Developments in Surge Research Priorities: A Systematic Review of the Literature Following the <i>Academic Emergency Medicine</i> Consensus Conference, 2007–2015

Morton, Mark J.; DeAugustinis, Matthew L.; Velasquez, Christina A.; Singh, Sonal; Kelen, Gabor D.

doi:10.1111/acem.12815

Cited by 22 publications

(12 citation statements)

References 69 publications

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“…“Discharge waiting rooms” for lower‐acuity patients awaiting imminent discharge (i.e. awaiting a final laboratory check or medication dose) can open up capacity quickly as well 60,61 . Other interventions can be system‐wide or regional.…”

Section: Resultsmentioning

confidence: 99%

Boarding of critically Ill patients in the emergency department

et al. 2020

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Objectives Emergency department boarding is the practice of caring for admitted patients in the emergency department after hospital admission, and boarding has been a growing problem in the United States. Boarding of the critically ill has achieved specific attention because of its association with poor clinical outcomes. Accordingly, the Society of Critical Care Medicine and the American College of Emergency Physicians convened a Task Force to understand the implications of emergency department boarding of the critically ill. The objective of this article is to review the U.S. literature on (1) the frequency of emergency department boarding among the critically ill, (2) the outcomes associated with critical care patient boarding, and (3) local strategies developed to mitigate the impact of emergency department critical care boarding on patient outcomes. Data sources and study selection Review article. Data extraction and data synthesis Emergency department–based boarding of the critically ill patient is common, but no nationally representative frequency estimates has been reported. Boarding literature is limited by variation in the definitions used for boarding and variation in the facilities studied (boarding ranges from 2% to 88% of ICU admissions). Prolonged boarding in the emergency department has been associated with longer duration of mechanical ventilation, longer ICU and hospital length of stay, and higher mortality. Health systems have developed multiple mitigation strategies to address emergency department boarding of critically ill patients, including emergency department‐based interventions, hospital‐based interventions, and emergency department–based resuscitation care units. Conclusions Emergency department boarding of critically ill patients was common and was associated with worse clinical outcomes. Health systems have generated a number of strategies to mitigate these effects. A definition for emergency department boarding is proposed. Future work should establish formal criteria for analysis and benchmarking of emergency department–based boarding overall, with subsequent efforts focused on developing and reporting innovative strategies that improve clinical outcomes of critically ill patients boarded in the emergency department.

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Section: Resultsmentioning

confidence: 99%

Boarding of critically Ill patients in the emergency department

et al. 2020

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“…The research literature on triage in disasters remains relatively limited, and what data are available are thought to be of low quality. 37,93 Some notable exceptions are recent examples of high-quality research into ICU triage ethics 26,69 and triage protocol development. 57,58 To date, there has been no prospective validation of the major incident triage tools during a major incident.…”

Section: What Research Is Required On Triage?mentioning

confidence: 99%

Triage

Christian

2019

Critical Care Clinics

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KEYWORDS Triage Mass casualty incident Crisis response KEY POINTSTriage decision making is critical for a successful response to a mass casualty incident.How triage is applied differs across the surge response spectrum from conventional to crisis response. Disaster triage is a complex topic with which most clinicians have limited experience and often have difficulty in making the shift from the patient to population perspective to understand it well.Crit Care Clin 35 (2019) 575-589

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“…In 2006, Academic Emergency Medicine (AEM) published an important topic on the "Science of Surge" [5], summarizing the proceedings of the AEM consensus conference on the same subject [6].…”

Section: Introductionmentioning

confidence: 99%

“…Almost after ten years from this consensus conference, No identified articles concentrated specifically on determining key decision-makers [6] [7]; rather, the articles we detected to assess decision response efficacy in general procedures in terms of hospital and pre-hospital setting.…”

Section: Introductionmentioning

confidence: 99%

“…In the review of 10 years research including this study (2007 to 2017), there have been some valuable improvements in the concepts of measuring surge and creating surge capacity. However, among articles referred as being concerned with surge, few quantitative articles address the predefined results [6]. As the first objective the review in this article describes the quantitative researches in literature with regard to decision making in command-control section and surge capacity in disaster.…”

Section: Introductionmentioning

confidence: 99%

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How to Approach Real Mathematical Modeling in Surge Capacity: Clinical Review

Ziaee¹,

Assari²,

Ghanean³

et al. 2017

OJEM

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Objectives: Science of surge is one of most important topics in the realm of disaster preparedness. Since 2006, after Academic Emergency Medicine (AEM) Consensus Conference, few articles with quantitative data address decision making in surge capacity. The aim of this article is looking forward to the facts about mathematical modeling and proposes real modeling in decision making to have better outcome. Methods: Literature Research was performed on database for the last ten years (2007-2017). Articles with mathematical modeling were separated and classified based on the usage of them in the field. Results: All current mathematical studies compared based on prehospital and hospital setting and flexibility in change of global level of care in time. Integrated model of sigmoid curve and HASC (Hospital Acute Care Surge Capacity) with name B-H integrated modeling in two-hour interval proposed. Conclusion: This study shows dynamic process of disaster planning based on outcome and reality. The proposed model makes surge capacity more predictable and adjustable.

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Developments in Surge Research Priorities: A Systematic Review of the Literature Following the Academic Emergency Medicine Consensus Conference, 2007–2015

Cited by 22 publications

References 69 publications

Boarding of critically Ill patients in the emergency department

Boarding of critically Ill patients in the emergency department

Triage

How to Approach Real Mathematical Modeling in Surge Capacity: Clinical Review

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