The Utility of Predictive Modeling and a Systems Process Approach to Reduce Emergency Department Crowding: A Position Paper

Autor: Ann Corneille Monahan, Sue S Feldman
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Interactive Journal of Medical Research, Vol 12, p e42016 (2023)
Druh dokumentu: article
ISSN: 1929-073X
DOI: 10.2196/42016
Popis: Emergency department (ED) crowding and its main causes, exit block and boarding, continue to threaten the quality and safety of ED care. Most interventions to reduce crowding have not been comprehensive or system solutions, only focusing on part of the care procession and not directly affecting boarding reduction. This position paper proposes that the ED crowding problem can be optimally addressed by applying a systems approach using predictive modeling to identify patients at risk of being admitted to the hospital and uses that information to initiate the time-consuming bed management process earlier in the care continuum, shortening the time during which patients wait in the ED for an inpatient bed assignment, thus removing the exit block that causes boarding and subsequently reducing crowding.
Databáze: Directory of Open Access Journals