Can emergency medical services use turnaround time as a proxy for measuring ambulance offload time?

Journal of Emergency Medicine

Volumn 47, Issue 1, 2014, Pages 30-35

  Carter, Alix J E ^a,b   Overton, Jerry ^c   Terashima, Mikiko ^d   Cone, David C ^e  

^a Emergency Health Services Nova Scotia   (Canada)

^b DALHOUSIE UNIVERSITY   (Canada)

^c Richmond Ambulance Authority   (United States)

^d DALHOUSIE UNIVERSITY   (Canada)

^e YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

crowding; emergency medical services; emergency medical technicians; emergency service; hospital

Indexed keywords

AMBULANCE; AMBULANCE OFFLOAD TIME; AMBULANCE RESPONSE TIME; AMBULANCE TRANSPORTATION; ARTICLE; CORRELATION ANALYSIS; EMERGENCY HEALTH SERVICE; HEALTH CARE UTILIZATION; HUMAN; OBSERVATIONAL STUDY; PATIENT CARE; PRIORITY JOURNAL; TURNAROUND TIME; CLINICAL HANDOVER; ORGANIZATION AND MANAGEMENT; STATISTICS; STATISTICS AND NUMERICAL DATA; TIME; TIME TO TREATMENT; VALIDATION STUDY;

AMBULANCES; EMERGENCY SERVICE, HOSPITAL; HUMANS; PATIENT HANDOFF; STATISTICS AS TOPIC; TIME FACTORS; TIME-TO-TREATMENT;

EID: 84903131465     PISSN: 07364679     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jemermed.2013.08.109     Document Type: Article

References (15)

1. J.S. Olshaker, and N.K. Rathlev Emergency department overcrowding and ambulance diversion: the impact and potential solutions of extended boarding of admitted patients in the emergency department J Emerg Med 30 2006 351 356 (Pubitemid 43963589)
2. R.W. Schafermeyer, and B.R. Asplin Hospital and emergency department crowding in the United States Emerg Med (Fremantle) 15 2003 22 27 (Pubitemid 36331332)
3. U.S. General Accounting Office Hospital emergency departments: crowded conditions vary among hospitals and communities (Report No.: GAO-03-460) 2003 U.S. General Accounting Office Washington, DC
4. L.D. Richardson, B.R. Asplin, and R.A. Lowe Emergency department crowding as a health policy issue: past development, future directions Ann Emerg Med 40 2002 388 393
5. M.J. Schull, P.M. Slaughter, and D.A. Redelmeier Urban emergency department overcrowding: defining the problem and eliminating misconceptions CJEM 4 2002 76 83
6. D.W. Spaite, T.D. Valenzuela, H.W. Meislin, E.A. Criss, and P. Hinsberg Prospective validation of a new model for evaluating emergency medical services systems by in-field observation of specific time intervals in prehospital care Ann Emerg Med 22 1993 638 645 (Pubitemid 23103862)
7. D.C. Cone, S.J. Davidson, and Q. Nquyen A time-motion study of the emergency medical services turnaround interval Ann Emerg Med 31 1998 241 246 (Pubitemid 28079699)
8. M. Eckstein, and L.S. Chan The effect of emergency department crowding on paramedic ambulance availability Ann Emerg Med 43 2004 100 105 (Pubitemid 38049534)
9. M.J. Schull, K. Lazier, M. Vermeulen, S. Mawhinney, and L.J. Morrison Emergency department contributors to ambulance diversion: a quantitative analysis Ann Emerg Med 41 2003 467 476 (Pubitemid 36373513)
10. A.J. Carter, and R. Grierson The impact of ambulance diversion on EMS resource availability Prehosp Emerg Care 11 2007 421 426 (Pubitemid 47509264)
11. K.W. Neely, R.L. Norton, and G.P. Young The effect of hospital resource unavailability and ambulance diversions on the EMS system Prehosp Disaster Med 9 1994 172 176 discussion 177
12. P. Cleve, and M. Welsford Paramedic offload delays associated with prolonged response times (abstract) CJEM 9 2007 213
13. E. Segal, V. Verter, A. Colacone, and M. Afilalo The in-hospital interval: a description of EMT time spent in the emergency department Prehosp Emerg Care 10 2006 378 382 (Pubitemid 43995584)
14. M.B. Ospina, K. Bond, M. Schull, G. Innes, S. Blitz, and B.H. Rowe Key indicators of overcrowding in Canadian emergency departments: a delphi study CJEM 9 2007 339 346 (Pubitemid 350302888)
15. S.L. Bernstein, and B.R. Asplin Emergency department crowding: old problem, new solutions Emerg Med Clin North Am 24 2006 821 837 (Pubitemid 44374863)