Rearranging the furniture: A blueprint for reappropriating fixed resources to create an emergency department resuscitative care unit
Abstract Emergency department (ED) care teams face challenges in providing timely, high‐quality care to critically ill patients because of competing patient care priorities and a multitude of system strains, including patient boarding. Patients who are boarding in the ED experience increased morbidi...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-06-01
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| Series: | Journal of the American College of Emergency Physicians Open |
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| Online Access: | https://doi.org/10.1002/emp2.13211 |
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| author | Angela Barskaya Liliya Abrukin Christopher McStay |
| author_facet | Angela Barskaya Liliya Abrukin Christopher McStay |
| author_sort | Angela Barskaya |
| collection | DOAJ |
| description | Abstract Emergency department (ED) care teams face challenges in providing timely, high‐quality care to critically ill patients because of competing patient care priorities and a multitude of system strains, including patient boarding. Patients who are boarding in the ED experience increased morbidity and mortality, and this is particularly true for those who are critically ill. Geography‐based models for critical care delivery in the ED range from resuscitation bays to full‐fledged ED intensive care units. Studies have shown that such models can improve patient survival without affecting cost. Here, we describe how we reappropriated limited fixed resources to create a critical care resuscitation unit in a busy, urban, academic ED. Our objective is to provide a blueprint for similar models, paying particular attention to operations, clinical care, education, and financial stability. |
| format | Article |
| id | doaj-art-5cd396df2a3d44fe80c543613c0d1d57 |
| institution | Kabale University |
| issn | 2688-1152 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj-art-5cd396df2a3d44fe80c543613c0d1d572025-08-20T03:34:13ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522024-06-0153n/an/a10.1002/emp2.13211Rearranging the furniture: A blueprint for reappropriating fixed resources to create an emergency department resuscitative care unitAngela Barskaya0Liliya Abrukin1Christopher McStay2Department of Emergency Medicine Columbia University New York New York USADepartment of Emergency Medicine Columbia University New York New York USADepartment of Emergency Medicine Columbia University New York New York USAAbstract Emergency department (ED) care teams face challenges in providing timely, high‐quality care to critically ill patients because of competing patient care priorities and a multitude of system strains, including patient boarding. Patients who are boarding in the ED experience increased morbidity and mortality, and this is particularly true for those who are critically ill. Geography‐based models for critical care delivery in the ED range from resuscitation bays to full‐fledged ED intensive care units. Studies have shown that such models can improve patient survival without affecting cost. Here, we describe how we reappropriated limited fixed resources to create a critical care resuscitation unit in a busy, urban, academic ED. Our objective is to provide a blueprint for similar models, paying particular attention to operations, clinical care, education, and financial stability.https://doi.org/10.1002/emp2.13211critical care medicineemergency critical careemergency department critical careemergency department intensive care unitresuscitation care unitsresuscitative care unit |
| spellingShingle | Angela Barskaya Liliya Abrukin Christopher McStay Rearranging the furniture: A blueprint for reappropriating fixed resources to create an emergency department resuscitative care unit Journal of the American College of Emergency Physicians Open critical care medicine emergency critical care emergency department critical care emergency department intensive care unit resuscitation care units resuscitative care unit |
| title | Rearranging the furniture: A blueprint for reappropriating fixed resources to create an emergency department resuscitative care unit |
| title_full | Rearranging the furniture: A blueprint for reappropriating fixed resources to create an emergency department resuscitative care unit |
| title_fullStr | Rearranging the furniture: A blueprint for reappropriating fixed resources to create an emergency department resuscitative care unit |
| title_full_unstemmed | Rearranging the furniture: A blueprint for reappropriating fixed resources to create an emergency department resuscitative care unit |
| title_short | Rearranging the furniture: A blueprint for reappropriating fixed resources to create an emergency department resuscitative care unit |
| title_sort | rearranging the furniture a blueprint for reappropriating fixed resources to create an emergency department resuscitative care unit |
| topic | critical care medicine emergency critical care emergency department critical care emergency department intensive care unit resuscitation care units resuscitative care unit |
| url | https://doi.org/10.1002/emp2.13211 |
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