Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-10T14:01:39.144Z Has data issue: false hasContentIssue false
  • English
  • Français

Emergency department overcrowding and access block

Published online by Cambridge University Press:  04 March 2015

Andrew Affleck ,
Paul Parks ,
Alan Drummond ,
Brian H. Rowe  and
Howard J. Ovens
Andrew Affleck
Affiliation:
Thunder Bay Regional Health Sciences Center, Northern Ontario School of Medicine, Thunder Bay, ON; CAEP Public Affairs
Paul Parks
Affiliation:
Medicine Hat Regional Hospital, Medicine Hat, AB
Alan Drummond
Affiliation:
Perth and Smiths Falls District Hospital, Perth, ON; CAEP Public Affairs
Brian H. Rowe
Affiliation:
Department of Emergency Medicine and School of Public Health, University of Alberta, Edmonton, AB
Howard J. Ovens*
Affiliation:
Schwartz/Reisman Emergency Centre, Mount Sinai Hospital, and Department of Family and Community Medicine, University of Toronto, Toronto, ON
*
Schwartz/Reisman Emergency Centre, Mount Sinai Hospital, Toronto, ONM5G 1X5; howard.ovens@utoronto.ca.

Abstract

An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Type
CAEP Position Statement
Information
Canadian Journal of Emergency Medicine , Volume 15 , Issue 6 , November 2013 , pp. 359 - 370
Copyright
Copyright © Canadian Association of Emergency Physicians 2013

References

REFERENCES

1. Canadian Association of Emergency Physicians and National Emergency Nurses Affiliation. Joint position statement on emergency department overcrowding. CJEM 2001;3:82–4.Google Scholar
2. Canadian Association of Emergency Physicians. CAEP position statement: emergency department overcrowding 2009. Available at: www.caep.ca (accessed August 2001, 2011).Google Scholar
3. Bond, K, Ospina, M, Blitz, S, et al. Frequency, determinants, and impact of overcrowding in emergency departments in Canada: a national survey of emergency department directors. Healthc Q 2007;10:32–40, doi:10.12927/hcq.2007.19312.CrossRefGoogle Scholar
4. Guttmann, A, Schull, MJ, Vermeulen, MJ, Stukel, TA. Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. BMJ 2011;342:d2983, doi:10.1136/bmj.d2983.CrossRefGoogle ScholarPubMed
5. Sprivulis, PC, Da Silva, JA, Jacobs, IG, et al. Association between hospital overcrowding and mortality among patients admitted via Western Australian emergency departments. MJA 2006;184:208–12.Google ScholarPubMed
6. de Grood, JBM, Villa-Roel, C, Zwicker, K, et al. Overview of interventions to mitigate emergency department overcrowding. Calgary (AB): Health Quality Council of Alberta; 2013.Google Scholar
7. Rowe, BH, Bond, K, Ospina, MB. et al. Emergency department overcrowding in Canada: what are the issues and what can be done? Ottawa: Canadian Agency for Drugs and Technologies in Health; 2006.Google Scholar
8. Rowe, BH, Bond, K, Ospina, M, et al. Data collection on patients in emergency departments in Canada. CJEM 2006;8:417–24.Google Scholar
9. Asplin, BR, Magid, DJ, Rhodes, KV, et al. A conceptual model of emergency department overcrowding. Ann Emerg Med 2003;42:181–4, doi:10.1067/mem.2003.302.Google Scholar
10. Schull, MJ, Slaughter, PM, Redelmeier, DA. Urban emergency department overcrowding: defining the problem and eliminating misconceptions. CJEM 2002;4:76–83.CrossRefGoogle ScholarPubMed
11. Fatovich, DM, Nagree, Y, Sprivulis, P. Access block causes emergency department overcrowding and ambulance diversion in Perth, Western Australia. Emerg Med J 2005;22:351–4, doi:10.1136/emj.2004.018002.Google Scholar
12. Han, A, Ospina, M, Blitz, S, et al. Patients presenting to the emergency department: use of other health care services and reasons for presentation. CJEM 2007;9:428–34.CrossRefGoogle Scholar
13. Richardson, DB. Increase in patient mortality at 10 days associated with emergency department overcrowding. Med J Aust 2006;184:213–6.CrossRefGoogle ScholarPubMed
14. Organisation for Economic Co-operation and Development. Statistics. Available at: http://www.oecd.org (accessed May 13, 2013).Google Scholar
15. Bagust, A, Place, M, Posnett, JW. Dynamics of bed use in accommodating emergency admissions: stochastic simulation model. BMJ 1999;319:1558, doi:10.1136/bmj.319.7203.155.CrossRefGoogle ScholarPubMed
16. Forster, AJ, Stiell, I, Wells, G, et al. The effect of hospital occupancy on emergency department length of stay and patient disposition. Acad Emerg Med 2003;10:127–33, doi:10.1111/j.1553-2712.2003.tb00029.x.CrossRefGoogle ScholarPubMed
17. Wait Time Alliance. It’s about time: achieving benchmarks and best practices in wait time management. Final report. 2005.Google Scholar
18. Canadian Association of Emergency Physicians. Backgrounder: emergency department overcrowding in Canada. 2004.Google Scholar
19. Alberti, G. Transforming emergency care in England. October 2004. Available at: 2009;54:504–10, doi:http//aace.org.uk/wp-content/uploads/2011/11/Transforming-Emergency-Carein-England.pdf4(accessed September 30, 2013).Google Scholar
20. Dickson, EW, Anguelov, Z, Vetterick, D, et al. Use of LEAN in the emergency department: a case series of 4 hospitals. Ann Emerg Med 2009;54:504–10, doi:10.1016/j.annemergmed.2009.03.024.CrossRefGoogle ScholarPubMed
21. Rowe, BH, V-RC, Lashyn, T, Singh, M, et al. Emergency department staffing decisions using trial data: what really matters? CJEM 2012;14 Suppl 1:S46.Google Scholar
22. Rowe, BH, Guo, X, Villa-Roel, C, et al. The role of triage liaison physicians on mitigating overcrowding in emergency departments: a systematic review. Acad Emerg Med 2011;18:111–20, doi:10.1111/j.1553-2712.2010.00984.x.CrossRefGoogle ScholarPubMed
23. Hutchison, B, Ostbye, T, Barnsley, J, et al. Patient satisfaction and quality of care in walk-in clinics, family practices and emergency departments: the Ontario walk-in clinic study Can Med Assoc J 2003;168:977–83.Google Scholar
24. Affleck, A, Innes, G. Quality of care in walk-in clinics, family practice and emergency departments: the Ontario walk-in clinic study. CJEM 2003;5:350–2.Google Scholar
25. Yoon, P. Emergency department fast-track system. HTA Initiative #10. Edmonton (AB): Alberta Heritage Foundation for Medical Research; 2003.Google Scholar
26. Bullard, MJ, Villa-Roel, C, Guo, X, et al. The role of a rapid assessment zone/pod on reducing overcrowding in emergency departments: a systematic review. Emerg Med J 2012;29:372–8, doi:10.1136/emj.2010.103598.Google Scholar
27. Schull, MJ, Vermeulen, MJ, Stukel, TA, et al. Evaluating the effect of clinical decision units on patient flow in seven Canadian emergency departments. Acad Emerg Med 2012;19:828–36, doi:10.1111/j.1553-2712.2012.01396.x.CrossRefGoogle ScholarPubMed
28. Yoon, P, Steiner, I, Reinhardt, G. Analysis of factors influencing length of stay in the emergency department. CJEM 2003;5:155–61.Google Scholar
29. Villa-Roel, C, Guo, X, Holroyd, BR, et al. The role of full capacity protocols on mitigating overcrowding EDs Am J Emerg Med 2012;30:412–20, doi:10.1016/j.ajem.2010.12025.Google Scholar