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{
    "pk": 19143,
    "title": "Perceptions of Emergency Department Crowding in Pennsylvania",
    "subtitle": null,
    "abstract": "Introduction: The state of emergency department (ED) crowding in Pennsylvania has not previously been reported.\nMethods: We assessed perceptions of ED crowding by surveying medical directors/chairs from Pennsylvania EDs in the spring of 2008.\nResults: A total of 106 completed the questionnaire (68% response rate). A total of 83% (86/104) agreed that ED crowding was a problem; 26% (27/105) reported that at least half of admitted patients boarded for more than 4 hours. Ninety-eight percent (102/104) agreed that patient satisfaction suffers during crowding and 79% (84/106) stated that quality suffers. Sixty-five percent (68/105) reported that crowding had worsened during the past 2 years. Several hospital interventions were used to alleviate crowding: expediting discharges, 81% (86/106); prioritizing ED patients for inpatient beds, 79% (84/ 106); and ambulance diversion, 55% (57/105). Almost all respondents who had improved ED operations reported that it had reduced crowding.\nConclusion: ED crowding is a common problem in Pennsylvania and is worsening in the majority of hospitals, despite the implementation of a variety of interventions. [West J EmergMed. 2013;14(1):1–10.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "emergency"
        },
        {
            "word": "crowding"
        },
        {
            "word": "overcrowding"
        },
        {
            "word": "Pennsylvania"
        },
        {
            "word": "interventions"
        },
        {
            "word": "Emergency Medicine"
        }
    ],
    "section": "Emergency Department Access",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/5d91b6r1",
    "frozenauthors": [
        {
            "first_name": "Jesse",
            "middle_name": "M",
            "last_name": "Pines",
            "name_suffix": "",
            "institution": "George Washington University Medical Center, Departments of Emergency Medicine and Health Policy, Washington, DC",
            "department": "None"
        },
        {
            "first_name": "Joshua",
            "middle_name": "A",
            "last_name": "Isserman",
            "name_suffix": "",
            "institution": "Sackler School of Medicine, Tel Aviv, Israel",
            "department": "None"
        },
        {
            "first_name": "John",
            "middle_name": "J",
            "last_name": "Kelly",
            "name_suffix": "",
            "institution": "Albert Einstein Medical Center, Department of Emergency Medicine, Philadelphia, Pennsylvania",
            "department": "None"
        }
    ],
    "date_submitted": "2011-01-02T03:43:31Z",
    "date_accepted": "2011-01-02T03:43:31Z",
    "date_published": "2012-11-15T20:54:35Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/19143/galley/9489/download/"
        }
    ]
}