sábado, 22 de agosto de 2015

AHRQ Patient Safety Network ► Ambulance diversion associated with reduced access to cardiac technology and increased one-year mortality.

AHRQ Patient Safety Network

When EDs are filled and hospitals are on "divert," heart patients have worse access to lifesaving therapies and higher 1-year mortality.Health Aff (Millwood). 2015;34:1273-1280.

PSNet header image

Ambulance diversion associated with reduced access to cardiac technology and increased one-year mortality.

Shen YC, Hsia RY. Health Aff (Millwood). 2015;34:1273-1280.

Overcrowding in emergency departments is a recognized safety hazard for patients. This study of heart attack patients in California demonstrates that overcrowding can have population-level effects when it is severe enough to force hospitals to close themselves to incoming ambulances ("diversion"). Patients whose closest emergency department experienced significant ambulance diversion had decreased access to life-saving therapies and had an increased one-year mortality risk. These results highlight the importance ofpatient flow throughout the hospital in order to ensure emergency department capacity. A past AHRQ WebM&M commentary discussed overcrowding in emergency rooms and triage processes to manage patient volume.

PubMed citation icon indicating hyperlink to external website
Available at icon indicating hyperlink to external website



Related Resources
STUDY
Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds.
Cohen T, Blatter B, Almeida C, Patel VL. J Am Med Inform Assoc. 2007;14:312-319.
STUDY
A pilot study examining undesirable events among emergency department–boarded patients awaiting inpatient beds.
Liu SW, Thomas SH, Gordon JA, Hamedani AG, Weissman JS. Ann Emerg Med. 2009;54:381-385.
STUDY
The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience.
Viccellio A, Santora C, Singer AJ, Thode HC Jr, Henry MC. Ann Emerg Med. 2009;54:511-513.
View all related resources...

No hay comentarios: