Articles Tagged With: crowding
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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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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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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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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.
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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.
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ET3 Pilot Hailed as Big Step Toward Fully Leveraging EMS
In January 2021, the Centers for Medicare & Medicaid Services launched a five-year pilot program called Emergency Triage, Treat, and Transport (ET3), an approach that enables participating EMS programs to connect some patients with lower-acuity problems to emergency providers via telemedicine at the scene. Most participants are excited about leveraging the approach to accelerate needed care to patients, decompress EDs, and maximize the skills of the EMS workforce.
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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.
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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.
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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.”