Emergency department census of patients awaiting admission following reorganisation of an admissions process.

Emergency Medicine Journal : EMJ
E D MoloneyB Silke

Abstract

To determine the impact of reorganisation of an acute admissions process on numbers of people in the emergency department (ED) awaiting admission to a hospital bed in a major teaching hospital. We studied all emergency medical patients admitted to St James' Hospital, Dublin, between 1 January 2002 and 31 December 2004. In 2002, patients were admitted to a variety of wards from the ED when a hospital bed became available. In 2003, two centrally located wards were reconfigured to function as an acute medical admissions unit (AMAU) (bed capacity 59), and all emergency patients were admitted directly to this unit from the ED (average 15 admissions per day). The maximum permitted length of stay on the AMAU was 5 days. We recorded the number of patients in the ED, who were awaiting the availability of a hospital bed, at 0700 and 1700 on the days of recording during the 36 month study period. The impact of the AMAU reduced overall hospital length of stay from 7 days in 2002 to 5 days in 2003 and 2004 (p<0.0001). The median number of patients waiting in the ED for a hospital bed reduced from 14 in 2002 to 9 in 2003 and 8 in 2004 (p<0.0001). While age and sex of patients did not differ over the years, the factors that independently cont...Continue Reading

References

Mar 24, 1979·British Medical Journal·M GriffithsE D Acheson
Sep 1, 1991·Annals of Emergency Medicine·D P AndrulisV B Weslowski
Jul 1, 1986·Annals of Emergency Medicine·M P WeissbergG Keefer
May 1, 1994·The American Journal of Emergency Medicine·P Krochmal, T A Riley
Apr 20, 1996·BMJ : British Medical Journal·S Capewell
Dec 24, 1997·BMJ : British Medical Journal·O Blatchford, S Capewell
Jul 16, 1999·BMJ : British Medical Journal·A BagustJ W Posnett
Aug 26, 1999·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·O MiróJ Millá
Aug 28, 2002·Clinical Medicine : Journal of the Royal College of Physicians of London·Mary Armitage, Tanzeem Raza
Sep 21, 2002·BMJ : British Medical Journal·David Black, Mike Pearson
Aug 10, 2004·Postgraduate Medical Journal·E D MoloneyB Silke
Mar 1, 2005·Emergency Medicine Journal : EMJ·E CrossJ Arnold
Mar 12, 2005·QJM : Monthly Journal of the Association of Physicians·E D MoloneyB Silke

❮ Previous
Next ❯

Citations

Nov 5, 2009·Clinical Medicine : Journal of the Royal College of Physicians of London·Z ShalchiR C Tennant
May 3, 2014·Nigerian Medical Journal : Journal of the Nigeria Medical Association·Z TalleshiM A Heidari Gorji
Jan 17, 2012·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Christien van der LindenRobert Lindeboom
Jul 26, 2015·International Emergency Nursing·Elizabeth ElderJulia Crilly
Apr 25, 2008·Annals of Emergency Medicine·Nathan R Hoot, Dominik Aronsky
Jul 16, 2010·Journal of Clinical Nursing·Pauline Griffiths
Jul 24, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·James GalipeauDavid Moher
Jun 18, 2016·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Lindsay E M ReidNazir I Lone
Dec 1, 2008·Revista de calidad asistencial : organo de la Sociedad Española de Calidad Asistencial·Albert SalazarAntoni Casagran
Dec 20, 2007·Pediatric Emergency Care·Kenneth Yen, Marc H Gorelick
Feb 1, 2016·Future Hospital Journal·Mike Jones
Apr 19, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Shan W LiuCarlos A Camargo
Aug 31, 2010·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Alan BrionesAndrew Dunn
Sep 1, 2012·Australian Health Review : a Publication of the Australian Hospital Association·Belinda SuthersJohn Attia
Sep 1, 2012·Australian Health Review : a Publication of the Australian Hospital Association·Bin S OngVincent J J Ngian

❮ 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.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

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.

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.

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.

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.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

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.

Related Papers

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Gabor D KelenP M Hill
Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Alan J ForsterCarl van Walraven
Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
S M SchneiderE Davis
© 2022 Meta ULC. All rights reserved