Crowding in the Emergency Department: Challenges and Recommendations for the Care of Children
Author:
Gross Toni K.1, Lane Natalie E.2, Timm Nathan L.3, Conners Gregory P., Gross Toni, Hoffmann Jennifer, Hsu Benson, Lee Lois, Marin Jennifer, Mazor Suzan, Paul Ronald, Saidinejad Mohsen, Waseem Muhammad, Cicero Mark, Ishimine Paul, Eisenberg Andrew, Fallat Mary, Fanflik Patricia, Johnson Cynthia Wright, Kinsman Sara, Lightfoot Cynthiana, Macias Charles, Remick Katherine, Shahid Sam, Stone Elizabeth, Wright Joseph, Callahan James, del Rey Javier Gonzalez, Joseph Madeline, Mack Elizabeth, Timm Nathan, Dietrich Ann, Moore Brian, Pilkey Diane, Saidinejad Mohsen, Snow Sally, Tellez Sue,
Affiliation:
1. aDivision of Emergency Medicine, Children’s Hospital New Orleans, Department of Pediatrics, Tulane University and LSU Health Sciences Center, New Orleans, Louisiana 2. bDepartment of Emergency Medicine and Department of Pediatrics, Medical College of Georgia, Augusta University, Augusta, Georgia 3. cDivision of Emergency Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio
Abstract
Emergency department (ED) crowding results when available resources cannot meet the demand for emergency services. ED crowding has negative impacts on patients, health care workers, and the community. Primary considerations for reducing ED crowding include improving the quality of care, patient safety, patient experience, and the health of populations, as well as reducing the per capita cost of health care. Evaluating causes, effects, and seeking solutions to ED crowding can be done within a conceptual framework addressing input, throughput, and output factors. ED leaders must coordinate with hospital leadership, health system planners and policy decision makers, and those who provide pediatric care to address ED crowding. Proposed solutions in this policy statement promote the medical home and timely access to emergency care for children.
Publisher
American Academy of Pediatrics (AAP)
Subject
Pediatrics, Perinatology and Child Health
Reference47 articles.
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