How public ambulance arrivals impact on Emergency Department workload and resource use | Zendy

Enrico Ferri | Zendy; L. Magrini | Zendy; Marco Alfano | Zendy; Michele Del Parco | Zendy; Salvatore Di Somma | Zendy

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How public ambulance arrivals impact on Emergency Department workload and resource use

Author(s) -

Enrico Ferri,

L. Magrini,

Marco Alfano,

Michele Del Parco,

Salvatore Di Somma

Publication year - 2010

Publication title -

emergency care journal

Language(s) - English

Resource type - Journals

eISSN - 2282-2054

pISSN - 1826-9826

DOI - 10.4081/ecj.2010.1.23

Subject(s) - medicine , workload , crowding , emergency department , emergency medicine , retrospective cohort study , medical emergency , resource use , intensive care unit , intensive care medicine , nursing , surgery , computer science , operating system , natural resource economics , neuroscience , economics , biology

Objectives: To examine patient’s characteristics associated with ED arrival mode, and to determine EMS impact on ED clinical resource use, workload and crowding. Methods: This is a retrospective study of patients seen at Sant’Andrea Hospital ED. Comparison focused on visit characteristics, and on resource use. Results: The use of EMS ambulance confirms association to older age, higher rate of hospital admission, longer length of stay, and severity of injury. Moreover our data show that ambulance referred patients are triaged into a higher acuity category and have a greater intensive care unit admission. Conclusion: Ambulance arrivals have a significant impact on ED resource use, workload and crowding

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