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This would include more effective use of space and transfer strategies. There needs to be available strategies to help release some of the overcrowding within ED areas, especially within the context of peak periods.
Therefore, the research will look to find the most effective are to actually place these overflowing patients, where they are still in reach of ED services, while not overcrowding the actual ward itself. This research will explore the use of electric bed tracking systems as a way to effectively manage over populated areas and make the most advantage of other wards with less population. Research suggests that "Electric systems for tracking bed status can be helpful in increasing the transparency of bed availability," (McLarty & Jeffers 2008 p 3). Are such practices feasible in an already tight hospital budget?
If this question can be answered effectively, it will have a huge positive impact on the healthcare industry. Finding the most...
Finding the most cost effective manner is one of the most important drivers in this search. With so many hospitals over stretching their budgets already, it would often prove detrimental to over spend on seeking solutions for this problem. Therefore, more staffing does prove a strategy that is more problematic than helpful. Proving transferring ED patients to other units is important to help provide a feasible strategy for hospitals around the country in need.
References
McLarty, Jim & Jeffers, Lori. (2008). Is your patient throughput sending out an SOS? Healthcare Financial Management. Web. http://findarticles.com/p/articles/mi_m3257/is_7_62/ai_n28072667/
Zimmerman, Richard S. (2004). Hospital capacity, productivity, and patient safety -- it all flows together. Frontiers of Health Services Management. 20(4)33-35.
ED Patient Boarding | Emergency Department Patient Boarding Emergency Department (ED) crowding is a nationwide crisis which affects the efficiency and the quality of patient care (Sox, Burstin, Orav, et al., 2007). A huge contribution to patient over-crowding is the boarding of admitted patients in the ED. An alternative use of time which is lost in the admitting of patients is used to treat patients who are waiting to be seen; this
But let's look at this resolution in a bit more depth. Briefly, processes like full capacity protocols, bedside registration, bypassing triage, adding staff during increased volume, setting up a separate "line" for treating simple fractures, lacerations, etc., establishing turn-around-time (TAT) goals for procedures and patients, can go a long way to begin to cure the problem of overcrowding (ACEP, 2008, p. 10). Full-capacity protocols. Here is a typical full-capacity protocol
2010; McCarthy et al. 2009; Zimmerman 2004). These studies have also shown that a reduction in boarding numbers and crowding can eliminate or reduce these problems. After all of these considerations, the fourth step in Rosswurm and Larrabee's (1999) model for change is to design the actual changes to practice that should be implemented. In this case, this requires few additional resources other than learning materials for hospital staff to
ED Boarding Plan Emergency Department Overcrowding Due to Boarding: Proposed Solution The proposed solution for the noted problem of emergency department overcrowding due to the practice of boarding patients in the emergency department rather than admitting them to other areas of the hospital is relatively simple and straightforward. In essence, the solution that is most supported by current research is to simply cease the practice of inpatient boarding in the emergency department,
2010). While there is of course a mandate for emergency departments to provide necessary care to any individual that requires it, more efficient and effective care can be proved when crowding in the department is kept to a minimum and releases of boarded patients are made as soon as possible (McCarthy et al. 2009; Bair et al. 2010). Crowding itself was seen to have an effect on waiting room
F. The uninsured are increasingly using the ED for their non-emergency needs. III. The effects of emergency room overcrowding can be deadly. A. Boarding patients, or keeping already treated or stabilized patients in the ED, prevents patients from receiving the inpatient care they need. B. Long wait times and inefficient service can mean loss of life IV. Possible solutions demand health care system overhaul. A. More efficient hospital registration would streamline emergency room procedures. B. Standing