Analysis of ambulance transports and diversions among US emergency departments

Annals of Emergency Medicine
Catharine W BurtRoberto H Valverde

Abstract

We describe emergency department (ED) visits in which the patient arrived by ambulance and estimate the frequency of and reasons for ambulance diversion. Using information on volume of transports and probabilities of being in diversion status, we estimate the number of patients for whom ED care was delayed because of diversion practices. Data from the 2003 ED component of the National Hospital Ambulatory Medical Care Survey, an annual sample survey of visits to US hospital EDs, were used for the analysis. Data were provided by 405 participating EDs on 40,253 visits. Data from supplemental questionnaires to the hospital staff were used to describe volume and frequency of ambulance diversions. In 2003, patients arrived by ambulance for 16.2 million ED visits (14.2%). About 31 ambulances arrived at a US ED every minute. Of ambulance-related visits, 39% were made by seniors, 68% were triaged as emergent or urgent, and 37% resulted in hospital-admission. About 45% of EDs reported diverting ambulances at some point during the previous year. Among EDs that had any diversion, approximately 3% of operating time was spent in diversion status. In 2003, an estimated 501,000 ambulances were diverted, ie, 1 ambulance diversion per minute. La...Continue Reading

References

Nov 3, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·G D KelenP M Hill
Jan 22, 2005·JEMS : a Journal of Emergency Medical Services·Ann-Marie Lindstrom, Keri Losavio
Apr 28, 2005·Annals of Emergency Medicine·K John McConnellRobert A Lowe

❮ Previous
Next ❯

Citations

Sep 11, 2009·Health Care Management Science·Kyung Hye KimJames F Burgess
Oct 30, 2010·International Journal of Emergency Medicine·Rens HanewinckelTerrence M Mulligan
May 15, 2010·Prehospital and Disaster Medicine·Steven J RottmanJanet Cheng
Sep 6, 2011·Prehospital and Disaster Medicine·Franklin D FriedmanPeter Moyer
Sep 29, 2006·The New England Journal of Medicine·Arthur L Kellermann
Feb 1, 2007·Academic Medicine : Journal of the Association of American Medical Colleges·Jessica GreeneMichael J Yedidia
Oct 1, 2011·Pediatric Emergency Care·Rohit ShenoiShabana Yusuf
Sep 2, 2006·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Julius Cuong PhamArjun Chanmugam
Mar 3, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Thomas FalvoWilliam Zirkin
Apr 3, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jin H HanDominik Aronsky
Nov 30, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jesse M PinesJudd E Hollander
Mar 26, 2014·The Journal of Trauma and Acute Care Surgery·E Brooke LernerStewart C Wang
Jan 24, 2014·Prehospital and Disaster Medicine·Christopher A KahnCraig L Anderson
Dec 8, 2011·Disaster Medicine and Public Health Preparedness·Vishnu C PotiniArthur L Kellermann
Feb 2, 2016·Research in Nursing & Health·Nan LiuRebecca Schnall
Jan 27, 2015·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Chih-Hao LinChong-Ye Huang
Jan 7, 2014·Annals of Emergency Medicine·Roger A BandBrendan G Carr
Jan 29, 2013·Annals of Emergency Medicine·Laura G BurkeStephen K Epstein
Oct 11, 2012·The Journal of Emergency Medicine·Ashley F SullivanCarlos A Camargo
Sep 25, 2012·The American Journal of Emergency Medicine·Nicholas J JohnsonRoger A Band
Aug 14, 2012·The Journal of Emergency Medicine·Russell Griffin, Gerald McGwin
Aug 28, 2012·The Journal of Emergency Medicine·Niels K RathlevPaul Visintainer
Apr 3, 2012·The Journal of Emergency Medicine·Pankaj B Patel, David R Vinson
Mar 3, 2012·The American Journal of Emergency Medicine·Ki Jeong HongAdam J Singer
Aug 2, 2011·Annals of Emergency Medicine·Gelareh Z GabayanBenjamin C Sun
Jan 7, 2011·The American Journal of Emergency Medicine·William M McDonnellJeff E Schunk
Nov 3, 2010·Annals of Emergency Medicine·Arthur L Kellermann
Jun 18, 2010·Annals of Emergency Medicine·Benjamin T SquireJoshua H Tamayo-Sarver
Sep 1, 2009·Annals of Emergency Medicine·Nathan R HootDominik Aronsky
Jul 4, 2009·Archives of Gerontology and Geriatrics·Pembe KeskinogluMehmet Ozkan
Nov 7, 2009·General Hospital Psychiatry·Edwin D BoudreauxUNKNOWN PERC
Jan 27, 2009·The Journal of Emergency Medicine·Jin H HanDominik Aronsky
Nov 26, 2008·Annals of Emergency Medicine·John C MoskopKelly J Bookman
Apr 25, 2008·Annals of Emergency Medicine·Nathan R Hoot, Dominik Aronsky
Apr 15, 2008·Annals of Emergency Medicine·Henry E WangDonald M Yealy
Jun 19, 2008·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Mary Bossier BeardenMargo Hilliard
Oct 18, 2012·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Henry E WangDonald M Yealy
May 15, 2009·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Zachary F MeiselJesse M Pines
Oct 24, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jonathan FisherUNKNOWN Society for Academic Emergency Medicine Crowding Taskforce Education Workgroup
Dec 17, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Rohit P ShenoiCharles E Begley
Sep 13, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Megan McHughBruce Siegel
Sep 13, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Daniel A Handel, K John McConnell
Nov 15, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Steven L BernsteinUNKNOWN Society for Academic Emergency Medicine, Emergency Department Crowding Task Force

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Epigenetics Insights from Twin Studies

Find the latest research on epigenetics and twin studies here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Regulation of Vocal-Motor Plasticity

Dopaminergic projections to the basal ganglia and nucleus accumbens shape the learning and plasticity of motivated behaviors across species including the regulation of vocal-motor plasticity and performance in songbirds. Discover the latest research on the regulation of vocal-motor plasticity here.

Myocardial Stunning

Myocardial stunning is a mechanical dysfunction that persists after reperfusion of previously ischemic tissue in the absence of irreversible damage including myocardial necrosis. Here is the latest research.

Related Papers

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Julius Cuong PhamArjun Chanmugam
Annals of Emergency Medicine
K John McConnellRobert A Lowe
Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Michael SchullD A Redelmeier
© 2021 Meta ULC. All rights reserved