Emergency Room Analysis

Any patient brought into the Emergency Department, is first signed in at ED receptionist desk and triaged by a triage nurse, prioritized and brought to patient room by a charged nurse either by wheelchair or stretcher or walking by the patient depending on patient’s illness. A nurse is assigned to the patient. Emergency Doctor comes in and if the patient illness is life threatening it is stabilized and the Doctor orders test such as blood work and x-ray if necessary to be conducted. Based on the test result the patient is either discharged or admitted. Certain times the emergency department is filled with a lot of patient that there is no place to sit and patients keep coming in and creating

Once you arrive at the emergency room, you experience more waiting depending on your current condition. Some of these waits depend on: length of stay, time waiting for assessment, condition, waiting for inpatient bed, and lack of resources. Finally, when you’re ready to leave the emergency department waits can occur, like waiting for an inpatient bed or a ride home (CIHI, 2012). All of these reasons impact the growing wait times, with older adults becoming more frequent in emergency departments and the increasing population of older adults these wait times are going to continue to grow causing more harm than good, if older adults are unable to receive the appropriate care in a timely matter (Cooke, Oliver, & Burns, 2012).

Emergency Department crowding is a cause for great concern. It is costly and responsible for compromising quality of care and community trust (McHugh, VanDyke, McClelland, & Moss, 2011). According to McHugh et al. (2011), improving patient flow can mitigate ED crowding. This paper will describe a plan to implement an ED fast-track area (FTA) as one solution to improve patient flow and reduce ED crowding. The author will describe the approval process, review the problem, discuss the proposal, explain the rationale behind the proposal, examine the evidence, describe the implementation logistics, and determine the necessary resources required for implementation.

14 million Canadians visit Emergency Departments (ED) every year, and also reported to having the highest use of EDs (Ontario Hospital Association, 2006). ED overcrowding in Canada has become an epidemic. ED overcrowding has been defined as “a situation in which the demand for emergency services exceeds the ability of an (emergency) department to provide quality care within acceptable time frames” (Ontario Ministry of Health and Long Term Care, 2014). This has been an ongoing problem across Canada. Ontario has developed an initiative to reduce ED wait times by implementing a variety of strategies and collaborating with other institutions. This paper describes the Emergency Room National Ambulatory Intuitive (ERNI), an

And finally, by increasing funding for doctors, the waiting time in emergency rooms would decrease significantly by enabling the hospital to staff more doctors during the busy hours of the day. It would allow the hospital to staff additional doctors at night as well. These steps have been taken in some hospitals with great success. Hospitals have begun to communicate the expected wait times to their patients, one hospital even goes so far as to post waiting room times on the internet in real time, as of July 20 2007 at 19:31 the wait in the 5 hospitals listed ranged between 0 – 2 hr 40 minutes with the average being about

    The modern day emergency room is a department that is constantly busy. In the hustle of caring for patients, there are some details of the patient’s care that can be overlooked in a standard phone report to the accepting nurse. With this in mind, a change is needed so that there is an optimum patient outcome for each and every one of the people that walk through the doors of the emergency room and get admitted.

Queuing is feature of our daily life, whether in an airport, a post office or Emergency Departments(ED), few of us wishes to wait too long for service. The clinical cost of waiting too long for urgent treatment in an ED is all too long for service. Following media headlines, pooled with powerful political agenda lead to, in the late 1990s and the early 2000s many ED in the UK were struggling with high demand and poor patient flow. During this period it

With so many cases of unfilled position in the hospital patients is not obtaining great services. Patient not receiving proper cares leads to closures, because of prolonged postponements that have led to deaths. Patient complaints at the emergency room have increased in recent years. Numerous patients that were admitted to the hospital’s emergency room are at high risk of dying. Six percent of emergency rooms in the U.S. have closed. These closings took place in the inner-city and low-income areas, but with an emergency room visit increasing by nearly 51%, the overwhelming amount of closures.

Hospital emergency room wait times are the talk of the United States right now. Long wait times can contribute to the problems that decrease the quality of our health care system. Emergency room wait times depend on how busy the day is going, how long it takes for each patient to be seen, and how much staff is on duty. Wait times are also based on your injury as well. If you are there for a broken toe versus a head injury, you are going to be seen after the patient with the head injury despite the fact that you were there first. A case study researched and and written by Kevin Tuttle explains a challenge with a mission to decrease the wait times in the emergency room department.

In many cases “some rural patients lack access to primary care, and misuse 911 services in an attempt to access emergency departments for routine healthcare” (Community Paramedicine). The lack of local primary care providers in rural areas is also a major contributing factor to the misuse of emergency services. When an emergency medical technician or paramedic arrives at your home, you are evaluated and given a priority status, this information is then sent to the hospital and depending on the priority, a patient may be seen upon arrival or they will be moved to a waiting room to be seen after the most critical patients. This process called triage, benefits the system by allowing the most critical patient to be seen first despite the order of arrival. Wait times at emergency departments are frustrating to many, yet it is important to understand that because of the misuse of this system, even critical patients must wait due to the lack of resources available. In total only 27% of all patients experienced a wait time of 15 minutes or less (National Ambulatory Medical Care Survey) (See Table

Urgent Care System: In this suggestion, urgent care should be acting as a more effective system for non-emergency medical treatment. As being observed in emergency waiting room, especially at night, urgency statement for most of the cases can be measured between emergency and postpone-available treatments. In this way, urgent care is the department needed for treating patient, in which it is available to distribute and triage patients to different departments and directs them to receive testing lab immediately. By implementing this strategy, patients can be treated at the first time so that preventable death can be eased with urgent assistant provided and it makes work more efficient compares to be line up in family doctor’s office and going over the whole testing process for

Emergency departments are considered an important aspect of the health care system. For many years, wait times have been an area of concern for many Canadians and remain a significant issue. One of the major concerns within the Canadian health care system is the amount of time spent as waiting time in the healthcare services. Wait times are the length of time from when the patient is triaged and registered, to when the patient leaves from the emergency room (Affleck, Parks, Drummond, Rowe, & Ovens, 2013). Whether waiting for a doctor, waiting for prescription medication, or even waiting to get tested, the reasons for wait time in Canada are caused by many factors (Cole, Hopman, & Kawakami, 2011). This paper will seek to examine the factors contributing to longer wait times in the emergency department, examine the ways in which wait times impact society, and conclude by presenting possible solutions to reduce wait times.

You will need to determine facility location to transportation, medical providers, dentists, community centers, grocery stories, churches, temples and other places of worship, and distance to emergency rooms; (to save money, a number of hospitals and emergency rooms have closed or are in the process of closing). That extra travel time to an emergency room might make a difference in wait time. Studies reveal that the average wait time in American hospital emergency rooms is approximately 4 hours.

This research is trying to answer the question of how to reduce overcrowding in emergency rooms? Would people would want to access published wait times provided on the internet, and would this guide a patient make decisions on where they receive their care. The hypothesis being one, crowding maybe reduced with having upfront information, and therefore also provide increased patient satisfaction due to waiting less. Patients would have more choices available to them such as

Waiting in the emergency line of the hospital is even worse. In some cases patients have to wait for more then 10 hours. This is ridiculous! When a patient goes to emergency, it is urgent and cannot wait. One of the reasons for this is that hospitals are packed, and this is a disadvantage of free health care. For example, what if a patients sickness get worse or God forbid the patient dies while waiting for treatment. Who is going to be responsible for this? The answer is simple, it will be the government. For example, Statistics Canada found that about one fifth of patients who visited a specialist, and about 11 per cent of those waiting for non-emergency surgery, were adversely affected by their wait. Many reported experiencing worry, stress, anxiety, pain, and difficulties with daily activities. (Barua, 2014).