Impact of critical bed status on emergency department patient flow and overcrowding

Stephen Liu, Cherri Hobgood, Jane H. Brice

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Objective: To compare measurements of emergency department (ED) patient flow during periods of acute ED overcrowding and times of normal patient volume (NPV). Methods: Retrospective ED chart review comparing ED flow for patients treated in a tertiary care teaching hospital during periods of ED overcrowding, defined as critical bed status (CBS), and NPV. All periods of CBS during July 2001 were identified. CBS time intervals were matched with NPV times by month, day of the week, time of day, and number of care providers. All patients registered during these matched time intervals were reviewed. Times were collected for each of the following activities: check-in, bed placement, physician assessment, first intervention, and disposition. Corresponding intervals were calculated in minutes. Triage category was used as a marker of illness severity (1 = most severe, 5 = least severe). Descriptive statistics were performed. Results: One hundred eighteen patient charts were reviewed: 61 CBS and 57 NPV. There was no statistical difference in illness severity between the two groups. In the cumulative analysis, patients waited significantly longer for an ED bed (30.4 min, p = 0.01) but did not experience significant delays in other intervals. Triage category analysis revealed no significant difference in triage 2 patients. Intermediate-severity patients (triage 3) waited longer in every interval and significantly longer for physician assessment (30.8 min longer, p

Original languageEnglish (US)
Pages (from-to)382-385
Number of pages4
JournalAcademic Emergency Medicine
Volume10
Issue number4
DOIs
StatePublished - Apr 1 2003
Externally publishedYes

Fingerprint

Hospital Emergency Service
Triage
Physicians
Tertiary Healthcare
Teaching Hospitals

Keywords

  • Emergency departments
  • Overcrowding
  • Patient flow
  • Wait times

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Impact of critical bed status on emergency department patient flow and overcrowding. / Liu, Stephen; Hobgood, Cherri; Brice, Jane H.

In: Academic Emergency Medicine, Vol. 10, No. 4, 01.04.2003, p. 382-385.

Research output: Contribution to journalArticle

@article{369ae7a957364dd5945feb75aff87400,
title = "Impact of critical bed status on emergency department patient flow and overcrowding",
abstract = "Objective: To compare measurements of emergency department (ED) patient flow during periods of acute ED overcrowding and times of normal patient volume (NPV). Methods: Retrospective ED chart review comparing ED flow for patients treated in a tertiary care teaching hospital during periods of ED overcrowding, defined as critical bed status (CBS), and NPV. All periods of CBS during July 2001 were identified. CBS time intervals were matched with NPV times by month, day of the week, time of day, and number of care providers. All patients registered during these matched time intervals were reviewed. Times were collected for each of the following activities: check-in, bed placement, physician assessment, first intervention, and disposition. Corresponding intervals were calculated in minutes. Triage category was used as a marker of illness severity (1 = most severe, 5 = least severe). Descriptive statistics were performed. Results: One hundred eighteen patient charts were reviewed: 61 CBS and 57 NPV. There was no statistical difference in illness severity between the two groups. In the cumulative analysis, patients waited significantly longer for an ED bed (30.4 min, p = 0.01) but did not experience significant delays in other intervals. Triage category analysis revealed no significant difference in triage 2 patients. Intermediate-severity patients (triage 3) waited longer in every interval and significantly longer for physician assessment (30.8 min longer, p",
keywords = "Emergency departments, Overcrowding, Patient flow, Wait times",
author = "Stephen Liu and Cherri Hobgood and Brice, {Jane H.}",
year = "2003",
month = "4",
day = "1",
doi = "10.1197/aemj.10.4.382",
language = "English (US)",
volume = "10",
pages = "382--385",
journal = "Academic Emergency Medicine",
issn = "1069-6563",
publisher = "Wiley-Blackwell",
number = "4",

}

TY - JOUR

T1 - Impact of critical bed status on emergency department patient flow and overcrowding

AU - Liu, Stephen

AU - Hobgood, Cherri

AU - Brice, Jane H.

PY - 2003/4/1

Y1 - 2003/4/1

N2 - Objective: To compare measurements of emergency department (ED) patient flow during periods of acute ED overcrowding and times of normal patient volume (NPV). Methods: Retrospective ED chart review comparing ED flow for patients treated in a tertiary care teaching hospital during periods of ED overcrowding, defined as critical bed status (CBS), and NPV. All periods of CBS during July 2001 were identified. CBS time intervals were matched with NPV times by month, day of the week, time of day, and number of care providers. All patients registered during these matched time intervals were reviewed. Times were collected for each of the following activities: check-in, bed placement, physician assessment, first intervention, and disposition. Corresponding intervals were calculated in minutes. Triage category was used as a marker of illness severity (1 = most severe, 5 = least severe). Descriptive statistics were performed. Results: One hundred eighteen patient charts were reviewed: 61 CBS and 57 NPV. There was no statistical difference in illness severity between the two groups. In the cumulative analysis, patients waited significantly longer for an ED bed (30.4 min, p = 0.01) but did not experience significant delays in other intervals. Triage category analysis revealed no significant difference in triage 2 patients. Intermediate-severity patients (triage 3) waited longer in every interval and significantly longer for physician assessment (30.8 min longer, p

AB - Objective: To compare measurements of emergency department (ED) patient flow during periods of acute ED overcrowding and times of normal patient volume (NPV). Methods: Retrospective ED chart review comparing ED flow for patients treated in a tertiary care teaching hospital during periods of ED overcrowding, defined as critical bed status (CBS), and NPV. All periods of CBS during July 2001 were identified. CBS time intervals were matched with NPV times by month, day of the week, time of day, and number of care providers. All patients registered during these matched time intervals were reviewed. Times were collected for each of the following activities: check-in, bed placement, physician assessment, first intervention, and disposition. Corresponding intervals were calculated in minutes. Triage category was used as a marker of illness severity (1 = most severe, 5 = least severe). Descriptive statistics were performed. Results: One hundred eighteen patient charts were reviewed: 61 CBS and 57 NPV. There was no statistical difference in illness severity between the two groups. In the cumulative analysis, patients waited significantly longer for an ED bed (30.4 min, p = 0.01) but did not experience significant delays in other intervals. Triage category analysis revealed no significant difference in triage 2 patients. Intermediate-severity patients (triage 3) waited longer in every interval and significantly longer for physician assessment (30.8 min longer, p

KW - Emergency departments

KW - Overcrowding

KW - Patient flow

KW - Wait times

UR - http://www.scopus.com/inward/record.url?scp=0037390680&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037390680&partnerID=8YFLogxK

U2 - 10.1197/aemj.10.4.382

DO - 10.1197/aemj.10.4.382

M3 - Article

C2 - 12670854

AN - SCOPUS:0037390680

VL - 10

SP - 382

EP - 385

JO - Academic Emergency Medicine

JF - Academic Emergency Medicine

SN - 1069-6563

IS - 4

ER -