Articles Tagged With: boarding
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Is the Patient Admitted to the ICU But Still in the ED? Handoffs Are a Safety Concern
Many patients are admitted to the intensive care unit but remain in the ED waiting for an inpatient bed. Depending on how long the patient is boarded, emergency physicians may need to hand the patient off at shift change.
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Hospitalist Triage Role Expedites Admission Decisions for ED Patients
This intervention alone likely will not reduce the number of boarded patients. But with accurate data in hand, the focus can shift to alleviating the downstream bottlenecks that prevent patients from going to inpatient beds sooner.
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Calling ED Boarding a Public Health Crisis, ACEP Pushes Policymakers to Act
Although there are many possible solutions, both legislative and administrative, the industry continues searching for the right formula to solve the problem.
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Many Patients Avoid Going to EDs Because of Fear of Boarding, Delays
Emergency physicians should convey to patients that they will receive care, regardless of the boarding crisis. Stick to the foundation of emergency medical care: stabilize, ensure patients are not experiencing a life-threatening emergency, and manage their urgent conditions.
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Poll: Many Americans Delay Emergency Care Over Boarding Concerns
A survey by the American College of Emergency Physicians reveals nearly half of U.S. adults worry they will have to wait many hours before admission or transfer.
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Pandemic-Era Care Transitions Led to ED Overcrowding
Researchers found that adult patients who visited EDs in a North Carolina health system between March 1, 2020, and March 1, 2022, faced significantly longer stays if they were transitioned from the ED directly to a skilled nursing facility (SNF) instead of transitioning to a hospital bed and then to a SNF.
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An Admissions Unit Accelerates ED Flow, Helping Upper Floors Better Manage Incoming Patients
Administrators at a Wisconsin hospital created a separate unit where ED patients destined for admission could be placed while waiting for an inpatient bed upstairs. The new unit is staffed by float pool nurses who initiate care while the patients are waiting and help ensure they are directed to the right unit and the right level of care.
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Boarded Mental Health Patients: Out of Sight, Out of Mind
Many EDs routinely board mental health patients for days on end, awaiting transfer to a mental health facility. An expert offers tips to help emergency medicine providers alleviate safety and medical/legal risks.
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Consensus Panel Offers Guidance for Pediatric Mental Health Boarding
EDs nationwide continue to see pediatric mental health patients boarded in the department for long periods while awaiting inpatient bed placement. A group of 23 experts from 17 health systems sought to identify what EDs are facing, to learn how departments are handling the problem, and to offer recommendations to standardize practices.
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To Alleviate Boarding, Consider Creating Discharge Lounge
Several months into the new process, leaders at Northwestern Medicine Palos Hospital report they have shortened the average discharge process from four hours to one hour, they have halved the ED’s leave-without-being-seen rate, and patient satisfaction scores have begun to rise in both the ED and inpatient settings.