Author(s): Shen, Yu-Chu; Hsia, Renee Y | Abstract: We investigated the association between crowding as measured by ambulance diversion and differences in access, treatment and outcomes between black and white patients.Retrospective analysis.We linked daily ambulance diversion logs from 26 California counties between 2001 and 2011 to Medicare patient records with acute myocardial infarction and categorised patients according to hours in diversion status for their nearest emergency departments on their day of admission: 0, <6, 6 to <12 and ≥ 12 h. We compared the amount of diversion time between hospitals serving high volume of black patients and other hospitals. We then use multivariate models to analyse changes in outcomes when patients faced different levels of diversion, and compared that change between black and white patients.29,939 Medicare patients from 26 California counties between 2001 and 2011.(1) Access to hospitals with cardiac technology; (2) treatment received; and (3) health
We have been in the midst of the largest hospital building boom on record. I suspect that there is more than ED or hospital room capacity issues at play here. There are a number of proven techniques for improving patient flow in emergency rooms, yet most hospitals have yet to adopt them. Both variable acuity nursing units and unit based boarding are two relatively easy ways to reduce ED length of stay.. Variable acuity nursing units (or variable acuity beds, or universal beds) are standard nursing units with the added ability to care for more acute patients. Because critical care areas are a common patient flow bottleneck, these changes have the ability to use patient monitors and ventilators on sicker patients outside of traditional critical care areas. By off loading patients who are not truly critical, capacity in critical care areas is conserved, reducing ambulance diversions and ED bypasses.. When patient flow backs up in the hospital, patients waiting in the ED to be admitted are ...
(2005) Kwon et al. Genes Dev. SNF2 chromatin-remodeling ATPases play an important role in ensuring proper development in higher eukaryotes by controlling accessibility of cis-regulatory DNA regions to transcription factors and ...
Between 40 percent and 50 percent of U.S. hospitals experience crowded conditions in the emergency department (ED) with almost two-thirds of metropolitan EDs experiencing crowding at times, according to a new report issued today by CDC s National Center for Health Statistics.. The report, entitled Staffing, Capacity, and Ambulance Diversion in Emergency Departments: United States, 2003-04, contains a number of findings, including: ...
This study suggests that hospitals could avoid significant patient charges/costs by reducing ED LOS. According to our model, the county hospital could have saved $9.8 million in charges and the university hospital could have saved $3.85 million in costs over one year if ED boarding were eliminated. Furthermore, payers are less likely to pay fees following extended inpatient stays, which means that much of these charges and costs may not be recouped.. While ED crowding and its morbidity and mortality is well documented, the cost of ED crowding has yet to be elucidated. The documentation of increased morbidity and mortality has not stimulated the implementation of ED crowding solutions, but the financial drain to hospitals due to ED crowding may provide this stimulus. Many factors that contribute to ED crowding, including ambulance diversion and patients leaving without being seen, are suspected to be fiscally detrimental to a hospital. While all of these factors need to be explored, this study is ...
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Daily News How Gaining and Losing Weight Affects the Body Millions of measurements from 23 people who consumed extra calories every day for a month reveal changes in proteins, metabolites, and gut microbiota that accompany shifts in body mass.. ...