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Application of the Emergency Department Census Model

Application of the Emergency Department Census Model As health care systems across the United States continue to grapple with emergency department (ED) crowding and identify mechanisms to improve ED throughput, quantification of intradepartmen- tal efficiency and workload is required to provide much-needed objective measures to assist in the continuing development, implementation, and evaluation of these strategic initiatives. In an attempt to establish a straightforward measure of ED efficiency in relation to daily census and ED crowding, T. J. Flottemesch (2006) developed the ED Census Model. The purpose of this study was to apply the ED Census Model in a Southwestern U.S. community hospital setting. This application of the ED Census Model yielded 3 components: the ED Census Component, the ED Throughput Component, and the ED Efficiency Threshold Component. The components provide information necessary for understanding the impact of patient arrivals and departures on the underlying workflow processes that determine throughput. Key words: emergency department crowding, emergency department efficiency, throughput MERGENCY DEPARTMENT (ED) crow- hospital capacity and efficiency (output) (As- ding can be viewed as a complex phe- plin et al., 2003). Emergency department E nomenon that occurs when demand crowding is linked to ambulance diversion, in- for ED services outweighs supply, resulting creased numbers of patients http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advanced Emergency Nursing Journal Wolters Kluwer Health

Application of the Emergency Department Census Model

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References (8)

Copyright
Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins
ISSN
1931-4485
eISSN
1931-4493
DOI
10.1097/TME.0b013e31823ced53
pmid
22313902
Publisher site
See Article on Publisher Site

Abstract

As health care systems across the United States continue to grapple with emergency department (ED) crowding and identify mechanisms to improve ED throughput, quantification of intradepartmen- tal efficiency and workload is required to provide much-needed objective measures to assist in the continuing development, implementation, and evaluation of these strategic initiatives. In an attempt to establish a straightforward measure of ED efficiency in relation to daily census and ED crowding, T. J. Flottemesch (2006) developed the ED Census Model. The purpose of this study was to apply the ED Census Model in a Southwestern U.S. community hospital setting. This application of the ED Census Model yielded 3 components: the ED Census Component, the ED Throughput Component, and the ED Efficiency Threshold Component. The components provide information necessary for understanding the impact of patient arrivals and departures on the underlying workflow processes that determine throughput. Key words: emergency department crowding, emergency department efficiency, throughput MERGENCY DEPARTMENT (ED) crow- hospital capacity and efficiency (output) (As- ding can be viewed as a complex phe- plin et al., 2003). Emergency department E nomenon that occurs when demand crowding is linked to ambulance diversion, in- for ED services outweighs supply, resulting creased numbers of patients

Journal

Advanced Emergency Nursing JournalWolters Kluwer Health

Published: Jan 1, 2012

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