Accepted for/Published in: Interactive Journal of Medical Research
Date Submitted: Aug 29, 2022
Date Accepted: May 10, 2023
The utility of predictive modeling and a systems process approach to reduce emergency department crowding: A position paper
ABSTRACT
Crowding and its main causes, exit block and boarding, continue to threaten the quality and safety of ED care. Most interventions to reduce crowding have not been comprehensive or system solutions, only focusing on part of the care procession and not directly effecting boarding reduction. This position paper proposes that the complexities of the emergency department (ED) crowding problem can be optimally addressed by applying a systems approach to crowding through predictive modeling. Using predictive models to identify patients who are at risk of being admitted could be used to remove the exit block that causes boarding by initiating the complex and time-consuming bed management process earlier in the care continuum, shortening the time patients wait in the ED for an inpatient bed assignment. Thus, this, in turn, reduces exit block, boarding, and subsequently crowding.
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