Infographic on Emergency Department Crowding
Below is an infographic shared by the MHA program at the George Washington University Milken Institute School of Public Health.
There's some interesting data there… my comments:
The data on ED wait times shows only two data points (2003 and 2009). I'd like to see more data to draw a more valid conclusion about trends. It's unclear what the “wait” start and stop times are (since the average length of stay in the E.D. is usually a few hours). Billboards that advertise “average wait times” for the E.D. are also unclear… wait time until triage? Wait time until seeing a doctor?
Of course the average wait time in an E.D. “with boarding” is going to be longer, since boarding (keeping an admitted patient in the E.D.) is a sign of poor end-to-end patient flow (caused by not having inpatient beds available, through no fault of the E.D.)
Where it says “solutions,” I'd argue that “reduce E.D. boarding” is a goal. The exact solution or solutions would take a lot of root cause analysis, problem solving, and implementation of ideas.
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What issues do you see in your hospital related to E.D. overcrowding. What are you doing about it?