Title |
Solutions To Emergency Department ‘Boarding’ And Crowding Are Underused And May Need To Be Legislated
|
---|---|
Published in |
Health Affairs, August 2012
|
DOI | 10.1377/hlthaff.2011.0786 |
Pubmed ID | |
Authors |
Elaine Rabin, Keith Kocher, Mark McClelland, Jesse Pines, Ula Hwang, Niels Rathlev, Brent Asplin, N. Seth Trueger, Ellen Weber |
Abstract |
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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 21 | 46% |
Canada | 2 | 4% |
Brazil | 1 | 2% |
Ireland | 1 | 2% |
United Kingdom | 1 | 2% |
United Arab Emirates | 1 | 2% |
Unknown | 19 | 41% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 27 | 59% |
Practitioners (doctors, other healthcare professionals) | 10 | 22% |
Scientists | 7 | 15% |
Science communicators (journalists, bloggers, editors) | 2 | 4% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 4 | 2% |
Unknown | 200 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 43 | 21% |
Lecturer | 25 | 12% |
Researcher | 18 | 9% |
Student > Ph. D. Student | 15 | 7% |
Other | 14 | 7% |
Other | 45 | 22% |
Unknown | 44 | 22% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 53 | 26% |
Nursing and Health Professions | 50 | 25% |
Engineering | 12 | 6% |
Social Sciences | 11 | 5% |
Business, Management and Accounting | 10 | 5% |
Other | 12 | 6% |
Unknown | 56 | 27% |