Dissertation/Thesis Abstract

Nontraditional Bed Utilization to Support Decompression of Emergency Department Crowding
by Frye, Elaine C., D.N.P., Saint Francis Medical Center College of Nursing, 2018, 201; 10842813
Abstract (Summary)

Mitigating ED crowding will not be solved by working harder and faster, and is not a one-solution problem. There are tactics the ED can implement, tactics the inpatient units can implement, and tactics that should be implemented to support the transitioning of patients from the ED to the inpatient units. This DNP project focuses on implementing a pilot to evaluate the use of hall beds in the inpatient units for ED patients awaiting placement. This will be a significant change for the inpatient caregivers, and time and attention must be committed to the initial phase to promote cultural readiness in order to achieve success. Crowding in the ED is a facility problem, not an ED problem. A multipronged approach when mitigating ED crowding must emphasize safe, efficient patient care that leads to the best possible outcomes without delays in treatment, while still maintaining standards of care, respect for privacy, and clear communication with the patient. This project focuses on both providing care to adult general medical-surgical patients admitted to a Midwestern level-1 trauma center through the ED and reducing the volume of patients who leave before treatment complete or without being seen. In the end, this practice change will benefit patients seeking care in addition to capturing the lost patients and reimbursement that accompanies the care.

Indexing (document details)
Advisor: Garcia, Christina L.
Commitee: Garcia, Christina L., Hopwood, Jennifer A.
School: Saint Francis Medical Center College of Nursing
Department: Nursing
School Location: United States -- Illinois
Source: DAI-B 79/12(E), Dissertation Abstracts International
Subjects: Nursing, Health care management
Keywords: Boarding, ED crowding, Emergency medical services, Hall bed utilization
Publication Number: 10842813
ISBN: 978-0-438-20775-2
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