A brief history of ramping

Author:

Cook Benjamin1234ORCID,Evenden James2356,Genborg Ruby6,Stretton Brandon235,Kovoor Joshua37,Gibson Kieran8,Tan Sheryn3ORCID,Gupta Aashray3,Chan Weng O.235,Bacchi Carol3,Ittimani Mana9,Cusack Michael2,Maddison John124,Gluck Samuel134,Gilbert Tony124ORCID,McNeill Keith10,Bacchi Stephen12411

Affiliation:

1. Lyell McEwin Hospital Adelaide South Australia Australia

2. SA Health Adelaide South Australia Australia

3. University of Adelaide Adelaide South Australia Australia

4. Northern Adelaide Local Health Network Adelaide South Australia Australia

5. Royal Adelaide Hospital Adelaide South Australia Australia

6. South Australian Ambulance Service Adelaide South Australia Australia

7. Ballarat Base Hospital Ballarat Victoria Australia

8. The University of Queensland St Lucia Queensland Australia

9. Royal Prince Alfred Hospital Sydney New South Wales Australia

10. Commission on Excellence and Innovation in Health Adelaide South Australia Australia

11. Flinders University Adelaide South Australia Australia

Abstract

Abstract‘Ramping’ is a commonly used term in contemporary Australian healthcare. It is also a part of the public and political zeitgeist. However, its precise definition varies among sources. In the published literature, there are distinctions between related terms, such as ‘entry overload’ and ‘Patient Off Stretcher Time Delay’. How ramping is defined and how it came to be defined have significance for policies and procedures relating to the described phenomenon. Through examination of the history of the term, insights are obtained into the underlying issues contributing to ramping and, accordingly, associated possible solutions.

Publisher

Wiley

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