Evaluation of physician in triage impact on overcrowding in emergency department using discrete-event simulation

Peng, Qingjin; Yang, Jie; Strome, Trevor; Weldon, Erin; Chochinov, Alecs

doi:10.5267/j.jpm.2020.8.002

Cited by 5 publications

(1 citation statement)

References 43 publications

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“…The ED has been repeatedly identified as a problematic and challenging setting for those in crisis or with mental health needs [5][6][7][8]. Peng et al [9] identified that a growing demand and limited resources in EDs have resulted in what they describe as 'overcrowding' where the demands of patients cannot be met within reasonable timeframes. Specifically, within the context of MHArelated needs, individuals with MHA needs are frequently found to be released from the ED without significant treatment, referral, or other next steps in care [4,10].…”

Section: Introductionmentioning

confidence: 99%

Examining an Alternate Care Pathway for Mental Health and Addiction Prehospital Emergencies in Ontario, Canada: A Critical Analysis

Meijer,

Ford-Jones,

Carter

et al. 2024

IJERPH

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Paramedics in Ontario have largely been limited to transporting those with mental health or addiction (MHA)-related emergencies to the emergency department (ED). The ED has repeatedly been identified as a problematic and challenging setting for people with MHA needs. This article examines an innovative patient care model (PCM) established by the Middlesex–London Paramedic Service and its partners for specific MHA emergencies where patients were given options for care that included transportation to a Canadian Mental Health Association (CMHA) Crisis Centre or information for support. Qualitative and quantitative data that were utilized for regular reporting to the Ministry were included in the analysis. The findings indicated that the goals of reducing pressures on EDs and paramedic services, enhancing paramedics’ ability to address MHA calls, and improving patient care experiences were met. This model improves patient autonomy and options for care, improves the means for addressing patients’ social determinants of health, and offers transportation to a non-medicalized facility.

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