Regarding: effects of emergency department expansion on emergency department patient flow. In reply.
Regarding: effects of emergency department expansion on emergency department patient flow. In reply.
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关于：急诊科扩张对急诊科患者流量的影响。
DOI：
10.1111/acem.12497
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Holmes,JamesF
中科院分区：
文献类型：
--
作者：
Mumma,BrynE;Holmes,JamesF
We appreciate the comments from Drs. Patel and Vinson. Similar to their experience, 1 we found that emergency department (ED) expansion alone does not significantly affect measures of ED crowding. 2 Based on the data from these two centers and prior experience from a third hospital system, 3 ED and hospital administrators should no longer expect improvement in ED metrics (ED length of stay, boarding hours, left without being seen, etc.) solely by increasing the size of their ED.We agree that a multidisciplinary approach including hospital leadership and focusing on process improvement is a promising strategy for reducing ED crowding. 1, 4 Efforts to reduce ED crowding should consider both physical and process changes to the ED and hospital and not rely solely on ED bed expansion. Furthermore, rigorous study and publication of results of these efforts is needed to identify the best methods so that implementation beyond the local hospital is possible.
