Estimating the Degree of Emergency Department Overcrowding in Academic Medical Centers: Results of the National ED Overcrowding Study (NEDOCS)

Academic Emergency Medicine

Volumn 11, Issue 1, 2004, Pages 38-50

  Weiss, Steven J ^a,j   Derlet, Robert ^a   Arndahl, Jeanine ^a   Ernst, Amy A ^a   Richards, John ^a   Fernández Frankelton, Madonna ^b   Schwab, Robert ^c   Stair, Thomas O ^d   Vicellio, Peter ^e   Levy, David ^f   Brautigan, Mark ^g   Johnson, Ashira ^h   Nick, Todd G ⁱ  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c TRUMAN MEDICAL CENTER   (United States)

^d BRIGHAM AND WOMEN S HOSPITAL   (United States)

^e STONY BROOK UNIVERSITY   (United States)

^f TEMPLE UNIVERSITY   (United States)

^g SINAI GRACE HOSPITAL   (United States)

^h JACKSON MEMORIAL HOSPITAL   (United States)

ⁱ UNIVERSITY OF MISSISSIPPI MEDICAL CENTER   (United States)

^j Division of Emergency Medicine   (United States)

more..

Author keywords

ED management; Overcrowding

Indexed keywords

ARTICLE; CORRELATION COEFFICIENT; CROWDING; DATA ANALYSIS; DEMOGRAPHY; DIAGNOSTIC ACCURACY; EMERGENCY HEALTH SERVICE; EMERGENCY MEDICINE; EMERGENCY WARD; HEALTH CARE MANAGEMENT; HEALTH CARE UTILIZATION; HOSPITAL ADMISSION; HOSPITALIZATION; MEDICAL SCHOOL; OUTCOMES RESEARCH; PRIORITY JOURNAL; QUESTIONNAIRE; REGISTRATION; SAMPLING; SCORING SYSTEM; STATISTICAL MODEL; UNIVERSITY HOSPITAL; VALIDATION PROCESS;

EID: 9144225550     PISSN: 10696563     EISSN: None     Source Type: Journal    
DOI: 10.1197/j.aem.2003.07.017     Document Type: Article

References (31)

1. Richards JR, Navarro ML, Derlet RW. Survey of directors of emergency departments in California on overcrowding. West J Med. 2000; 172:385-8.
2. Derlet RW, Richards JR. Overcrowding in the nation's emergency departments: complex causes and disturbing effects. Ann Emerg Med. 2000; 35:63-8.
3. Derlet RW. Primary care and emergency department overcrowding. 2. Successful referrals to primary care clinics. Am J Public Health. 1994; 84:123-4.
4. Derlet RW, Nishio D, Cole LM, Silva J Jr. Triage of patients out of the emergency department: three-year experience. Am J Emerg Med. 1992; 10:195-9.
5. Lynn SG, Kellermann AL. Critical decision making: managing the emergency department in an overcrowded hospital. Ann Emerg Med. 1991; 20:287-92.
6. Andrulis DP, Kellermann A, Hintz EA, Hackman BB, Weslowski VB. Emergency departments and crowding in United States teaching hospitals. Ann Emerg Med. 1991; 20:980-6.
7. Derlet RW. ED overcrowding in New York City. J Emerg Med. 1992; 10:93-4.
8. Eastaugh SR, Eastaugh JA. Putting the squeeze on emergency medicine. The many pressures on today's ED. Hosp Top. 1990; 68:21-4.
9. Fromm RE Jr, Gibbs LR, McCallum WG, et al. Critical care in the emergency department: a time-based study. Crit Care Med. 1993; 21:970-6.
10. Ornato JP. Problems faced by the urban emergency department in providing rapid triage and intervention for the patient with suspected acute myocardial infarction. Heart Lung. 1991; 20:584-8.
11. Baker DW, Stevens CD, Brook RH. Patients who leave a public hospital emergency department without being seen by a physician. Causes and consequences. JAMA. 1991; 266:1085-90.
12. Hagland MM. ED overcrowding spurs interest in quality and credentialing issues. Hospitals. 1991; 65:33-6.
13. Gallagher EJ, Lynn SG. The etiology of medical gridlock: causes of emergency department overcrowding in New York City. J Emerg Med. 1990; 8:785-90.
14. Gibbs N. Do you want to die? The crisis in emergency care is taking its toll on doctors, nurses, and patients. Time. 1990; May 28:58-65.
15. Eisenberg D. Critical condition. Time. 2000; Jan 31:52-4.
16. Derlet R, Richards J, Kravitz R. Frequent overcrowding in U.S. emergency departments. Acad Emerg Med. 2001; 8:151-5.
17. Feferman I, Cornell C. How we solved the overcrowding problem in our emergency department. Can Med Assoc J. 1989; 140:273-6.
18. Purnell L. Reducing waiting time in emergency department triage. Nurs Manage. 1995; 26:64Q, 64T, 64V.
19. Nordberg M. Closed for business: overcrowding in the ED. Emerg Med Serv. 2001; 30:31-44.
20. Thompson DA, Yarnold PR, Williams DR, Adams SL. Effects of actual waiting time, perceived waiting time, information delivery, and expressive quality on patient satisfaction in the emergency department. Ann Emerg Med. 1996; 28:657-65.
21. Nerney MP, Chin MH, Jin L, et al. Factors associated with older patients' satisfaction with care in an inner-city emergency department. Ann Emerg Med. 2001; 38:140-5.
22. Crawford SL, Tennstedt SL, McKinlay JB. A comparison of analytical methods for non-random missingness of outcome data. J Clin Epidemiol. 1995; 48:209-19.
23. Krochmal P, Riley TA. Increased health care costs associated with ED overcrowding. Am J Emerg Med. 1994; 12:265-6.
24. Harrell FE. Design: S functions for biostatistical/epidemiologic modeling, testing, estimation, validation, graphics, and prediction. 2003. Available at: hesweb.med.virginia.edu/biostat/s/Design.html. Accessed in 2001.
25. Weiss SJ, Arndahl J, Ernst AA, Derlet R, Richards J, Nick TG. Development of a site sampling form for evaluation of ED overcrowding. Med Sci Monit. 2002; 8: CR549-53.
26. Wears RL. Advanced statistics: statistical methods for analyzing cluster and cluster-randomized data. Acad Emerg Med. 2002; 9:330-41.
27. Donner A, Klar N. Design and Analysis of Cluster Randomization Trials in Health Research. New York, NY: Oxford University Press, 2000.
28. Harrell FE Jr, Lee KL, Pollock BG. Regression models in clinical studies: determining relationships between predictors and response. J Natl Cancer Inst. 1988; 80:1198-202.
29. Harrell FE Jr, Lee KL, Mark DB. Multivariable prognostic models: issues in developing models, evaluating assumptions and adequacy, and measuring and reducing errors. Stat Med. 1996; 15:361-87.
30. Harrell FE. Regression modeling strategies: with applications to linear models, logistic regression and survival analysis. New York, NY; Springer-Verlag, 2001.
31. Davis B, Sullivan S, Levine A, Dallara J. Factors affecting ED length-of-stay in surgical critical care patients. Am J Emerg Med. 1995; 13:495-500.