Articles Tagged With: boarding
-
When ED Is Packed, Keep Patients Moving with Triage Hallway, Dedicated Staff
Since Pull to Infinity was implemented in June 2022, the average time it takes to see a provider in the ED has dropped from 22 minutes to seven minutes. This, despite continually expanding volumes. The average patient arrival-to-discharge time has improved to 175 minutes, down seven minutes. Also, the leave-without-being-seen rate declined from 3.5% last year to 1.6% in the first four months of 2023.
-
Shorten Lengths of Stay, Reduce Revisit Rates for Pediatric Patients Who Present with Behavioral Health Needs
EDs might rely on telemedicine from a third-party company, a sister hospital with pediatricians on staff, consult services from local pediatricians, or ensure at least one provider in the department is trained in pediatric care.
-
Novel Unit Accelerates Psychiatric Care, Keeps Patients Flowing
Some departments have designated space where patients with psychiatric emergencies will be taken as soon as they are medically cleared in the ED. Here, they will be evaluated promptly and treated by psychiatric specialists. This model has prevented boarding, opened more beds, made transfers smoother, and produced better outcomes.
-
There Could Be Trouble if Providers Board Children with Psychiatric Complaints
If parents disagree with a hold, convey that staff are keeping the child safe, explain the steps they are taking to find an accepting hospital, and detail how the ED cannot discharge a patient who is on an involuntary hold. When families are informed and given space to vent, the situation can de-escalate.
-
American Academy of Pediatrics Offers Solutions to Ease ED Crowding
Group says “coordinated effort across the healthcare delivery system” needed to ensure continuity of care.
-
Real-Time Capacity Data Help Cut LWBS Rates, Speed Care
Some adverse outcomes in ED patients could be prevented if actions had happened faster — if someone had been moved to the cardiac catheterization lab faster, secured an inpatient bed sooner, or undergone stroke treatment swiftly. If the patient or families sue for malpractice, plaintiff attorneys will scrutinize those time frames.
-
During Patient Surges, Rapid Assessment Zone Reduces Risk for EDs
Using this approach, an ED reported declines in the rate of patients who leave without seeing clinicians, along with shorter median arrival-to-provider and length of stay times.
-
Unprecedented Strain on EDs Predates COVID-19 Pandemic
The American College of Emergency Physicians and other groups sent a letter to the White House in which they declared the ED boarding problem a “public health emergency.” The groups asked the Biden administration “to convene a summit of stakeholders from across the healthcare system to identify immediate and long-term solutions to this urgent problem.”
-
Medical Orgs Ask White House to Intervene on Boarding Problem
More than 30 groups say making admitted patients wait for a room or transfer has become a national crisis.
-
Not Just an ED Problem: How to Solve the Boarding Problem Caused by Staff Shortages
It takes thought, planning, and some amount of money.