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The effects of minimizing ambulance diversion hours on emergency departments.
J Emerg Med. 2007 Aug; 33(2):155-9.JE

Abstract

This study explores the effects of minimizing Emergency Department (ED) bypass on individual hospital's ED census, ambulance transports, and admissions. Five hospitals in a geographic area collected data over 3 weeks. The first and third week represented controls, whereas the second week hospitals minimized their usage of bypass. Data collected included hours on bypass, ED census, ambulance runs, hospital admissions, and inter-facility transfers. The total number of hours on bypass for all hospitals for pre-trial, trial, and post-trial weeks were 112.2, 0.3, and 47, respectively. There were several statistical shifts in the proportion of ambulance runs and admissions seen by individual hospitals. Clinically, these shifts in patients were minor and within ED capacity. Hospitals in a given geographic area may successfully reduce the number of hours on bypass with possible minor shifting in the number of ambulance runs and admissions that are within ED capacity.

Authors+Show Affiliations

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

Pub Type(s)

Journal Article
Multicenter Study
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

17692767

Citation

Khaleghi, Murdoc, et al. "The Effects of Minimizing Ambulance Diversion Hours On Emergency Departments." The Journal of Emergency Medicine, vol. 33, no. 2, 2007, pp. 155-9.
Khaleghi M, Loh A, Vroman D, et al. The effects of minimizing ambulance diversion hours on emergency departments. J Emerg Med. 2007;33(2):155-9.
Khaleghi, M., Loh, A., Vroman, D., Chan, T. C., & Vilke, G. M. (2007). The effects of minimizing ambulance diversion hours on emergency departments. The Journal of Emergency Medicine, 33(2), 155-9.
Khaleghi M, et al. The Effects of Minimizing Ambulance Diversion Hours On Emergency Departments. J Emerg Med. 2007;33(2):155-9. PubMed PMID: 17692767.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effects of minimizing ambulance diversion hours on emergency departments. AU - Khaleghi,Murdoc, AU - Loh,Angela, AU - Vroman,Dori, AU - Chan,Theodore C, AU - Vilke,Gary M, Y1 - 2007/06/18/ PY - 2005/07/28/received PY - 2006/07/07/revised PY - 2006/11/12/accepted PY - 2007/8/19/pubmed PY - 2007/11/7/medline PY - 2007/8/19/entrez SP - 155 EP - 9 JF - The Journal of emergency medicine JO - J Emerg Med VL - 33 IS - 2 N2 - This study explores the effects of minimizing Emergency Department (ED) bypass on individual hospital's ED census, ambulance transports, and admissions. Five hospitals in a geographic area collected data over 3 weeks. The first and third week represented controls, whereas the second week hospitals minimized their usage of bypass. Data collected included hours on bypass, ED census, ambulance runs, hospital admissions, and inter-facility transfers. The total number of hours on bypass for all hospitals for pre-trial, trial, and post-trial weeks were 112.2, 0.3, and 47, respectively. There were several statistical shifts in the proportion of ambulance runs and admissions seen by individual hospitals. Clinically, these shifts in patients were minor and within ED capacity. Hospitals in a given geographic area may successfully reduce the number of hours on bypass with possible minor shifting in the number of ambulance runs and admissions that are within ED capacity. SN - 0736-4679 UR - https://www.unboundmedicine.com/medline/citation/17692767/The_effects_of_minimizing_ambulance_diversion_hours_on_emergency_departments_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0736-4679(07)00156-4 DB - PRIME DP - Unbound Medicine ER -