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Perceptions of Emergency Department Crowding in the Commonwealth of Pennsylvania
Introduction: The state of emergency department (ED) crowding in Pennsylvania has not previously been reported. Methods: We assessed perceptions of ED crowding by surveying medical directors/chairs from Pennsylvania EDs in the spring of 2008. Results: A total of 106 completed the questionnaire (68%...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Department of Emergency Medicine, University of California, Irvine
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3583278/ https://www.ncbi.nlm.nih.gov/pubmed/23451289 http://dx.doi.org/10.5811/westjem.2011.5.6700 |
_version_ | 1782475413523529728 |
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author | Pines, Jesse M. Isserman, Joshua A. Kelly, John J. |
author_facet | Pines, Jesse M. Isserman, Joshua A. Kelly, John J. |
author_sort | Pines, Jesse M. |
collection | PubMed |
description | Introduction: The state of emergency department (ED) crowding in Pennsylvania has not previously been reported. Methods: We assessed perceptions of ED crowding by surveying medical directors/chairs from Pennsylvania EDs in the spring of 2008. Results: A total of 106 completed the questionnaire (68% response rate). A total of 83% (86/104) agreed that ED crowding was a problem; 26% (27/105) reported that at least half of admitted patients boarded for more than 4 hours. Ninety-eight percent (102/104) agreed that patient satisfaction suffers during crowding and 79% (84/106) stated that quality suffers. Sixty-five percent (68/105) reported that crowding had worsened during the past 2 years. Several hospital interventions were used to alleviate crowding: expediting discharges, 81% (86/106); prioritizing ED patients for inpatient beds, 79% (84/106); and ambulance diversion, 55% (57/105). Almost all respondents who had improved ED operations reported that it had reduced crowding. Conclusion: ED crowding is a common problem in Pennsylvania and is worsening in the majority of hospitals, despite the implementation of a variety of interventions. |
format | Online Article Text |
id | pubmed-3583278 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Department of Emergency Medicine, University of California, Irvine |
record_format | MEDLINE/PubMed |
spelling | pubmed-35832782013-02-28 Perceptions of Emergency Department Crowding in the Commonwealth of Pennsylvania Pines, Jesse M. Isserman, Joshua A. Kelly, John J. West J Emerg Med Emergency Department Access Introduction: The state of emergency department (ED) crowding in Pennsylvania has not previously been reported. Methods: We assessed perceptions of ED crowding by surveying medical directors/chairs from Pennsylvania EDs in the spring of 2008. Results: A total of 106 completed the questionnaire (68% response rate). A total of 83% (86/104) agreed that ED crowding was a problem; 26% (27/105) reported that at least half of admitted patients boarded for more than 4 hours. Ninety-eight percent (102/104) agreed that patient satisfaction suffers during crowding and 79% (84/106) stated that quality suffers. Sixty-five percent (68/105) reported that crowding had worsened during the past 2 years. Several hospital interventions were used to alleviate crowding: expediting discharges, 81% (86/106); prioritizing ED patients for inpatient beds, 79% (84/106); and ambulance diversion, 55% (57/105). Almost all respondents who had improved ED operations reported that it had reduced crowding. Conclusion: ED crowding is a common problem in Pennsylvania and is worsening in the majority of hospitals, despite the implementation of a variety of interventions. Department of Emergency Medicine, University of California, Irvine 2013-02 /pmc/articles/PMC3583278/ /pubmed/23451289 http://dx.doi.org/10.5811/westjem.2011.5.6700 Text en © 2013 Department of Emergency Medicine, University of California, Irvine http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Emergency Department Access Pines, Jesse M. Isserman, Joshua A. Kelly, John J. Perceptions of Emergency Department Crowding in the Commonwealth of Pennsylvania |
title | Perceptions of Emergency Department Crowding in the Commonwealth of Pennsylvania |
title_full | Perceptions of Emergency Department Crowding in the Commonwealth of Pennsylvania |
title_fullStr | Perceptions of Emergency Department Crowding in the Commonwealth of Pennsylvania |
title_full_unstemmed | Perceptions of Emergency Department Crowding in the Commonwealth of Pennsylvania |
title_short | Perceptions of Emergency Department Crowding in the Commonwealth of Pennsylvania |
title_sort | perceptions of emergency department crowding in the commonwealth of pennsylvania |
topic | Emergency Department Access |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3583278/ https://www.ncbi.nlm.nih.gov/pubmed/23451289 http://dx.doi.org/10.5811/westjem.2011.5.6700 |
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