-65. (Pubitemid 38055787)
10. Australasian College for Emergency Medicine (ACEM). Access Block and Overcrowding in Emergency Departments. Melbourne, Australia: ACEM; 2004.
11. Weissman JS, Rothschild JM, Bendavid E, et al. Hospital workload and adverse events. Med Care. 2007;45(5):448-455.
12. Liu SW, Thomas SH, Gordon JA, et al. A pilot study examining undesirable events among emergency department-boarded patients awaiting inpatient beds. Ann Emerg Med. 2009;54:381-385.
13. Handel DA, Hilton JA, Ward MJ, et al. Emergency department throughput, crowding, and financial outcomes for hospitals. Acad Emerg Med. 2010;17:840-847.
14. 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: 208-212.
15. Forster AJ, Stiell I, Wells G, et al. The effect of hospital occupancy on emergency department length of stay and patient disposition. Acad Emerg Med. 2003;10:127-133. (Pubitemid 36262571)
16. Krall S, O'Connor RE, Maercks L. Higher inpatient medical surgical bed occupancy extends admitted patients' stay. West J Emerg Med. 2009;10:93-96.
17. Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Available at: http://www.iom.edu. Accessed August 10, 2010.
18. Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Ann Emerg Med. 2009;53:701-710.
19. American College of Emergency Physicians. Boarding of admitted and intensive care patients in the emergency department. Ann Emerg Med. 2008;52:188-189.
20. Chalfin DB, Trzeciak S, Likourezos A, et al. Impact of delayed transfer of critically ill patients from the emergency department to the intensive care unit. Crit Care Med. 2007;35:1477-1483. (Pubitemid 46809310)
21. Diercks D, Roe M, Chen A, et al. Prolonged emergency department stays of non-ST-segment-elevation myocardial infarction patients are associated with worse adherence to the American College of Cardiology/American Heart Association guidelines for management and increased adverse events. Ann Emerg Med. 2007;50:489-496. (Pubitemid 47603257)