Patients Prefer Boarding in Inpatient Hallways: Correlation with the National Emergency Department Overcrowding Score
Objective. The boarding of patients in Emergency Department (ED) hallways when no inpatient beds are available is a major cause of ED crowding. One solution is to board admitted patients in an inpatient rather than ED hallway. We surveyed patients to determine their preference and correlated their r...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2011/840459 |
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| _version_ | 1832550743620452352 |
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| author | John R. Richards Gal Ozery Mark Notash Peter E. Sokolove Robert W. Derlet Edward A. Panacek |
| author_facet | John R. Richards Gal Ozery Mark Notash Peter E. Sokolove Robert W. Derlet Edward A. Panacek |
| author_sort | John R. Richards |
| collection | DOAJ |
| description | Objective. The boarding of patients in Emergency Department (ED) hallways when no inpatient beds are available is a major cause of ED crowding. One solution is to board admitted patients in an inpatient rather than ED hallway. We surveyed patients to determine their preference and correlated their responses to real-time National Emergency Department Overcrowding Score (NEDOCS). Methods. This was a survey of admitted patients in the ED of an urban university level I trauma center serving a community of 5 million about their personal preferences regarding boarding. Real-time NEDOCS was calculated at the time each survey was conducted. Results. 99 total surveys were completed during October 2010, 42 (42%) patients preferred to be boarded in an inpatient hallway, 33 (33%) preferred the ED hallway, and 24 (24%) had no preference. Mean (±SD) NEDOCS (range 0–200) was 136±46 for patients preferring inpatient boarding, 112±39 for ED boarding, and 119±43 without preference. Male patients preferred inpatient hallway boarding significantly more than females. Preference for inpatient boarding was associated with a significantly higher NEDOCS. Conclusions. In this survey study, patients prefer inpatient hallway boarding when the hospital is at or above capacity. Males prefer inpatient hallway boarding more than females. The preference for inpatient hallway boarding increases as the ED becomes more crowded. |
| format | Article |
| id | doaj-art-12937ba3fe40405db2b9d82c097bb145 |
| institution | Kabale University |
| issn | 2090-2840 2090-2859 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-12937ba3fe40405db2b9d82c097bb1452025-02-03T06:05:52ZengWileyEmergency Medicine International2090-28402090-28592011-01-01201110.1155/2011/840459840459Patients Prefer Boarding in Inpatient Hallways: Correlation with the National Emergency Department Overcrowding ScoreJohn R. Richards0Gal Ozery1Mark Notash2Peter E. Sokolove3Robert W. Derlet4Edward A. Panacek5Department of Emergency Medicine, U.C. Davis Medical Center, Sacramento, CA 95817, USADepartment of Emergency Medicine, U.C. Davis Medical Center, Sacramento, CA 95817, USADepartment of Emergency Medicine, U.C. Davis Medical Center, Sacramento, CA 95817, USADepartment of Emergency Medicine, U.C. Davis Medical Center, Sacramento, CA 95817, USADepartment of Emergency Medicine, U.C. Davis Medical Center, Sacramento, CA 95817, USADepartment of Emergency Medicine, U.C. Davis Medical Center, Sacramento, CA 95817, USAObjective. The boarding of patients in Emergency Department (ED) hallways when no inpatient beds are available is a major cause of ED crowding. One solution is to board admitted patients in an inpatient rather than ED hallway. We surveyed patients to determine their preference and correlated their responses to real-time National Emergency Department Overcrowding Score (NEDOCS). Methods. This was a survey of admitted patients in the ED of an urban university level I trauma center serving a community of 5 million about their personal preferences regarding boarding. Real-time NEDOCS was calculated at the time each survey was conducted. Results. 99 total surveys were completed during October 2010, 42 (42%) patients preferred to be boarded in an inpatient hallway, 33 (33%) preferred the ED hallway, and 24 (24%) had no preference. Mean (±SD) NEDOCS (range 0–200) was 136±46 for patients preferring inpatient boarding, 112±39 for ED boarding, and 119±43 without preference. Male patients preferred inpatient hallway boarding significantly more than females. Preference for inpatient boarding was associated with a significantly higher NEDOCS. Conclusions. In this survey study, patients prefer inpatient hallway boarding when the hospital is at or above capacity. Males prefer inpatient hallway boarding more than females. The preference for inpatient hallway boarding increases as the ED becomes more crowded.http://dx.doi.org/10.1155/2011/840459 |
| spellingShingle | John R. Richards Gal Ozery Mark Notash Peter E. Sokolove Robert W. Derlet Edward A. Panacek Patients Prefer Boarding in Inpatient Hallways: Correlation with the National Emergency Department Overcrowding Score Emergency Medicine International |
| title | Patients Prefer Boarding in Inpatient Hallways: Correlation with the National Emergency Department Overcrowding Score |
| title_full | Patients Prefer Boarding in Inpatient Hallways: Correlation with the National Emergency Department Overcrowding Score |
| title_fullStr | Patients Prefer Boarding in Inpatient Hallways: Correlation with the National Emergency Department Overcrowding Score |
| title_full_unstemmed | Patients Prefer Boarding in Inpatient Hallways: Correlation with the National Emergency Department Overcrowding Score |
| title_short | Patients Prefer Boarding in Inpatient Hallways: Correlation with the National Emergency Department Overcrowding Score |
| title_sort | patients prefer boarding in inpatient hallways correlation with the national emergency department overcrowding score |
| url | http://dx.doi.org/10.1155/2011/840459 |
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