Jonas Andersson1, Lena Nordgren2, Ivy Cheng3, Ulrica Nilsson4, Lisa Kurland5. 1. School of Medical Sciences, Örebro University, Örebro, Sweden; Centre for Clinical Research Sörmland/Uppsala University, Mälarsjukhuset, Eskilstuna, Sweden. Electronic address: jonas.andersson@oru.se. 2. Centre for Clinical Research Sörmland/Uppsala University, Mälarsjukhuset, Eskilstuna, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden. 3. School of Medical Sciences, Örebro University, Örebro, Sweden; University of Toronto, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada. 4. Division of Nursing, Department of Neurobiology, Care Sciences, and Society, Karolinska Institute, Stockholm, Sweden. 5. School of Medical Sciences, Örebro University, Örebro, Sweden.
Abstract
INTRODUCTION: Emergency Department (ED) Length of stay (LOS) has been associated with poor patient outcomes, which has led to the implementation of time targets designed to keep EDLOS below a specific limit. The cut-offs defining long EDLOS varies across settings and seem to be arbitrarily chosen. This study aimed to clarify the meaning of long EDLOS. METHODS: A concept analysis using the Walker and Avant approach was conducted. It included a literature search aiming to identify all uses of the concept, resulting in a set of defining attributes and a way of measuring the concept empirically. RESULTS: Long EDLOS was primarily used as proxy for other phenomena, e.g. boarding or crowding. The definitions had cut-offs ranging between 4 and 48 h. The attributes defining long EDLOS was waiting, a crowded ED environment and an inefficient organization. DISCUSSION: Time targets are probably more suitable when directed towards and tailored for specific sub-groups of the ED population.
INTRODUCTION: Emergency Department (ED) Length of stay (LOS) has been associated with poor patient outcomes, which has led to the implementation of time targets designed to keep EDLOS below a specific limit. The cut-offs defining long EDLOS varies across settings and seem to be arbitrarily chosen. This study aimed to clarify the meaning of long EDLOS. METHODS: A concept analysis using the Walker and Avant approach was conducted. It included a literature search aiming to identify all uses of the concept, resulting in a set of defining attributes and a way of measuring the concept empirically. RESULTS: Long EDLOS was primarily used as proxy for other phenomena, e.g. boarding or crowding. The definitions had cut-offs ranging between 4 and 48 h. The attributes defining long EDLOS was waiting, a crowded ED environment and an inefficient organization. DISCUSSION: Time targets are probably more suitable when directed towards and tailored for specific sub-groups of the ED population.
Authors: Cecilia Biasibetti Soster; Fernando Anschau; Nicole Hertzog Rodrigues; Luana Gabriela Alves da Silva; André Klafke Journal: Rev Lat Am Enfermagem Date: 2022
Authors: Frederic Ehrler; Carlotta Tuor; Remy Trompier; Antoine Berger; Michael Ramusi; Robin Rey; Johan N Siebert Journal: J Pers Med Date: 2022-03-09