Emergency department overcrowding: what is our response to the "new normal"?

Abstract

Academic Emergency MedicineVolume 10, Issue 10 p. 1096-1097 Free Access Emergency Department Overcrowding: What Is Our Response to the “New Normal”? Christopher M.B. Fernandes MD, Christopher M.B. Fernandes MD (christopher_fernandes@sympatico.ca)Hamilton Health Sciences, McMaster University, Hamilton, Ontario, CanadaSearch for more papers by this author Christopher M.B. Fernandes MD, Christopher M.B. Fernandes MD (christopher_fernandes@sympatico.ca)Hamilton Health Sciences, McMaster University, Hamilton, Ontario, CanadaSearch for more papers by this author First published: 28 June 2008 https://doi.org/10.1197/S1069-6563(03)00355-5Citations: 17AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. References 1 Poutanen SM, Low DE, Henry B, et al. Identification of severe acute respiratory syndrome in Canada. N Engl J Med. 2003; 348: 1995– 2005. 2 Vicellio P. Emergency department overcrowding. 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J Emerg Med. 1997; 15: 735– 9. 10 Fernandes CMB, Christenson JM. Use of continuous quality improvement to facilitate patient flow through the triage and fast-track areas of an emergency department. J Emerg Med. 1995; 13: 847– 55. 11 Fernandes CMB, Christenson JM, Price A. Continuous quality improvement reduces length of stay for fast-track patients in an emergency department. Acad Emerg Med. 1996; 3: 258– 63. 12 Innes G, Grafstein E, Christenson JM, Epstein J. Does physician order entry reduce ED length of stay (LOS) in an overcrowded ED? [abstract]. Can J Emerg Med. 2003; 5: 186. 13 Spaite DW, Bartholomeaux F, Guisto J, et al. Rapid process redesign in a university-based emergency department: decreasing waiting time intervals and improving patient satisfaction. Ann Emerg Med. 2002; 39: 168– 77. 14 Crowding Resources Task Force, American College of Emergency Physicians. Responding to Emergency Department Crowding: A Guidebook for Chapters. Dallas , TX : American College of Emergency Physicians, 2002. Available at: http://www.acep.orglibrarypdfedCrowdingReport.pdf. Accessed June 16, 2003). 15 The Advisory Board Company. The Clockwork ED. Washington , DC : The Advisory Board Company, 1999. 16 Kizer KW. The emerging imperative for health care quality improvement. Acad Emerg Med. 2002; 9: 1078– 84. 17 Reeder TJ, Burleson DL, Garrison HG. The overcrowded emergency department: a comparison of staff perceptions. Acad Emerg Med. 2003; 10: 1059– 64. 18 Fernandes CMB, Daya MR, Barry S, Palmer N. Emergency department patients who leave without seeing a physician: the Toronto Hospital experience. Ann Emerg Med. 1994; 24: 1092– 6. 19 Fernandes CMB, Price A, Christenson JM. Does reduced length of stay decrease the number of emergency department patients who leave without seeing a physician J Emerg Med. 1997; 15: 397– 9. 20 Graff L, Stevens C, Spaite D, Foody J. Measuring and improving quality in emergency medicine. Acad Emerg Med. 2002; 9: 1091– 107. 21 Schull MJ, Morrison LJ, Vermeulen M, Redelmeier DA. Emergency department overcrowding and ambulance transport delays for patients with chest pain. Can Med Assoc J. 2003; 168: 277– 83. 22 Schull M, Lazier K, Vermeulen M, Mawhinney S, Morrison LJ. Emergency department contributors to ambulance diversion: a quantitative analysis. Ann Emerg Med. 2003; 41: 467– 76. 23 George S. How to speak the language of senior management. Qual Prog. 2003; May: 30– 6. 24 Kaplan R, Norton D. The Strategy-focused Organization. Boston , MA : Harvard Business School Publishing Corporation, 2001. 25 The Institute of Medicine. To Err Is Human: Building a Safer Health System. Washington , DC : National Academy Press, 1999. 26 Hafner JW, Belknap SM, Squillante MD, et al. Adverse drug events in emergency department patients. Ann Emerg Med. 2002; 39: 258– 67. 27 Bizovi KE, Beckley BE, McDade MC, et al. The effect of computer-assisted prescription writing on emergency department prescription errors. Acad Emerg Med. 2002; 9: 1168– 75. Citing Literature Volume10, Issue10October 2003Pages 1096-1097 ReferencesRelatedInformation