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The PSNet Collection: All Content
The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.
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Displaying 1 - 20 of 25 Results
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Rocha HM, Farre AGM, Santana Filho VJ. J Nurs Scholarsh. 2021;53(4):458-467.
… Review … J Nurs Scholarsh … Patient boarding in the emergency department (ED) can result in patient harm. This review …
Study
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Kappy B, Berkowitz D, Isbey S, et al. Am J Emerg Med. 2023;77:139-146.
… Study … Am J Emerg Med … Patient boarding (i.e., time from admission order to transfer to inpatient unit) in adult emergency departments (ED) has been associated with poorer … the impact of boarding times in one pediatric emergency department (PED) from 2018 to 2022. Increased boarding time …
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Coil CJ, Flood JD, Belyeu BM, et al. Ann Emerg Med. 2016;67(6):730-736.e2.
… Study … Annals of emergency medicine … Ann Emerg Med … When patients already designated as hospitalized remain as boarding in the emergency department, it poses a challenge for staff workflow as well …
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Loke DE, Green KA, Wessling EG, et al. Jt Comm J Qual Patient Saf. 2023;49(12):663-670.
… Patient Saf … Quantitative studies have demonstrated that emergency department (ED) overcrowding and patient boarding contribute to adverse events. This study includes …
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Lord K, Parwani V, Ulrich A, et al. Am J Emerg Med. 2018;36(7):1246-1248.
… … Am J Emerg Med … Am J Emerg Med … Overcrowding in the emergency department (ED) may adversely impact patient safety. Less is known about the relationship between extended boarding time in the ED and patient outcomes. This …
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Perspective on Safety
June 1, 2010
… Perspective … Emergency medicine has evolved from a location, with variably … (EPs) have identified delays caused by crowding from boarding of admitted patients as their most significant … problem. 3 We present a model for understanding emergency department (ED) patient safety and identify solutions by …
Pat Croskerry, MD, PhD, is a professor in emergency medicine at Dalhousie University in Halifax, Nova Scotia, Canada. Trained as an experimental psychologist, Dr. Croskerry went on to become an emergency medicine physician, and found himself surprised by the relatively scant amount of attention given to cognitive errors. He has gone on to become one of the world's foremost experts in safety in emergency medicine and in diagnostic errors. We spoke to him about both.
Patient Safety Innovations
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Patient Safety Innovation
April 7, 2022
… beds and intensivists and lead to longer wait times and boarding of critically ill patients in the emergency department (ED). 1 Data suggest that boarding of critically …
WebM&M Cases
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WebM&M Case
March 25, 2020
… to this CME activity. … Case Objectives … Define the emergency department triage process State the root causes and dangers of emergency department crowding Use waiting room patient …
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WebM&M Case
June 14, 2023
… Case … A 25-year-old female was sent by ambulance to the emergency department (ED) by a mental health clinic for suicidal … and safer disposition. Overcrowding in the ED , with boarding of admitted patients, led to inability to room and …
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Viccellio A, Santora C, Singer AJ, et al. Ann Emerg Med. 2009;54(4):487-91.
… Study … Annals of emergency medicine … Ann Emerg Med … A 2006 Institute of … of the current state of emergency care, and emergency department (ED) overcrowding was named as one of the major … ED overcrowding is transferring admitted patients who are boarding in the ED to the hallways of inpatient wards. This …
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Liu SW, Thomas SH, Gordon JA, et al. Ann Emerg Med. 2009;54(3):381-5.
… Study … Annals of emergency medicine … Ann Emerg Med … Adverse events were relatively common among patients boarding in the emergency department due to lack of inpatient beds. A prior study found …
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Williams C. Emerg Nurse. 2023;31(6):34-41.
… Commentary … Emerg Nurse … Overcrowding in the emergency department (ED) and boarding can place patients at increased risk for adverse …
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Kelen GD, Wolfe R, D’Onofrio G, et al. NEJM Catalyst. September 28, 2021.
… Study … Emergency department (ED) overcrowding and boarding can result in worse patient outcomes and increased …
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WebM&M Case
September 27, 2023
… The Case … An 85-year-old woman presented to the Emergency Department (ED) at 1800H complaining of abdominal pain that … EDs face historic volumes of patients and high levels of boarding and crowding, ED staff must improve workflows to …
WebM&M Cases
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WebM&M Case
August 31, 2022
… suspected septic arthritis and sent the patient to the Emergency Department (ED) via ambulance for evaluation and treatment by … a high volume of patients in the waiting room and multiple boarding patients awaiting inpatient beds. The patient stayed …
Study
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Petrino R, Tuunainen E, Bruzzone G, et al. Eur J Emerg Med. 2023;30(4):280-286.
… Study … Eur J Emerg Med … The emergency department is a busy and complex environment that can present … Two PSNet WebM&M commentaries highlight the impact of boarding and overcrowding in the emergency department on …
WebM&M Cases
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WebM&M Case
October 1, 2018
… The Case … A 70-year-old man was sent to the emergency department (ED) from a nursing facility due to decreased oral … care. Overcrowded EDs, particularly when accompanied by boarding admitted patients in the ED until inpatient beds are …
WebM&M Cases
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WebM&M Case
June 28, 2023
… The Case … A 66-year-old woman presented to the emergency department (ED) with acute renal failure, abdominal pain, and … has driven a problematic rise in emergency department (ED) boarding of critically ill patients. Because EDs historically …
WebM&M Cases
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WebM&M Case
May 1, 2008
… to await an available bed, thus avoiding a prolonged emergency department (ED) stay. Three hours later, a bed opened and the … several hours. As hospital occupancy increases, so does "boarding time," or the time that admitted patients wait for a …
WebM&M Cases
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WebM&M Case
November 27, 2019
… plan to ensure suicide risk assessments are completed in emergency departments and medical hospitals. … The Case … … male was found in the parking lot of the emergency department (ED) expressing suicidal ideation (SI) and was … was carried out. The ED staff arranged for placement in a boarding home (licensed or unlicensed, short-term housing …
