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Efficacy of a holding unit to reduce access block and attendance pressure in the emergency department.
Emerg Med J. 2009 Aug; 26(8):571-2.EM

Abstract

BACKGROUND

Access block, the inability of patients in the emergency department (ED) to access hospital beds, is a contributing factor to overcrowding in the ED. The effect of a holding unit (HU) on access block and some medical management indicators is presented.

METHODS

In October 2002 an HU was opened with 16 beds for patients coming from the ED. Every morning all the patients are moved from the HU to a conventional unit; if there are not enough unoccupied beds, elective admissions are cancelled. For the previous and subsequent years after the opening of the HU, the following factors were analysed: (1) number of patients visiting the ED; (2) number of urgent admissions; (3) length of stay in the ED; (4) number of patients waiting for an in-hospital bed in the ED at 08.00 h; (5) number of elective admissions; and (6) number of cancelled elective admissions.

RESULTS

Although there was an increase of 3.1% in the number of patients visiting the ED during the first year following the opening of the HU compared with the previous year, the number and percentage of urgent admissions remained unchanged. In the same period the mean number of patients waiting for a bed in the ED decreased by 55.6% (9.1 vs 4.0 patients per day). However, the mean length of stay in the ED increased by 6.9% (p<0.001). The number and percentage of cancelled elective admissions were similar in the two periods of the study.

CONCLUSION

The opening of an HU has led to an improvement in the access block.

Authors+Show Affiliations

Emergency Department, Hospital Universitari de Bellvitge, L'Hospitalet, Barcelona, Spain. carmen.gomez@bellvitgehospital.catNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19625552

Citation

Gómez-Vaquero, C, et al. "Efficacy of a Holding Unit to Reduce Access Block and Attendance Pressure in the Emergency Department." Emergency Medicine Journal : EMJ, vol. 26, no. 8, 2009, pp. 571-2.
Gómez-Vaquero C, Soler AS, Pastor AJ, et al. Efficacy of a holding unit to reduce access block and attendance pressure in the emergency department. Emerg Med J. 2009;26(8):571-2.
Gómez-Vaquero, C., Soler, A. S., Pastor, A. J., Mas, J. R., Rodriguez, J. J., & Virós, X. C. (2009). Efficacy of a holding unit to reduce access block and attendance pressure in the emergency department. Emergency Medicine Journal : EMJ, 26(8), 571-2. https://doi.org/10.1136/emj.2008.066076
Gómez-Vaquero C, et al. Efficacy of a Holding Unit to Reduce Access Block and Attendance Pressure in the Emergency Department. Emerg Med J. 2009;26(8):571-2. PubMed PMID: 19625552.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Efficacy of a holding unit to reduce access block and attendance pressure in the emergency department. AU - Gómez-Vaquero,C, AU - Soler,A Salazar, AU - Pastor,A Juan, AU - Mas,J R Perez, AU - Rodriguez,J Jacob, AU - Virós,X Corbella, PY - 2009/7/24/entrez PY - 2009/7/25/pubmed PY - 2009/12/16/medline SP - 571 EP - 2 JF - Emergency medicine journal : EMJ JO - Emerg Med J VL - 26 IS - 8 N2 - BACKGROUND: Access block, the inability of patients in the emergency department (ED) to access hospital beds, is a contributing factor to overcrowding in the ED. The effect of a holding unit (HU) on access block and some medical management indicators is presented. METHODS: In October 2002 an HU was opened with 16 beds for patients coming from the ED. Every morning all the patients are moved from the HU to a conventional unit; if there are not enough unoccupied beds, elective admissions are cancelled. For the previous and subsequent years after the opening of the HU, the following factors were analysed: (1) number of patients visiting the ED; (2) number of urgent admissions; (3) length of stay in the ED; (4) number of patients waiting for an in-hospital bed in the ED at 08.00 h; (5) number of elective admissions; and (6) number of cancelled elective admissions. RESULTS: Although there was an increase of 3.1% in the number of patients visiting the ED during the first year following the opening of the HU compared with the previous year, the number and percentage of urgent admissions remained unchanged. In the same period the mean number of patients waiting for a bed in the ED decreased by 55.6% (9.1 vs 4.0 patients per day). However, the mean length of stay in the ED increased by 6.9% (p<0.001). The number and percentage of cancelled elective admissions were similar in the two periods of the study. CONCLUSION: The opening of an HU has led to an improvement in the access block. SN - 1472-0213 UR - https://www.unboundmedicine.com/medline/citation/19625552/Efficacy_of_a_holding_unit_to_reduce_access_block_and_attendance_pressure_in_the_emergency_department_ L2 - https://emj.bmj.com/lookup/pmidlookup?view=long&amp;pmid=19625552 DB - PRIME DP - Unbound Medicine ER -