Emergencydepartment crowding hits crisis levels, risking patientsafety yale jamanetworkopen
The difference in median ED boarding time between high-occupancy and low-occupancy hospital-months was evaluated using the Wilcoxon rank sum test .Analyses were performed using R, version 4.0.2.Hospitals reporting benchmarking data increased from 1289 in January 2020 to 1769 in December 2021. Occupancy rates and boarding time had a threshold association: when occupancy exceeded 85%, boarding exceeded The Joint Commission 4-hour standard for 88.9% of hospital-months .
We found that hospital occupancy greater than 85% was associated with increased ED boarding beyond the 4-hour standard. Throughout 2020 and 2021, ED boarding increased even when hospital occupancy did not increase above January 2020 levels. The harms associated with ED boarding and crowding, long-standing before the pandemic, may have been further entrenched.
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