Literature DB >> 17490787

Emergency department patient preferences for boarding locations when hospitals are at full capacity.

Chad Garson1, Judd E Hollander, Karin V Rhodes, Frances S Shofer, William G Baxt, Jesse M Pines.   

Abstract

STUDY
OBJECTIVE: Admitted patients are frequently boarded in emergency departments (EDs) when hospitals are at full capacity, which lessens the ED's ability to treat new patients. One alternative is to board admitted patients in inpatient hallways. We assess ED patient preferences for boarding location.
METHODS: We surveyed adult ED patients during a 4-week period on preferences for boarding location. Patients were eligible if they were currently being admitted through the ED and had experienced at least 1 previous hospital admission to ensure knowledge of both the ED and inpatient locations. Patients were asked to choose whether they would rather board in an ED hallway or an inpatient hallway or whether they had no preference. Survey responses were hypothetical and did not affect care or bed placement. We tested whether patient demographics, survey location (ED room or ED hallway), admission service, timing to room placement, time to admission request, and time to survey administration were associated with survey responses.
RESULTS: A total of 565 patients were approached; 87% consented to be interviewed. Of those consented, 88% of patients had been previously admitted, leaving 431 patients in the study group. A total of 64% (95% confidence interval [CI] 59% to 69%) had a preference for boarding location: 59% (95% CI 52% to 65%) preferred inpatient hallways and 41% (95% CI 35% to 48%) preferred ED hallways. Survey location, admission service, time to room placement, admission request, and survey administration were not associated with survey responses.
CONCLUSION: When hospitals are at full capacity, patients would rather board in inpatient hallways than ED hallways.

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Year:  2007        PMID: 17490787     DOI: 10.1016/j.annemergmed.2007.03.016

Source DB:  PubMed          Journal:  Ann Emerg Med        ISSN: 0196-0644            Impact factor:   5.721


  13 in total

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9.  The probability of patients being admitted from the emergency department is negatively correlated to in-hospital bed occupancy - a registry study.

Authors:  Mathias C Blom; Fredrik Jonsson; Mona Landin-Olsson; Kjell Ivarsson
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10.  New Intervention Model of Regional Transfer Network System to Alleviate Crowding of Regional Emergency Medical Center.

Authors:  Jae Yun Ahn; Hyun Wook Ryoo; Jungbae Park; Jong Kun Kim; Mi Jin Lee; Jong-Yeon Kim; Sang Do Shin; Won Chul Cha; Jun Seok Seo; Young Ae Kim
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