Annals of Emergency Medicine
Volume 54, Issue 4 , Pages 511-513 , October 2009

Advancing the Science of Emergency Department Crowding: Measurement and Solutions

  • Jesse M. Pines, MD, MBA, MSCE

      Affiliations

    • Department of Emergency Medicine and Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, and the Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA
    • Corresponding Author InformationAddress for correspondence: Jesse M. Pines, MD, MBA, MSCE, 3400 Spruce Street, Ground Ravdin, Philadelphia, PA 19104; 215-662-4050, Fax 215-662-3953
    • ,
  • Donald M. Yealy, MD

      Affiliations

    • Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA

References 

  1. Chalfin DB, Trzeciak S, Likourezos A, et al. Impact of delayed transfer of critically ill patients from the emergency department to the intensive care unit. Crit Care Med. 2007;35:1477–1483
  2. Pines JM, Pollack CV, Diercks DB, et al. Association between cardiovascular complications and emergency department crowding. Acad Emerg Med. In press.
  3. McCarthy ML, Zeger SL, Ding R, et al. Crowding delays treatment and lengthens emergency department length of stay, even among high-acuity patients. Ann Emerg Med. 2009;54:492–503
  4. Viccellio A, Santora C, Singer AJ, et al. The association between transfer of ED boarders to inpatient hallways and mortality: a 4-year experience. Ann Emerg Med. 2009;54:487–491
  5. Dickson E, Anguelov Z, Vetterick D, et al. Use of Lean in the emergency department: a case series of 4 hospitals. Ann Emerg Med. 2009;54:504–510
  6. Pines JM, Hollander JE. Emergency department crowding is associated with poor care for patients with severe pain. Ann Emerg Med. 2008;51:1–5
  7. Pines JM, Localio AR, Hollander JE, et al. The impact of emergency department crowding measures on time to antibiotics for patients with community-acquired pneumonia. Ann Emerg Med. 2007;50:510–516
  8. Fee C, Weber EJ, Maak CA, et al. Effect of emergency department crowding on time to antibiotics in patients admitted with community-acquired pneumonia. Ann Emerg Med. 2007;50:501–509
  9. Garson C, Hollander JE, Rhodes KV, et al. Emergency department patient preferences for boarding locations when hospitals are at full capacity. Ann Emerg Med. 2008;51:9–12
  10. Schneider SM, Asplin BR. Form follows finance: emergency department admissions and hospital operating margins. Acad Emerg Med. 2008;15:959–960
  11. Pines JM, Heckman JD. Emergency department boarding and profit maximization for high-capacity hospitals: challenging conventional wisdom. Ann Emerg Med. 2009;53:256–258

 Supervising editor: Michael L. Callaham, MD

 Dr. Callaham was the supervising editor on this article. Dr. Yealy did not participate in the editorial review or decision to publish this article.

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article that might create any potential conflict of interest. The authors have stated that no such relationships exist. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement.

 Publication date: Available online July 2, 2009.

 Reprints not available from the authors.

PII: S0196-0644(09)00533-2

doi: 10.1016/j.annemergmed.2009.05.023

Annals of Emergency Medicine
Volume 54, Issue 4 , Pages 511-513 , October 2009

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