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Isra Al Lawati

1 of 31
ED Overcrowding Isra Al-Lawati R3
Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Objective ,[object Object],[object Object],[object Object]
Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object],Forecasting Models of Emergency Department Crowding Lisa M. Schweigler, MD, MPH, MS, Jeffrey S. Desmond, MD, Melissa L. McCarthy, ScD, ACADEMIC EMERGENCY MEDICINE 2009
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CAEP - canadian association of emergency physicians: - emergency department overcrowding - position statement 2003
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CAEP - canadian association of emergency physicians: - emergency department overcrowding - position statement 2003
Kellermann AL . Crisis in the emergency department . N Engl J Med 2006 Sep 28 ; 355 ( 13 ): 1300 – 1303 . ED visits 26%, # ED 9% 198000 closed bed
Definitions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.acep.org/workarea/downloadasset.aspx?id=8872
Canadian Association of Emergency Physicians ,[object Object],[object Object],[object Object],[object Object]
Australian collage of emergency Medicine (ACEM) ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Markers of Overcrowding ,[object Object],[object Object],[object Object],[object Object]
Reasons ,[object Object],[object Object]
Micro Level ,[object Object],[object Object],[object Object],[object Object],[object Object],180. ‐ 173 42(2): 2003; Med. Emerg. Ann crowding. department emergency of model conceptual A al. et KV, Rhodes DJ, Magid BR, Asplin 1
Input ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hoot & Aronsky Systematic Review of Emergency Department Crowding Volume 52 NO2 : August 2008 Annals of Emergency Medicine
Throughput ,[object Object],[object Object],[object Object],[object Object],[object Object]
Output ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
180. ‐ 173 42(2): 2003; Med. Emerg. Ann crowding. department emergency of model conceptual A al. et KV, Rhodes DJ, Magid BR, Asplin 1
Solutions ,[object Object],[object Object]
Increased Resources ,[object Object],[object Object],[object Object],[object Object],Rondeau KV, Francescutti LH. Emergency department overcrowding: the impact of resource scarcity on physician job satisfaction. J Healthc Manag. 2005;50:327-340.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],American College of Emergency Physicians. Emergency Department Crowding: High-Impact Solutions. April 2008.
Summary ,[object Object],[object Object],[object Object],[object Object]
Thank You ??

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Ed overcrowding

  • 1. ED Overcrowding Isra Al-Lawati R3
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8. Kellermann AL . Crisis in the emergency department . N Engl J Med 2006 Sep 28 ; 355 ( 13 ): 1300 – 1303 . ED visits 26%, # ED 9% 198000 closed bed
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24. 180. ‐ 173 42(2): 2003; Med. Emerg. Ann crowding. department emergency of model conceptual A al. et KV, Rhodes DJ, Magid BR, Asplin 1
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31. Thank You ??

Editor's Notes

  1. In situations where there were more sick patients than hospital beds to accommodate them, it was cheaper and easier to house supernumerary patients in the ED than to devise appropriate inpatient solutions, so this became an accepted practice for almost all Canadian health care facilities
  2. -where privacy, and access to basic clinical resources (cardiac monitor, oxygen, suction, call button etc) is absent
  3. : (1) emergency care; (2) unscheduled urgent care; and (3) safety net care
  4. Sudden influx in ill patients Example: Influenza Season
  5. Phase 2 Several factors affect throughput times during this phase, including the cohesiveness of patient care teams, physical layout of the ED, nurse and physician staffing ratios, efficiency and use of diagnostic testing (eg, laboratory, radiology), accessibility of medical information, quality of documentation and communications systems, and availability of timely specialty consultation
  6. One hospital activated reserve personnel as needed during the viral epidemic season, reducing the waiting time by 15 minutes and the rate of patients leaving without being seen by 37%.76