Hospital factors impact variation in emergency department length of stay more than physician factors

Western Journal of Emergency Medicine

Volumn 15, Issue 2, 2014, Pages 158-164

  Krall, Scott P ^a   Cornelius, Angela P ^b   Addison, J Bruce ^b  

^a TEXAS A AND M UNIVERSITY SYSTEM   (United States)

^b Christus Spohn Hospital   (United States)

Author keywords

Emergency department; Health services administration; Throughput

Indexed keywords

ARTICLE; CLINICAL EVALUATION; CORRELATION ANALYSIS; CORRELATION COEFFICIENT; EMERGENCY WARD; HOSPITAL BED CAPACITY; HOSPITAL PATIENT; HOSPITALIZATION; HUMAN; LENGTH OF STAY; MEDICAL INFORMATION SYSTEM; PHYSICIAN; EMERGENCY HEALTH SERVICE; HOSPITAL; HOSPITAL BED UTILIZATION; STATISTICS AND NUMERICAL DATA; TIME;

BED OCCUPANCY; EMERGENCY SERVICE, HOSPITAL; HOSPITAL BED CAPACITY; HOSPITALS; HUMANS; LENGTH OF STAY; PHYSICIANS; TIME FACTORS;

EID: 84896946803     PISSN: 1936900X     EISSN: 19369018     Source Type: Journal    
DOI: 10.5811/westjem.2013.12.6860     Document Type: Article

References (23)

1. National Hospital Ambulatory Medical Care Survey: 2008 Emergency Department, Summary Table; US department of health and Human Services, Division of Health Care Statistics.
2. Shute N, Marcus MB. Code Blue Crisis in the Emergency Department. Turning Away Patients. Long Delays. A Surefire Recipe for Disaster. US New & World Report. 2001;131(9) :54-61.
3. Richards JR, Navarro ML, Derlet RW. Survey of Directors of Emergency Departments in California on Overcrowding. West J Emerg Med. 2000;172(6);385-388. (Pubitemid 30390518)
4. Derlet R, Richards J, Kravitz R. Frequent Overcrowding in U.S. Emergency Departments. Acad Emerg Med. 2001;8(2):151-155. (Pubitemid 32125337)
5. Herring A, Wilper A, Himmelstein DU, et al. Increasing Length of Stay Among Adult Visits to U.S. Emergency Departments, 2001-2005. Acad Emerg Med. 2009;16 (7):609-616.
6. Hoffenberg S, Hill BH, Houry D. Does Sharing Process Differences Reduce Patient Length of Stay in The Emergency Department? Acad Emerg Med. 2001;8(5):578.
7. Kyriacou DN, Ricketts V, Dyne PL, et al. A 5-Year Time Study Analysis of Emergency Department Patient Care Efficiency. Ann Emerg Med. 1999;34(3):326-335. (Pubitemid 29416023)
8. Schneider S, Zwemer F, Doniger A, et al. Rochester, New York: A Decade of Emergency Department Overcrowding. Acad Emerg Med. 2001;8(11):1044-1050. (Pubitemid 33032292)
9. Lambe S, Washington DL, Fink A, et al. Trends in the Use and Capacity of California's Emergency Departments, 1990-1999. Ann Emerg Med. 2002;39(4):389-396. (Pubitemid 34263492)
10. Wuerz RC, Milne LW, Eitel DR, et al. Reliability and Validity of a New Five-Level Triage Instrument. Acad Emerg Med. 2000;7:236e42.
11. Welch S, Augustine J, Camargo CA Jr, et al. Emergency Department Performance Measures and Benchmarking Summit. Acad Emerg Med. 2006;13(10):1074-1080. (Pubitemid 44430162)
12. Russ S, Jones I, Aronsky D, et al. Placing Physician Orders at Triage: The Effect on Length of Stay. Ann Emerg Med. 2010;56(1):27-33.
13. Retezar R, Bessman E, Ding R, et al. The Effect of Triage Diagnostic Standing Orders on Emergency Department Treatment Time. Ann Emerg Med. 2010;57(2):89-99.e2.
14. Considine J, Kropman M, Kelly E, et al. Effect of emergency department fast track on emergency department length of stay: a case-control study. Emerg Med J. 2008;25: 815-819.
15. Ding R, McCarthy ML, Desmond JS, et al. Characterizing Waiting Room Time, Treatment Time, and Boarding Time in the Emergency Department Using Quantile Regression. Acad Emerg Med. 2010;17(8):813-823.
16. Asaro PV, Lewis M, Boxerman SB. The Impact of Input and Output Factors on Emergency Department Throughput. Acad Emerg Med. 2007;14(3):235-242. (Pubitemid 46274417)
17. Institute of Medicine of the National Academics; The Future of Emergency Care in the United States Health System, Brief Report; June 2006.
18. McCarthy ML, Zeger SL, Ding R, et al. Crowding Delays Treatment and Lengthens Emergency Department Length of Stay, Even Among High-Acuity Patients. Ann Emerg Med. 2009;54(4):492-503.
19. Bagust A, Place M, Posnett JW. Dynamics of bed use in accommodating emergency admissions: stochastic simulation model. BMJ. 1999;319(7203):155-158. (Pubitemid 29326897)
20. Schull MJ, Szalai J, Schwartz B. Emergency Department Overcrowding Following Systematic Hospital Restructuring: Trends at Twenty Hospitals over Ten Years. Acad Emerg Med. 2001;8(11):1037-1043. (Pubitemid 33032291)
21. Vicellio A, Santora C, Singer AJ, et al. The Association Between Transfer of Emergency Department Boarders to Inpatient Hallways and Mortality: A 4-Year Experience. Ann Emerg Med. 2009;54(4):487-491.
22. Rathlev NK, Chessare J, Olshaker J, et al. Time Series Analysis of Variables Associated With Daily Mean Emergency Department Length of Stay. Ann Emerg Med. 2007;49(3): 265-271.
23. 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(7):597-602.