TY - GEN
T1 - Stranded on emergency isle
T2 - 2007 IEEE International Conference on Industrial Engineering and Engineering Management, IEEM 2007
AU - Levin, S.
AU - Han, J.
AU - Aronsky, D.
AU - Zhou, C.
AU - Hoot, N.
AU - Kelly, L.
AU - France, D.
PY - 2007
Y1 - 2007
N2 - Patients with cardiovascular disease (CVD) consume a large proportion of inpatient, procedural and emergency services within United States health care system. These patients are major contributors to the steadily increasing demand for health care services nationwide. Unfortunately, economic and legislative factors have resulted in concurrent reductions in hospital system capacity. The resulting imbalance has fallen directly on to the shoulders of emergency departments (ED) in the form of boarding. Boarding refers to the act of holding admitted patients in the ED until an inpatient bed becomes available. Boarding is a barrier to efficient throughput, a major contributor to ED overcrowding and a threat to patient safety. Patients with CVD often use the ED as an entry point to the hospital system. These patients frequently experience long boarding times as a result of hospital wide competition for inpatient resources. The objective of this study is to use survival analysis to determine how demand from competing cardiology admission sources affects access to ED patients requiring inpatient cardiac care. The model reflects bed management policies of the division of cardiology and demonstrates how variability in demand for cardiac services (i.e., surgical, catheterization, telemetry, intensive care) affects ED boarding time for cardiac patients.
AB - Patients with cardiovascular disease (CVD) consume a large proportion of inpatient, procedural and emergency services within United States health care system. These patients are major contributors to the steadily increasing demand for health care services nationwide. Unfortunately, economic and legislative factors have resulted in concurrent reductions in hospital system capacity. The resulting imbalance has fallen directly on to the shoulders of emergency departments (ED) in the form of boarding. Boarding refers to the act of holding admitted patients in the ED until an inpatient bed becomes available. Boarding is a barrier to efficient throughput, a major contributor to ED overcrowding and a threat to patient safety. Patients with CVD often use the ED as an entry point to the hospital system. These patients frequently experience long boarding times as a result of hospital wide competition for inpatient resources. The objective of this study is to use survival analysis to determine how demand from competing cardiology admission sources affects access to ED patients requiring inpatient cardiac care. The model reflects bed management policies of the division of cardiology and demonstrates how variability in demand for cardiac services (i.e., surgical, catheterization, telemetry, intensive care) affects ED boarding time for cardiac patients.
KW - Cardiology
KW - Cox hazard regression
KW - Emergency department
KW - Health care
KW - Survival
UR - http://www.scopus.com/inward/record.url?scp=40649095017&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=40649095017&partnerID=8YFLogxK
U2 - 10.1109/IEEM.2007.4419497
DO - 10.1109/IEEM.2007.4419497
M3 - Conference contribution
AN - SCOPUS:40649095017
SN - 1424415292
SN - 9781424415298
T3 - IEEM 2007: 2007 IEEE International Conference on Industrial Engineering and Engineering Management
SP - 1772
EP - 1776
BT - IEEM 2007
Y2 - 2 December 2007 through 4 December 2007
ER -