1
40
3
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1002/emp2.12100" target="_blank" rel="noreferrer noopener">http://doi.org/10.1002/emp2.12100</a>
Pages
1052-1059
Issue
5
Volume
1
ISSN
2688-1152 2688-1152
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<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1002/emp2.12100" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1002/emp2.12100</a>
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Update Year & Number
December 2020 List
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Emergency Medicine
Affiliated Hospital
Cleveland Clinic Akron General Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
The impact of hospital boarding on the emergency department waiting room.
Publisher
An entity responsible for making the resource available
Journal Of The American College Of Emergency Physicians Open
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-10
Subject
The topic of the resource
length of stay; crowding; emergency department boarding; emergency department wait times; hospital occupancy; waiting room
Creator
An entity primarily responsible for making the resource
Smalley CM; Simon EL; Meldon SW; Muir McKinsey R; Briskin I; Crane S; Delgado F; Borden BL; Fertel BS
Description
An account of the resource
BACKGROUND: Patient boarding in the emergency department (ED) is a significant issue leading to increased morbidity/mortality, longer lengths of stay, and higher hospital costs. We examined the impact of boarding patients on the ED waiting room. Additionally, we determined whether facility type, patient acuity, time of day, or hospital occupancy impacted waiting rooms in 18 EDs across a large healthcare system. METHODS: This was a retrospective multicenter study that included all ED encounters between January 1, 2018, and September 30, 2019. Encounters with missing Emergency Severity Index (ESI) level were excluded. ESI levels were defined as high (ESI 1,2), middle (ESI 3), and low (ESI 4,5). Spearman correlation coefficients measured the relationship between boarded patients and number of patients in ED waiting room. A multivariable mixed effects model identified drivers of this relationship. RESULTS: A total of 1,134,178 encounters were included. Spearman correlation coefficient was significant between number of patients in the ED waiting room and patient boarding (0.54). For every additional patient boarded/hour, the number of patients waiting/hour in the waiting room increased by 8% (95% confidence interval [CI] = 1.08-1.09). The number of patients waiting for a room/hour was 2.28 times higher for middle than for high acuity. The number of patients in waiting room slightly decreased as hospital occupancy increased (95% CI = 0.997-0.997). CONCLUSION: Number of patients in ED waiting room are directly related to boarding times and hospital occupancy. ED waiting room times should be considered as not just an ED operational issue, but an aspect of hospital throughput.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1002/emp2.12100" target="_blank" rel="noreferrer noopener">10.1002/emp2.12100</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Format
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journalArticle
2020
Borden BL
Briskin I
Cleveland Clinic Akron General Hospital
Crane S
Crowding
December 2020 List
Delgado F
Department of Emergency Medicine
emergency department boarding
emergency department wait times
Fertel BS
hospital occupancy
Journal Of The American College Of Emergency Physicians Open
journalArticle
Length of Stay
Meldon SW
Muir McKinsey R
NEOMED College of Medicine
Simon EL
Smalley CM
waiting room
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.5811/westjem.2020.11.48427" target="_blank" rel="noreferrer noopener">http://doi.org/10.5811/westjem.2020.11.48427</a>
Pages
148-155
Issue
2
Volume
22
ISSN
1936-900X
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<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.5811/westjem.2020.11.48427" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.5811/westjem.2020.11.48427</a>
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Update Year & Number
April 2021 List
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Emergency Medicine
Affiliated Hospital
Cleveland Clinic Akron General Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Emergency department patients who leave before treatment is complete
Publisher
An entity responsible for making the resource available
Western Journal Of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
2021-03
Subject
The topic of the resource
HEALTH facilities; CONFIDENCE intervals; DESCRIPTIVE statistics; MEDICAL cooperation; METROPOLITAN areas; RESEARCH; RETROSPECTIVE studies; PATIENTS; EMERGENCY medical services; LONGITUDINAL method; MEDICAL screening; MEDICAL appointments
Creator
An entity primarily responsible for making the resource
Smalley CM; Meldon SW; Simon EL; Muir McKinsey R; Delgado F; Fertel BS
Description
An account of the resource
Introduction: Emergency department (ED) patients who leave before treatment is complete (LBTC) represent medicolegal risk and lost revenue. We sought to examine LBTC return visits characteristics and potential revenue effects for a large healthcare system. Methods: This retrospective, multicenter study examined all encounters from January 1-December 31, 2019 at 18 EDs. The LBTC patients were divided into left without being seen (LWBS), defined as leaving prior to completed medical screening exam (MSE), and left subsequent to being seen (LSBS), defined as leaving after MSE was complete but before disposition. We recorded 30-day returns by facility type including median return hours, admission rate, and return to index ED. Expected realization rate and potential charges were calculated for each patient visit. Results: During the study period 626,548 ED visits occurred; 20,158 (3.2%) LBTC index encounters occurred, and 6745 (33.5%) returned within 30 days. The majority (41.7%) returned in <24 hours with 76.1% returning in 10 days and 66.4% returning to index ED. Median return time was 43.3 hours, and 23.2% were admitted. Urban community EDs had the highest 30-day return rate (37.8%, 95% confidence interval, 36.41-39.1). Patients categorized as LSBS had longer median return hours (66.0) and higher admission rates (29.8%) than the LWBS cohort. There was a net potential realization rate of $9.5 million to the healthcare system. Conclusion: In our system, LSBS patients had longer return times and higher admission rates than LWBS patients. There was significant potential financial impact for the system. Further studies should examine how healthcare systems can reduce risk and financial impacts of LBTC patients.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.5811/westjem.2020.11.48427" target="_blank" rel="noreferrer noopener">10.5811/westjem.2020.11.48427</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Format
The file format, physical medium, or dimensions of the resource
journalArticle
2021
April 2021 List
Cleveland Clinic Akron General Hospital
Confidence Intervals
Delgado F
Department of Emergency Medicine
Descriptive Statistics
Emergency Medical Services
Fertel BS
Health Facilities
journalArticle
LONGITUDINAL method
MEDICAL appointments
MEDICAL cooperation
MEDICAL screening
Meldon SW
METROPOLITAN areas
Muir McKinsey R
NEOMED College of Medicine
Patients
Research
Retrospective Studies
Simon EL
Smalley CM
Western Journal of Emergency Medicine
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.ajem.2021.05.013" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.ajem.2021.05.013</a>
ISSN
1532-8171 0735-6757
Search for Full-text
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<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1016/j.ajem.2021.05.013" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1016/j.ajem.2021.05.013</a>
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Update Year & Number
June 2021 List
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Emergency Medicine
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
COVID-19 vaccine adverse reactions bring patients to emergency departments.
Publisher
An entity responsible for making the resource available
The American Journal Of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
2021-05-06
Subject
The topic of the resource
COVID-19; COVID-19 vaccination; Emergency medicine; Vaccination adverse events
Creator
An entity primarily responsible for making the resource
Fertel BS; Milk J; Simon EL; Muir McKinsey R; Smalley CM
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.ajem.2021.05.013" target="_blank" rel="noreferrer noopener">10.1016/j.ajem.2021.05.013</a>
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Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Format
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journalArticle
2021
COVID-19
COVID-19 vaccination
Department of Emergency Medicine
Emergency Medicine
Fertel BS
journalArticle
June 2021 List
Milk J
Muir McKinsey R
NEOMED College of Medicine
Simon EL
Smalley CM
The American journal of emergency medicine
Vaccination adverse events