Solutions To Emergency Department 'Boarding' And Crowding Are Underused And May Need To Be Legislated

被引：110

作者：

Rabin, Elaine ^{[1
]}

Kocher, Keith ^{[2
,3
]}

McClelland, Mark ^{[4
,5
]}

Pines, Jesse ^{[6
]}

Hwang, Ula ^{[1
,7
]}

Rathlev, Niels ^{[8
,9
]}

Asplin, Brent ^{[10
]}

Trueger, N. Seth

Weber, Ellen ^{[11
]}

机构：

[1] Mt Sinai Sch Med, Dept Emergency Med, New York, NY 10029 USA

[2] Univ Michigan, Dept Emergency Med, Ann Arbor, MI 48109 USA

[3] Univ Michigan, Ctr Healthcare Outcomes & Policy, Ann Arbor, MI 48109 USA

[4] George Washington Univ, Dept Hlth Policy, Washington, DC 20052 USA

[5] George Washington Univ, Urgent Matters Program, Washington, DC 20052 USA

[6] George Washington Univ, Ctr Hlth Care Qual, Washington, DC 20052 USA

[7] Mt Sinai Sch Med, Dept Geriatr, New York, NY 10029 USA

[8] Tufts Univ, Sch Med, Medford, MA 02155 USA

[9] Baystate Med Ctr, Dept Emergency Med, Boston, MA USA

[10] Fairview Med Grp, Minneapolis, MN USA

[11] Univ Calif San Francisco, Dept Emergency Med, San Francisco, CA 94143 USA

来源：

HEALTH AFFAIRS | 2012年 / 31卷 / 08期

关键词：

LENGTH-OF-STAY; HOSPITAL CAPACITY; ADMITTED PATIENTS; ADMISSIONS; IMPACT; BED; ASSOCIATION; THROUGHPUT; VARIABLES; DEMAND;

D O I：

10.1377/hlthaff.2011.0786

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The practice of keeping admitted patients on stretchers in hospital emergency department hallways for hours or days, called "boarding," causes emergency department crowding and can be harmful to patients. Boarding increases patients' morbidity, lengths of hospital stay, and mortality. Strategies that optimize bed management reduce boarding by improving the efficiency of hospital patient flow, but these strategies are grossly underused. Convincing hospital leaders of the value of such solutions, and educating patients to advocate for such changes, may promote improvements. If these strategies do not work, legislation may be required to effect meaningful change.

引用

页码：1757 / 1766

页数：10

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