Ridesharing as an Alternative to Ambulance Transport for Voluntary Psychiatric Patients in the Emergency Department

INTRODUCTION: Emergency department (ED) crowding is a growing problem. Psychiatric patients have long ED lengths of stay awaiting placement and transportation to a psychiatric facility after disposition. METHODS: Retrospective analysis of length of ED stay after disposition for voluntary psychiatric...

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Autores principales: Blome, Andrea, Rosenbaum, Jennifer, Lucas, Nicole, Schreyer, Kraftin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Department of Emergency Medicine, University of California, Irvine School of Medicine 2020
Materias:
Behavioral Health
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7234724/
https://www.ncbi.nlm.nih.gov/pubmed/32421509
http://dx.doi.org/10.5811/westjem.2020.2.45526
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author Blome, Andrea
Rosenbaum, Jennifer
Lucas, Nicole
Schreyer, Kraftin
author_facet Blome, Andrea
Rosenbaum, Jennifer
Lucas, Nicole
Schreyer, Kraftin
author_sort Blome, Andrea
collection PubMed
description INTRODUCTION: Emergency department (ED) crowding is a growing problem. Psychiatric patients have long ED lengths of stay awaiting placement and transportation to a psychiatric facility after disposition. METHODS: Retrospective analysis of length of ED stay after disposition for voluntary psychiatric patients before and after the use of Lyft ridesharing services for inter-facility transport. RESULTS: Using Lyft transport to an outside crisis center shortens time to discharge both statistically and clinically from 113 minutes to 91 minutes (p = 0.028) for voluntary psychiatric patients. Discharge time also decreased for involuntary patients from 146 minutes to 127 minutes (p = 0.0053). CONCLUSION: Ridesharing services may be a useful alternative to medical transportation for voluntary psychiatric patients.
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spelling pubmed-72347242020-05-21 Ridesharing as an Alternative to Ambulance Transport for Voluntary Psychiatric Patients in the Emergency Department Blome, Andrea Rosenbaum, Jennifer Lucas, Nicole Schreyer, Kraftin West J Emerg Med Behavioral Health INTRODUCTION: Emergency department (ED) crowding is a growing problem. Psychiatric patients have long ED lengths of stay awaiting placement and transportation to a psychiatric facility after disposition. METHODS: Retrospective analysis of length of ED stay after disposition for voluntary psychiatric patients before and after the use of Lyft ridesharing services for inter-facility transport. RESULTS: Using Lyft transport to an outside crisis center shortens time to discharge both statistically and clinically from 113 minutes to 91 minutes (p = 0.028) for voluntary psychiatric patients. Discharge time also decreased for involuntary patients from 146 minutes to 127 minutes (p = 0.0053). CONCLUSION: Ridesharing services may be a useful alternative to medical transportation for voluntary psychiatric patients. Department of Emergency Medicine, University of California, Irvine School of Medicine 2020-05 2020-04-21 /pmc/articles/PMC7234724/ /pubmed/32421509 http://dx.doi.org/10.5811/westjem.2020.2.45526 Text en Copyright: © 2020 Blome et al. http://creativecommons.org/licenses/by/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/4.0/
spellingShingle Behavioral Health
Blome, Andrea
Rosenbaum, Jennifer
Lucas, Nicole
Schreyer, Kraftin
Ridesharing as an Alternative to Ambulance Transport for Voluntary Psychiatric Patients in the Emergency Department
title Ridesharing as an Alternative to Ambulance Transport for Voluntary Psychiatric Patients in the Emergency Department
title_full Ridesharing as an Alternative to Ambulance Transport for Voluntary Psychiatric Patients in the Emergency Department
title_fullStr Ridesharing as an Alternative to Ambulance Transport for Voluntary Psychiatric Patients in the Emergency Department
title_full_unstemmed Ridesharing as an Alternative to Ambulance Transport for Voluntary Psychiatric Patients in the Emergency Department
title_short Ridesharing as an Alternative to Ambulance Transport for Voluntary Psychiatric Patients in the Emergency Department
title_sort ridesharing as an alternative to ambulance transport for voluntary psychiatric patients in the emergency department
topic Behavioral Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7234724/
https://www.ncbi.nlm.nih.gov/pubmed/32421509
http://dx.doi.org/10.5811/westjem.2020.2.45526
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AT schreyerkraftin ridesharingasanalternativetoambulancetransportforvoluntarypsychiatricpatientsintheemergencydepartment

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