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Strategies for managing a busy emergency department

Published online by Cambridge University Press:  21 May 2015

Samuel G. Campbell*
Affiliation:
Department of Emergency Medicine, Dalhousie University, Halifax, NS
Douglas E. Sinclair
Affiliation:
Department of Emergency Medicine, Dalhousie University, Halifax, NS
*
Department of Emergency Medicine, Dalhousie University, Halifax NS; 902 473-3871, fax 902 473-3617, sgcampbe@dal.ca

Abstract

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In a time of increased patient loads and emergency department (ED) exit block, the need for strategies to manage patient flow in the ED has become increasingly important. In March 2002 we contacted all 1282 members of the Canadian Association of Emergency Physicians and asked them to delineate strategies for enhancing ED patient flow and ED productivity without increasing stress levels, reducing care standards or compromising patient safety. Thirty physicians responded. Their suggested flow management strategies, which ranged from clinical decision-making to communication to choreography of time, space and personnel, are summarized here.

Type
ED Administration • L’Administration de la MU
Copyright
Copyright © Canadian Association of Emergency Physicians 2004

References

1.Schull, MJ, Slaughter, PM, Redelmeier, DA.Urban emergency department overcrowding: defining the problem and eliminating misconceptions. Can J Emerg Med 2002;4(2):7683.Google ScholarPubMed
2.Miro, O, Antonio, MT, Jiminez, S, De Dios, A, Sanchez, M, Borras, A, et al. Decreased health care quality associated with emergency department overcrowding. Europ J Emerg Med 1999;6:1057.CrossRefGoogle ScholarPubMed
3.Egan, N.Managing a bed crisis. J Accid Emerg Med 1999;16:1456.CrossRefGoogle ScholarPubMed
4.Spaite, DW, Bartholomeaux, F, Guisto, J, Lindberg, E, Hull, B, Eyherabide, A, et al. Rapid process design in a university-based emergency department: decreasing waiting time intervals and improving patient satisfaction. Ann Emerg Med 2002;39:16877.CrossRefGoogle Scholar
5.Richards, JR, Navarro, ML, Derlet, RW.Syrvey of directors of emergency departments in California on overcrowding. West J Med 2000;172:3858.CrossRefGoogle Scholar
6.Kyriacou, DN, Ricketts, V, Dyne, PL, McCollough, MD, Talan, DA.A 5-year time study analysis of emergency department patient care efficiency. Ann Emerg Med 1999;34:32635.CrossRefGoogle ScholarPubMed
7.Drummond, AJ.No room at the inn: overcrowding in Ontario’s emergency departments. Can J Emerg Med 2002;4(2):917.Google ScholarPubMed
8.Lynn, SG.Kellerman, AL.Critical decision making in the emergency department in an overcrowded hospital. Ann Emerg Med 1991;20:28792.CrossRefGoogle Scholar
9.Campbell, SG, Maxwell, DM, Sinclair, DE.Is individual emergency physician efficiency a significant determinant of ED overcrowding? [abstract]. Can J Emerg Med 2003;5(3):202.Google Scholar
10.Cardello, D.Monitoring staffing variances and length of stay. Nurs Manage 1995;26(4):38, 401.CrossRefGoogle ScholarPubMed
11.Yoon, P, Steiner, I, Reinhardt, G.Analysis of factors influencing length of stay in the emergency department. Can J Emerg Med 2003;5(3):15561.Google ScholarPubMed
12.Worster, A, Innes, G, Abu-Laban, RB.Diagnostic testing: an emergency medicine perspective. Can J Emerg Med 2002;4(5): 34854.Google Scholar
13.Sibbald, B.Can your patient understand you? CMAJ 2000;163 (8):1039.Google ScholarPubMed
14.Weir, E.Illiteracy as a public health issue CMAJ 2001;164 (10):1486.Google ScholarPubMed
15.Croskerry, P.The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med 2003;78:77580.CrossRefGoogle Scholar
16.Beveridge, R, Clarke, B, Janes, L, Savage, N, Thompson, J, Dodd, G, et al. Canadian Emergency Department Triage and Acuity Scale implementation guidelines. Can J Emerg Med 1999;1(3 suppl). Available: www.caep.ca/002.policies/002–02.ctas.htm (accessed 26 Mar 2004).Google Scholar
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