Managing emergency department overcrowding

Emergency Medicine Clinics of North America
Jonathan Olshaker

Abstract

Emergency department (ED) crowding and ambulance diversion has been an increasingly significant national problem for more than a decade. More than 90% of hospital ED directors reported overcrowding as a problem resulting in patients in hallways, full occupancy of ED beds, and long waits, occurring several times a week. Overcrowding has many other potential detrimental effects including diversion of ambulances, frustration for patients and ED personnel, lesser patient satisfaction, and most importantly, greater risk for poor outcomes. This article gives a basic blueprint for successfully making hospital-wide changes using principles of operational management. It briefly covers the causes, significance, and dangers of overcrowding, and then focuses primarily on specific solutions.

References

Apr 28, 2000·Annals of Emergency Medicine·B C SunH R Burstin
Feb 7, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·R DerletR Kravitz
Nov 3, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·J G Adams, M H Biros
Nov 3, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·S SchneiderE Davis
Nov 3, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·G D KelenP M Hill
Feb 2, 2002·JAMA : the Journal of the American Medical Association·Robert M Wachter, Lee Goldman
May 7, 2002·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·A SalazarJ Escarrabill
Jan 7, 2003·Annals of Emergency Medicine·Susan LambeSteven M Asch
Jan 24, 2003·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Ronald J LagoeRichard C Hunt
Feb 8, 2003·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Alan J ForsterCarl van Walraven
Mar 27, 2003·Annals of Emergency Medicine·Michael J SchullLaurie J Morrison
Jul 29, 2003·Annals of Emergency Medicine·Brent R AsplinCarlos A Camargo
Sep 6, 2003·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Steven L BernsteinIvelisse Perez
Nov 25, 2003·Emergency Medicine·Andrew Wesley DentLachlan Robert McGregor
May 29, 2004·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Bruno Bucheli, Benedict Martina
Oct 2, 2004·Annals of Emergency Medicine·Gary M VilkeTheodore C Chan
Dec 2, 2004·Annals of Emergency Medicine·Michael J SchullPaul Daly
Jan 27, 2005·Annals of Emergency Medicine·Marc H GorelickHyun J Yun
Jan 29, 2005·Emergency Medicine Australasia : EMA·Peter SprivulisYusuf Nagree
Apr 28, 2005·Annals of Emergency Medicine·K John McConnellRobert A Lowe
Feb 8, 2006·Journal of the American Geriatrics Society·Ula HwangR Sean Morrison
Feb 24, 2006·The American Journal of Emergency Medicine·Pankaj B PatelJonathan Wills
Mar 7, 2006·The Medical Journal of Australia·Drew B Richardson
Oct 20, 2006·Annals of Emergency Medicine·Michael J SchullJohn-Paul Szalai
Nov 23, 2006·Annals of Emergency Medicine·K John McConnellRobert A Lowe
Feb 24, 2007·Annals of Emergency Medicine·Brent R Asplin, David J Magid
Apr 19, 2007·Critical Care Medicine·Donald B ChalfinUNKNOWN DELAY-ED study group
Jun 5, 2007·The American Journal of Emergency Medicine·James V QuinnRobert Norris
Oct 5, 2007·Annals of Emergency Medicine·Jesse M Pines, Judd E Hollander
Sep 13, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Daniel A Handel, K John McConnell
Dec 3, 2008·Annals of Internal Medicine·Eric HowellScott Wright

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Citations

May 14, 2010·Current Opinion in Pediatrics·Naghma S Khan, Shabnam Jain
Nov 17, 2011·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Pamela MazzocatoUlrica von Thiele Schwarz
Nov 5, 2013·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Asa Muntlin AthlinNasim Farrohknia
Jan 29, 2013·Emergency Medicine Journal : EMJ·Craig BrickBrian H Rowe
Jan 24, 2014·Prehospital and Disaster Medicine·Christopher A KahnCraig L Anderson
Nov 4, 2015·The American Journal of Emergency Medicine·Mark B WarrenGabrielle J Melin
Apr 5, 2015·Emergency Medicine Journal : EMJ·Simone Keizer Beache, Cornelia Guell
Oct 27, 2012·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Holli A DeVonDaphene Francis
Feb 4, 2012·International Journal of Medical Informatics·Min Joung KimHahn Shick Lee
Mar 23, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Rebecca SchnallJeremy D Sperling
Dec 16, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Howard Ovens
Oct 9, 2012·Emergency Medicine Australasia : EMA·Paul Cunningham, Jeremy Sammut
Nov 14, 2013·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Joseph EastMichelle Macy
Oct 15, 2014·General Hospital Psychiatry·Grace ChangScott L Rauch
Jun 20, 2015·The Journal of Trauma and Acute Care Surgery·Lisa FrymanDan Davenport
Sep 2, 2014·The American Journal of Emergency Medicine·Hao WangNestor R Zenarosa
May 9, 2014·Health Care Management Science·Shanshan QiuWill Jordan
Aug 16, 2016·International Emergency Nursing·Ulrica von Thiele SchwarzÅsa Muntlin Athlin
Apr 19, 2016·United European Gastroenterology Journal·Nicolò CaporaleVincenzo Stanghellini
Jan 25, 2017·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Kumiko TanakaTetsuya Matsuoka
Jan 15, 2019·Perspectives in Psychiatric Care·Mahtab MotamedFarinaz Aghajannashtaei
Sep 2, 2010·Journal of Separation Science·Jared S BakerLuis A Colón
Aug 11, 2017·International Journal of Qualitative Studies on Health and Well-being·Gabriella Norberg BoysenBirgitta Wireklint Sundström
Jul 30, 2019·Journal of Primary Care & Community Health·Mika LehtoTimo Kauppila
Dec 3, 2015·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Tobias PerdahlTherese Djärv
Jan 1, 2020·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Kimiyoshi J KobayashiMelissa Lp Mattison
Jul 10, 2018·Health Care Management Science·Mengyu LiAlix J E Carter
Aug 6, 2019·Paediatrics & Child Health·Hathami AlmubarakQuynh Doan
May 29, 2018·Internal and Emergency Medicine·Francesca MataloniDanilo Fusco
Aug 4, 2020·World Journal of Clinical Cases·Shuang WangZhen Wang

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