Factors Affecting Emergency Department Crowding - 09/06/20

Doi : 10.1016/j.emc.2020.04.001

James F. Kenny, MD ^a,^⁎ , Betty C. Chang, MD ^a, Keith C. Hemmert, MD ^b
^a Milstein Adult Emergency Department, NewYork-Presbyterian Hospital, Department of Emergency Medicine, Columbia University Irving Medical Center, 622 West 168th Street, Suite VC2-260, New York, NY 10032, USA
^b Department of Emergency Medicine, Hospital of the University of Pennsylvania, Perelman School of Medicine at the University of Pennsylvania, 3400 Spruce Street, Ground Floor Ravdin, Philadelphia PA 19104, USA

^∗Corresponding author. 622 West 168th Street, Suite VC2-260, New York, NY 10032.622 West 168th StreetSuite VC2-260New YorkNY10032

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Tuesday 09 June 2020

Résumé

Emergency department crowding is a multifactorial issue with causes intrinsic to the emergency department and to the health care system. Understanding that the causes of emergency department crowding span this continuum allows for a more accurate analysis of its effects and a more global consideration of potential solutions. Within the emergency department, boarding of inpatients is the most appreciable effect of hospital-wide crowding, and leads to further emergency department crowding. We explore the concept of emergency department crowding, and its causes, effects, and potential strategies to overcome this problem.

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Keywords : Emergency department, Crowding, Boarding, Overcrowding, Throughput, Operations