Journal of Emergency Nursing
Volume 34, Issue 5 , Pages 441-446 , October 2008

ED Overcrowding: An Assessment Tool to Monitor ED Registered Nurse Workload that Accounts for Admitted Patients Residing in the Emergency Department

  • Robert Korn, MD, MBA

      Affiliations

    • Corresponding Author InformationFor correspondence, write: Robert Korn, MD, MBA, 11 Patri Court, Dix Hills, NY 11746
    • ,
  • Mary Mansfield, RN, MS

References 

  1. General Accounting Office. In: Hospital emergency departments, crowded conditions vary among hospitals and communities (report GAO 03-460). Washington (DC): The Office; March 2003;p. 3
  2. Derlet RW, Richards JR, Kravatz RL. Frequent overcrowding in U.S emergency departments. Acad Emerg Med. 2001;8:151–155
  3. Emergency Medical Associates (EMA). ED news (June 26, 2002). Available at: http://www.ema-ed.com/News-128/Health-Care-Advisory-Board-is-Featured-Speaker-at-EMAs-Combined-ED-Medical-Directors-Academy-and-ED-Nurse-Forum-131.htmlAccessed January 2, 2007
  4. Strunk BC, Ginsburg PB, Banker MI. The effect of population aging on future hospital demand. Health Aff 2006;25:w141-9. Epub March 28, 2006.
  5. Frezza EE, Girnys RP, Silich RJ, Coppa GF. Commentary: quality of care and cost containment are the hospital-based ambulatory surgery challenges for the future. Am J Med Qual. 2000;15:114–118
  6. American College Of Emergency Physicians. News release: emergency department visits remain at record high levels. Dallas: The College; June 23, 2006;
  7. Falvo T, Grove L, Stachura R, Zirkin W. The financial impact of ambulance diversions and patient elopements. Acad Emerg Med. 2007;14:58–62
  8. Kelen GD, Scheulen JJ, Hill PM. Effect of an emergency department managed acute care unit on ED overcrowding and emergency medical services diversion. Acad Emerg Med. 2001;8:1095–1100
  9. Hoxhaj S, Moseley MG, Reese CL. Nurse staffing levels affect the number of emergency department patients who leave without treatment. Acad Emerg Med. 2004;11:459–460
  10. Asplin BR, Magid DJ, Rhodes KV, Solberg LI, Lurie N, Camargo CA. A conceptual model of emergency department crowding. Ann Emerg Med. 2003;42:173–180
  11. Fullam C. Acuity-based ED nurse staffing: a successful 5-year experience. J Emerg Nurs. 2002;28:138–140
  12. Viccellio P. Emergency department overcrowding: an action plan. Acad Emerg Med. 2001;8:185–187
  13. Peter D. Hart Research Associates, patient to nurse staffing ratios: perspectives from Hospital nurses (April 2003). Available at: http://www.aft.org/pubs-reports/healthcare/HartStaffingReport2003.pdf
  14. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA. 2002;288:1987–1993

 Earn Up to 10 CE Hours. See page 495.

PII: S0099-1767(07)00402-3

doi: 10.1016/j.jen.2007.06.025

Journal of Emergency Nursing
Volume 34, Issue 5 , Pages 441-446 , October 2008

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