Boarding of Critically Ill Patients in the Emergency Department.

Critical Care Medicine
Nicholas M MohrSusanna Rudy

Abstract

Emergency department boarding is the practice of caring for admitted patients in the emergency department after hospital admission, and boarding has been a growing problem in the United States. Boarding of the critically ill has achieved specific attention because of its association with poor clinical outcomes. Accordingly, the Society of Critical Care Medicine and the American College of Emergency Physicians convened a Task Force to understand the implications of emergency department boarding of the critically ill. The objective of this article is to review the U.S. literature on (1) the frequency of emergency department boarding among the critically ill, (2) the outcomes associated with critical care patient boarding, and (3) local strategies developed to mitigate the impact of emergency department critical care boarding on patient outcomes. Review article. Emergency department-based boarding of the critically ill patient is common, but no nationally representative frequency estimates has been reported. Boarding literature is limited by variation in the definitions used for boarding and variation in the facilities studied (boarding ranges from 2% to 88% of ICU admissions). Prolonged boarding in the emergency department has be...Continue Reading

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Citations

Feb 7, 2021·The American Journal of Emergency Medicine·Nathan L HaasKevin R Ward
Dec 19, 2020·Critical Care Medicine·Joseph Shiber
Feb 9, 2021·Critical Care Medicine·Jerry J ZimmermanLewis J Kaplan
Jun 5, 2021·Journal of the American College of Emergency Physicians Open·Brian J FranklinNathan L Haas

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