Edd Crowding Case Study

Great Essays
Year Author
Title
Journal Purpose Design/Sample Results/Recommendations Limitations Level/
Grade

2015 Sion Jo, Taeoh Jeong, Young Ho Jin, Jae Baek Lee, Jaechol Yoon, & Boyoung Park.

Emergency Department (ED) crowding is associated with inpatient mortality among critically ill patients admitted via the ed: Post hoc analysis from a retrospective study.

American Journal of Emergency Medicine. “To evaluate the assassination between ED crowding and inpatient mortality among critical ill patients admitted via the ED, and analyzed subsets of patient s according to the admission diagnosis (p. 1726).” Design: post hoc analysis using data from previous retrospective study from Jan 1, 2009 to Dec 31, 2010- Total of 1846 patient.

Sample admitted patients who admitted via ED
…show more content…
Standardizing admission and discharge processes to improve patient flow: A cross sectional study.

BMC Health Services Research, “To evaluate how hospital capacity was managed focusing on the standardizing the admission and discharge process (p. 180).” Design; Cross-sectional study of a set of interventions which implemented gradually from April 2008 to Dec 2008 at 900-bed hospital in Spain.

Sample: All of patients who were admitted to hospital were included before the multiple interventions Jan 1, 2007 to Dec 31 2007 and after the implementation of interventions from Jan 1 2009 to Dec 31, 2009. Outcomes measure are length of stay, percentage of planned discharge, number of surgery cancellation, and median number of delayed ED admission
- Chi squared for analysis

Interventions:
- enhancing multidiscipline team work.
- Setting a planned date for discharge on day of admission / pre-admission using protocol for common conditions.
- planning discharge 24-hour in advance.
- centralizing admission team planning and schedule patient flow. Length of stay decreased from 4/85 days to 4.54

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