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Approach to decreasing emergency department ambulance diversion hours.
J Emerg Med. 2004 Feb; 26(2):189-92.JE

Abstract

Analysis between two local Emergency Departments (EDs) suggested an oscillatory phenomenon for ambulance diversion: When one hospital went on diversion it led to a disproportionate flow of ambulance traffic to a neighboring facility that subsequently was forced to go on divert. We hypothesized if one hospital could avoid diversion status, the need for diversion could be averted in the neighboring facility. ED A secured additional resources and made a commitment to no diversion for 1 week. No changes in operations occurred in hospital B. We found no differences in ambulance runs or ED census at either facility comparing the week before, during, and after the trial. There was a dramatic decline in diversion hours from 19.7 to 1.4 and 27.7 to 0 at hospitals A and B, respectively, during the trial period (p < 0.05) compared to the weeks before and after. We conclude that reciprocating effects can be decreased with one institution's commitment to avoid diversion, thus decreasing the need for diversion at a neighboring facility.

Authors+Show Affiliations

Department of Emergency Medicine, University of California, San Diego Medical Center, San Diego, California 92103, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

14980342

Citation

Vilke, Gary M., et al. "Approach to Decreasing Emergency Department Ambulance Diversion Hours." The Journal of Emergency Medicine, vol. 26, no. 2, 2004, pp. 189-92.
Vilke GM, Brown L, Skogland P, et al. Approach to decreasing emergency department ambulance diversion hours. J Emerg Med. 2004;26(2):189-92.
Vilke, G. M., Brown, L., Skogland, P., Simmons, C., & Guss, D. A. (2004). Approach to decreasing emergency department ambulance diversion hours. The Journal of Emergency Medicine, 26(2), 189-92.
Vilke GM, et al. Approach to Decreasing Emergency Department Ambulance Diversion Hours. J Emerg Med. 2004;26(2):189-92. PubMed PMID: 14980342.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Approach to decreasing emergency department ambulance diversion hours. AU - Vilke,Gary M, AU - Brown,Lana, AU - Skogland,Patty, AU - Simmons,Charles, AU - Guss,David A, PY - 2002/12/04/received PY - 2003/06/12/revised PY - 2003/07/08/accepted PY - 2004/2/26/pubmed PY - 2004/6/16/medline PY - 2004/2/26/entrez SP - 189 EP - 92 JF - The Journal of emergency medicine JO - J Emerg Med VL - 26 IS - 2 N2 - Analysis between two local Emergency Departments (EDs) suggested an oscillatory phenomenon for ambulance diversion: When one hospital went on diversion it led to a disproportionate flow of ambulance traffic to a neighboring facility that subsequently was forced to go on divert. We hypothesized if one hospital could avoid diversion status, the need for diversion could be averted in the neighboring facility. ED A secured additional resources and made a commitment to no diversion for 1 week. No changes in operations occurred in hospital B. We found no differences in ambulance runs or ED census at either facility comparing the week before, during, and after the trial. There was a dramatic decline in diversion hours from 19.7 to 1.4 and 27.7 to 0 at hospitals A and B, respectively, during the trial period (p < 0.05) compared to the weeks before and after. We conclude that reciprocating effects can be decreased with one institution's commitment to avoid diversion, thus decreasing the need for diversion at a neighboring facility. SN - 0736-4679 UR - https://www.unboundmedicine.com/medline/citation/14980342/Approach_to_decreasing_emergency_department_ambulance_diversion_hours_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0736467903003469 DB - PRIME DP - Unbound Medicine ER -