Interventions to Safeguard System Effectiveness During Periods of Emergency Department Crowding

Authors

  • Keith E. Kocher MD, MPH,

    1. From the Department of Emergency Medicine, University of Michigan (KEK), Ann Arbor, MI; St. Rose Dominican Hospitals and Children’s Hospital of Nevada (SAS), Henderson and Las Vegas, NV; Brigham and Women’s Hospital-Massachusetts General Hospital-Harvard Affiliated Emergency Medicine Residency (AKV), Boston, MA; the Departments of Biomedical Informatics & Emergency Care, School of Medicine, Vanderbilt University (DA), Nashville, TN; Fairview Medical Group (BRA), St. Paul, MN; and the Department of Emergency Medicine, Baystate Medical Center and Tufts University School of Medicine (NKR), Springfield, MA.
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  • Steven A. Shane MD, MS,

    1. From the Department of Emergency Medicine, University of Michigan (KEK), Ann Arbor, MI; St. Rose Dominican Hospitals and Children’s Hospital of Nevada (SAS), Henderson and Las Vegas, NV; Brigham and Women’s Hospital-Massachusetts General Hospital-Harvard Affiliated Emergency Medicine Residency (AKV), Boston, MA; the Departments of Biomedical Informatics & Emergency Care, School of Medicine, Vanderbilt University (DA), Nashville, TN; Fairview Medical Group (BRA), St. Paul, MN; and the Department of Emergency Medicine, Baystate Medical Center and Tufts University School of Medicine (NKR), Springfield, MA.
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  • Arjun K. Venkatesh MD, MBA,

    1. From the Department of Emergency Medicine, University of Michigan (KEK), Ann Arbor, MI; St. Rose Dominican Hospitals and Children’s Hospital of Nevada (SAS), Henderson and Las Vegas, NV; Brigham and Women’s Hospital-Massachusetts General Hospital-Harvard Affiliated Emergency Medicine Residency (AKV), Boston, MA; the Departments of Biomedical Informatics & Emergency Care, School of Medicine, Vanderbilt University (DA), Nashville, TN; Fairview Medical Group (BRA), St. Paul, MN; and the Department of Emergency Medicine, Baystate Medical Center and Tufts University School of Medicine (NKR), Springfield, MA.
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  • Dominik Aronsky MD, PhD,

    1. From the Department of Emergency Medicine, University of Michigan (KEK), Ann Arbor, MI; St. Rose Dominican Hospitals and Children’s Hospital of Nevada (SAS), Henderson and Las Vegas, NV; Brigham and Women’s Hospital-Massachusetts General Hospital-Harvard Affiliated Emergency Medicine Residency (AKV), Boston, MA; the Departments of Biomedical Informatics & Emergency Care, School of Medicine, Vanderbilt University (DA), Nashville, TN; Fairview Medical Group (BRA), St. Paul, MN; and the Department of Emergency Medicine, Baystate Medical Center and Tufts University School of Medicine (NKR), Springfield, MA.
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  • Brent R. Asplin MD, MPH,

    1. From the Department of Emergency Medicine, University of Michigan (KEK), Ann Arbor, MI; St. Rose Dominican Hospitals and Children’s Hospital of Nevada (SAS), Henderson and Las Vegas, NV; Brigham and Women’s Hospital-Massachusetts General Hospital-Harvard Affiliated Emergency Medicine Residency (AKV), Boston, MA; the Departments of Biomedical Informatics & Emergency Care, School of Medicine, Vanderbilt University (DA), Nashville, TN; Fairview Medical Group (BRA), St. Paul, MN; and the Department of Emergency Medicine, Baystate Medical Center and Tufts University School of Medicine (NKR), Springfield, MA.
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  • Niels K. Rathlev MD

    1. From the Department of Emergency Medicine, University of Michigan (KEK), Ann Arbor, MI; St. Rose Dominican Hospitals and Children’s Hospital of Nevada (SAS), Henderson and Las Vegas, NV; Brigham and Women’s Hospital-Massachusetts General Hospital-Harvard Affiliated Emergency Medicine Residency (AKV), Boston, MA; the Departments of Biomedical Informatics & Emergency Care, School of Medicine, Vanderbilt University (DA), Nashville, TN; Fairview Medical Group (BRA), St. Paul, MN; and the Department of Emergency Medicine, Baystate Medical Center and Tufts University School of Medicine (NKR), Springfield, MA.
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  • Participants: Dominik Aronsky, Brent Asplin, Kevin Baumlin, Christopher Beach, Steven Bernstein, Michelle Blanda, Joseph Bushra, Linda Davis-Moon, Sarang Deo, Susan Duffy, Eric Goldlust, Matthew Gratton, David Griffen, Leon Haley, Jr., Kendall Hall, Thomas Riisgaard Hansen, Keith Kocher, Mark McClelland, Brad Morrison, Elaine Rabin, Niels Rathlev, John Rogers, Richard Ruddy, Steven Shane, Robert Sherwin, Inger Sondergaard, Olan Soremekun, Susan Stern, Seth Trueger, Arjun Venkatesh, and Andrew Zinkel.

  • Funding for this conference was made possible (in part) by 1R13HS020139-01 from the Agency for Healthcare Research and Quality (AHRQ). The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services, nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government. This issue of Academic Emergency Medicine is funded by the Robert Wood Johnson Foundation.

  • The authors have no potential conflicts of interest to disclose.

  • Supervising Editor: James Miner, MD.

Address for correspondence and reprints: Keith E. Kocher, MD, MPH; e-mail: kkocher@umich.edu.

Abstract

ACADEMIC EMERGENCY MEDICINE 2011; 18:1313–1317 © 2011 by the Society for Academic Emergency Medicine

Abstract

This article summarizes the proceedings of a breakout session, “Interventions to Safeguard System Effectiveness,” at the 2011 Academic Emergency Medicine consensus conference, “Interventions to Assure Quality in the Crowded Emergency Department.” Key definitions fundamental to understanding the effectiveness of emergency care during periods of emergency department (ED) crowding are outlined. Next, a proposed research agenda to evaluate interventions directed at improving emergency care effectiveness is outlined, and the paper concludes with a prioritization of those interventions based on breakout session participant discussion and evaluation.

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