Boarding inpatients in the emergency department increases discharged patient length of stay

Journal of Emergency Medicine

Volumn 44, Issue 1, 2013, Pages 230-235

  White, Benjamin A ^a   Biddinger, Paul D ^a   Chang, Yuchiao ^a   Grabowski, Beth ^a   Carignan, Sarah ^a   Brown, David F M ^a  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

Author keywords

boarding; ED capacity; ED crowding; ED LOS; ED throughput

Indexed keywords

ADULT; ARTICLE; CORRELATION ANALYSIS; CROWDING; EMERGENCY WARD; FEMALE; HOSPITAL DISCHARGE; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; RETROSPECTIVE STUDY;

ADULT; CROWDING; EMERGENCY SERVICE, HOSPITAL; FEMALE; HOSPITALIZATION; HUMANS; LENGTH OF STAY; MALE; MIDDLE AGED; PATIENT DISCHARGE; RETROSPECTIVE STUDIES;

EID: 84872280096     PISSN: 07364679     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jemermed.2012.05.007     Document Type: Article

References (31)

1. Institute of Medicine, Committee on the Future of Emergency Care in the United States Health System Hospital-based emergency care: At the breaking point 2006 National Academy Press Washington, DC
2. R. Sikka, S. Mehta, and C. Kaucky ED crowding is associated with an increased time to pneumonia treatment Am J Emerg Med 28 2010 809 812
3. C. Fee, E.J. Weber, and P. Bacchetti Effect of emergency department crowding on pneumonia admission care components Am J Manag Care 17 2011 269 278
4. P. Chatterjee, B.L. Cucchiara, and N. Lazarciuc Emergency department crowding and time to care in patients with acute stroke Stroke 42 2011 1074 1080
5. M.R. Sills, D. Fairclough, and D. Ranade Emergency department crowding is associated with decreased quality of care for children with acute asthma Ann Emerg Med 57 2011 191-200
6. S.L. Bernstein, D. Aronsky, and R. Duseja The effect of emergency department crowding on clinically oriented outcomes Acad Emerg Med 16 2009 1 10
7. M.L. McCarthy, S.L. Zeger, and R. Ding Crowding delays treatment and lengthens emergency department length of stay, even among high-Acuity patients Ann Emerg Med 54 2009 492 503
8. U. Hwang, L. Richardson, and E. Livote Emergency department crowding and decreased quality of pain care Acad Emerg Med 15 2008 1248 1255
9. J.M. Pines, and J.E. Hollander Emergency department crowding is associated with poor care for patients with severe pain Ann Emerg Med 51 2008 1 5
10. D.B. Diercks, M.T. Roe, and A.Y. Chen 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 50 2007 489 496
11. C. Fee, E.J. Weber, and C.A. Maak Effect of emergency department crowding on time to antibiotics in patients admitted with community-Acquired pneumonia Ann Emerg Med 50 2007 501 509
12. J.E. Hollander, and J.M. Pines The emergency department crowding paradox: the longer you stay, the less care you get Ann Emerg Med 50 2007 497 499
13. J.M. Pines, A.R. Localio, and J.E. Hollander The impact of emergency department crowding measures on time to antibiotics for patients with community-Acquired pneumonia Ann Emerg Med 50 2007 510 516
14. D.B. Richardson Increase in patient mortality at 10 days associated with emergency department overcrowding Med J Aust 184 2006 213 216
15. P.V. Asaro, L.M. Lewis, and S.B. Boxerman The impact of input and output factors on emergency department throughput Acad Emerg Med 14 2007 235 242
16. 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
17. B.A. White, D.F. Brown, and J. Sinclair Supplemented triage and rapid treatment (START) improves performance measures in the emergency department J Emerg Med 42 2012 322 328
18. J.C. Moskop, D.P. Sklar, and J.M. Geiderman Emergency department crowding, part 1 - concept, causes, and moral consequences Ann Emerg Med 53 2009 605 611
19. N.R. Hoot, and D. Aronsky Systematic review of emergency department crowding: causes, effects, and solutions Ann Emerg Med 52 2008 126 136
20. J.M. Pines, S. Iyer, and M. Disbot The effect of emergency department crowding on patient satisfaction for admitted patients Acad Emerg Med 15 2008 825 831
21. N. Timm, and M. Ho Pediatric emergency department overcrowding and impact on patient flow outcomes Acad Emerg Med 15 2008 832 837
22. N.K. Rathlev, J. Chessare, and J. Olshaker Time series analysis of variables associated with daily mean emergency department length of stay Ann Emerg Med 49 2007 265 271
23. J.M. Pines The left-without-being-seen rate: An imperfect measure of emergency department crowding Acad Emerg Med 13 2006 807 author reply 807-8
24. S.W. Liu, Y. Chang, and J.S. Weissman An empirical assessment of boarding and quality of care: delays in care among chest pain, pneumonia, and cellulitis patients Acad Emerg Med 18 2011 1339 1348
25. E.S. Powell, R.K. Khare, and A.K. Venkatesh The relationship between inpatient discharge timing and emergency department boarding J Emerg Med 42 2012 186 196
26. R. Lucas, H. Farley, and J. Twanmoh Emergency department patient flow: The influence of hospital census variables on emergency department length of stay Acad Emerg Med 16 2009 597 602
27. B.R. Asplin, D.J. Magid, and K.V. Rhodes A conceptual model of emergency department crowding Ann Emerg Med 42 2003 173 180
28. B. Asplin Ignoring the front door: US hospital operations circa 2009 Acad Emerg Med 16 2009 665 667
29. D. Hillier, G. Parry, and M. Shannon The effect of hospital bed occupancy on throughput in the pediatric emergency department Ann Emerg Med 53 2009 767 776
30. R. Khare, E. Powell, and G. Reinhardt Adding more beds to the emergency department or reducing admitted patient boarding times: Which has a more significant influence on emergency department Ann Emerg Med 53 2009 575 585
31. P.C. Sprivulis, J.A. Da Silva, and I.G. Jacobs The association between hospital overcrowding and mortality among patients admitted via Western Australian emergency departments Med J Aust 184 2006 208 212