The Utility of Predictive Modeling and a Systems Process Approach to Reduce Emergency Department Crowding: A Position Paper
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 aff...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2023-07-01
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| Series: | Interactive Journal of Medical Research |
| Online Access: | https://www.i-jmr.org/2023/1/e42016 |
| _version_ | 1797734020976476160 |
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| author | Ann Corneille Monahan Sue S Feldman |
| author_facet | Ann Corneille Monahan Sue S Feldman |
| author_sort | Ann Corneille Monahan |
| collection | DOAJ |
| description |
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. |
| first_indexed | 2024-03-12T12:38:12Z |
| format | Article |
| id | doaj.art-40269b546a2e4ee1920e91ad9344b253 |
| institution | Directory Open Access Journal |
| issn | 1929-073X |
| language | English |
| last_indexed | 2024-03-12T12:38:12Z |
| publishDate | 2023-07-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | Interactive Journal of Medical Research |
| spelling | doaj.art-40269b546a2e4ee1920e91ad9344b2532023-08-29T00:02:31ZengJMIR PublicationsInteractive Journal of Medical Research1929-073X2023-07-0112e4201610.2196/42016The Utility of Predictive Modeling and a Systems Process Approach to Reduce Emergency Department Crowding: A Position PaperAnn Corneille Monahanhttps://orcid.org/0000-0002-2536-2230Sue S Feldmanhttps://orcid.org/0000-0002-1173-3993 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.https://www.i-jmr.org/2023/1/e42016 |
| spellingShingle | Ann Corneille Monahan Sue S Feldman The Utility of Predictive Modeling and a Systems Process Approach to Reduce Emergency Department Crowding: A Position Paper Interactive Journal of Medical Research |
| title | The Utility of Predictive Modeling and a Systems Process Approach to Reduce Emergency Department Crowding: A Position Paper |
| title_full | The Utility of Predictive Modeling and a Systems Process Approach to Reduce Emergency Department Crowding: A Position Paper |
| title_fullStr | The Utility of Predictive Modeling and a Systems Process Approach to Reduce Emergency Department Crowding: A Position Paper |
| title_full_unstemmed | The Utility of Predictive Modeling and a Systems Process Approach to Reduce Emergency Department Crowding: A Position Paper |
| title_short | The Utility of Predictive Modeling and a Systems Process Approach to Reduce Emergency Department Crowding: A Position Paper |
| title_sort | utility of predictive modeling and a systems process approach to reduce emergency department crowding a position paper |
| url | https://www.i-jmr.org/2023/1/e42016 |
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