2024
Is boarding compromising our residents' education? A national survey of emergency medicine program directors
Goldflam K, Bradby C, Coughlin R, Cordone A, Bod J, Bright L, Merrill R, Tsyrulnik A. Is boarding compromising our residents' education? A national survey of emergency medicine program directors. AEM Education And Training 2024, 8: e10973. PMID: 38633136, PMCID: PMC11018641, DOI: 10.1002/aet2.10973.Peer-Reviewed Original ResearchResident educationEmergency departmentCross-sectional convenience sampleHigher patient volumesFree-text responsesPearson chi-square testED throughputBoarding patientsResident staffingChi-square testPatient volumeED boardingMixed-methods approachPatient flowManagement of critically ill patientsBedside teachingUndifferentiated patientsDescriptive dataResidency trainingResident feedbackCritically ill patientsNational surveyResident learningProgram directorsLack of exposure
2023
Hospital Capacity Command Centers: A Benchmarking Survey on an Emerging Mechanism to Manage Patient Flow
Franklin B, Yenduri R, Parekh V, Fogerty R, Scheulen J, High H, Handley K, Crow L, Goralnick E. Hospital Capacity Command Centers: A Benchmarking Survey on an Emerging Mechanism to Manage Patient Flow. The Joint Commission Journal On Quality And Patient Safety 2023, 49: 189-198. PMID: 36781349, DOI: 10.1016/j.jcjq.2023.01.007.Peer-Reviewed Original ResearchConceptsUS health systemHealth system leadersEmergency department (ED) patient throughputHealth systemPatient flowInterhospital transferInpatient careED boardingResponse rateNumber of bedsSystem leadersHospital capacityConvenience samplePatient throughputPeer-reviewed articlesHospitalBed managementDescriptive statisticsFuture research prioritiesFrequent motivationResearch prioritiesPositive ROIOnline survey
2022
Sustained Improvement in Patient Experience by Optimizing Patient Flow in Ambulatory Settings
Pashankar DS, Brown T, Votto P, Follo M, Formica RN, Schilsky ML, Mulligan DC, Khokhar B. Sustained Improvement in Patient Experience by Optimizing Patient Flow in Ambulatory Settings. Journal Of Patient Experience 2022, 9: 23743735221092610. PMID: 35402702, PMCID: PMC8990690, DOI: 10.1177/23743735221092610.Peer-Reviewed Original Research
2021
Mass casualty management
O'Donnell D, Lardaro T, Liao M. Mass casualty management. 2021, 305-316. DOI: 10.1002/9781119756279.ch100.Peer-Reviewed Original ResearchMass casualty incidentsEM physiciansCasualty incidentsMedical directorsEMS systemMedical director involvementEMS medical directorsQuality improvement processHealth care communityMass casualty careMultiple casualty incidentsPhysician resourcesImprove future responsesPhysician's roleCare communitySystem preparednessPatient flowCasualty carePhysiciansDirector involvementEffective triageMultiagency collaborationBest practicesImprovement processIncidenceCOVID-19 Impact on Healthcare and Supportive Services for People Who Use Drugs (PWUDs) in Malaysia
Vicknasingam B, Salleh N, Chooi WT, Singh D, Zaharim N, Kamarulzaman A, Chawarski MC. COVID-19 Impact on Healthcare and Supportive Services for People Who Use Drugs (PWUDs) in Malaysia. Frontiers In Psychiatry 2021, 12: 630730. PMID: 33854449, PMCID: PMC8039131, DOI: 10.3389/fpsyt.2021.630730.Peer-Reviewed Original ResearchMethadone maintenance treatment programTake-home dosesMaintenance treatment programCOVID-19 infectionDelivery of medicationsSupportive servicesHIV clinicMMT patientsTreatment disruptionPerson visitsTreatment protocolPatient's homeStudy participantsTreatment programCOVID-19 epidemicPatient flowTelemedicine resourcesCOVID-19 responseMedical personnelMedicationsPatientsLower ratesSemi-structured formatMovement Control OrderRecipients
2020
Autopsy Services and Emergency Preparedness of a Tertiary Academic Hospital Mortuary for the COVID-19 Public Health Emergency: The Yale Plan
McGuone D, Sinard J, Gill JR, Masters A, Liu C, Morotti R, Parkash V. Autopsy Services and Emergency Preparedness of a Tertiary Academic Hospital Mortuary for the COVID-19 Public Health Emergency: The Yale Plan. Advances In Anatomic Pathology 2020, 27: 355-362. PMID: 32649315, DOI: 10.1097/pap.0000000000000274.Peer-Reviewed Original ResearchConceptsAcute respiratory syndrome coronavirus 2 pandemicSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemicHealth care worker safetyCoronavirus 2 pandemicCOVID-19 public health emergencyHigh-quality patient carePublic health emergencyCorona Virus DiseaseEarly response phaseInfection controlPatient careTissue retrievalAutopsy serviceMortuary servicesHospital mortuaryAutopsiesHealth emergencyPatient flowNovel diseaseVirus diseasePlateau phaseDiseasePandemicRecent memoryEmergency preparedness
2017
Number of Consults and Response Times to ED: Effects on Patient Flow and Outcomes.
Perez MF, Holleck JL, Sfondrini M, Nemergut E, Gunderson CG, Federman DG. Number of Consults and Response Times to ED: Effects on Patient Flow and Outcomes. Connecticut Medicine 2017, 81: 69-73. PMID: 29738148.Peer-Reviewed Original ResearchConceptsNumber of consultsEmergency departmentProspective observational studyPatient flowComorbidity scoreInpatient mortalityED lengthAuthors' cohortPhysician consultationObservational studyMedian response timeStay durationConvenience sampleCohortOutcomesMortalityConsultsAgeNumber of servicesED shiftMinutesPatientsStay
2016
Ambulatory redesign: Strategies for quality improvement in patient care.
Sinanis N, Lyons C, Smith N, McGlennon M, Parker T, Truini C, Major-Campos M, Lacy J, Michaels K, Dest V, Lisitano R, Adelson K, Lilenbaum R. Ambulatory redesign: Strategies for quality improvement in patient care. Journal Of Clinical Oncology 2016, 34: 85-85. DOI: 10.1200/jco.2016.34.7_suppl.85.Peer-Reviewed Original ResearchPatient satisfactionVisit volumeMultidisciplinary teamOutpatient volumeTotal visit volumeLab turnaround timeProvider educationAcademic medical practiceProcess improvement changesPatient careTurnaround timePatient accessClinical programsProvider productivityPatient flowProvider rolesNational benchmarksMedical practiceWait timePreliminary findingsImprovement changesFY 2015FY 2014Volume increase
2013
The Safe Patient Flow Initiative: A Collaborative Quality Improvement Journey at Yale-New Haven Hospital
Jweinat J, Damore P, Morris V, D’Aquila R, Bacon S, Balcezak TJ. The Safe Patient Flow Initiative: A Collaborative Quality Improvement Journey at Yale-New Haven Hospital. The Joint Commission Journal On Quality And Patient Safety 2013, 39: 447-ap9. PMID: 24195198, DOI: 10.1016/s1553-7250(13)39058-8.Peer-Reviewed Original ResearchConceptsYale-New Haven HospitalAdult emergency departmentEmergency departmentPostanesthesia care unitAcademic medical centerPhysician/providerCare unitInpatient lengthFlow of patientsMedical CenterFiscal year 2008Operating roomPatient flowPatientsStayHospitalVisual controlSteering CommitteeDepartmentAverage lengthImprovement effortsFY 2011Days
2012
Solutions To Emergency Department ‘Boarding’ And Crowding Are Underused And May Need To Be Legislated
Rabin E, Kocher K, McClelland M, Pines J, Hwang U, Rathlev N, Asplin B, Trueger NS, Weber E. Solutions To Emergency Department ‘Boarding’ And Crowding Are Underused And May Need To Be Legislated. Health Affairs 2012, 31: 1757-1766. PMID: 22869654, DOI: 10.1377/hlthaff.2011.0786.Peer-Reviewed Original ResearchBuilding Hospital Management Capacity to Improve Patient Flow for Cardiac Catheterization at a Cardiovascular Hospital in Egypt
Wong R, Hathi S, Linnander EL, Banna A, Maraghi M, Din R, Ahmed A, Hafez AR, Allam AA, Krumholz HM, Bradley EH. Building Hospital Management Capacity to Improve Patient Flow for Cardiac Catheterization at a Cardiovascular Hospital in Egypt. The Joint Commission Journal On Quality And Patient Safety 2012, 38: 147-153. PMID: 22533126, PMCID: PMC3427659, DOI: 10.1016/s1553-7250(12)38019-7.Peer-Reviewed Original ResearchConceptsCardiac catheterizationPre-post intervention studyPercentage of patientsPatient flowPre-intervention periodNational Heart InstituteCatheterization laboratory proceduresResource-limited settingsSubset of proceduresTotal patientsConsecutive patientsMiddle-income countriesCardiovascular HospitalPostintervention periodHeart InstituteHospital careHigh-income countriesQI interventionsPatientsCatheterization proceduresIntervention studiesCatheterizationPatient crowdingWard unitSignificant reduction
2007
A Randomized Trial to Assess the Efficacy of Point-of-Care Testing in Decreasing Length of Stay in a Pediatric Emergency Department
Hsiao AL, Santucci KA, Dziura J, Baker MD. A Randomized Trial to Assess the Efficacy of Point-of-Care Testing in Decreasing Length of Stay in a Pediatric Emergency Department. Pediatric Emergency Care 2007, 23: 457-462. PMID: 17666926, DOI: 10.1097/01.pec.0000280506.44924.de.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentLength of stayEmergency departmentPOC groupTertiary hospital emergency departmentDedicated research assistantsFirst physician contactTrial of patientsPatient flowSelect pediatric patientsHospital emergency departmentCare testingEfficacy of pointMedical management decisionsPhysician contactPediatric patientsBlood workRandomized trialsED settingBlood drawPatientsInformed consentStayPOC testingSignificant decrease
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