The Association of ED Crowding Factors with Quality of Pain Management

Hwang, Ula; Morrison, Ray; Harris, Brendan R.; Spencer, Natasha; Richardson, L.

doi:10.1197/j.aem.2007.03.843

Cited by 2 publications

(3 citation statements)

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“…ED crowding has also been associated with delays in analgesic therapy for patients with severe pain 20,21,42 . One study demonstrated that higher ED patient occupancy and more waiting room patients were associated with delays in analgesia of greater than 1 hour both from triage and from room placement time 20 .…”

Section: Discussionmentioning

confidence: 99%

“…One study demonstrated that higher ED patient occupancy and more waiting room patients were associated with delays in analgesia of greater than 1 hour both from triage and from room placement time 20 . Another study demonstrated similar delays of over 1 hour from patient arrival to physician pain assessment, analgesia ordering, and analgesia administration during periods of high ED census, high number of boarders, and high number of nonboarding patients 42 . Finally, a study of hip fracture patients 50 years and older found that they were less likely to receive analgesia during periods of high ED patient census 21 …”

Section: Discussionmentioning

confidence: 99%

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The Effect of Emergency Department Crowding on Clinically Oriented Outcomes

Bernstein

Aronsky

Duseja

et al. 2008

Academic Emergency Medicine

969

636

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Effect of Emergency Department Crowding on Clinically Oriented Outcomes

Bernstein

Aronsky

Duseja

et al. 2008

Academic Emergency Medicine

969

636

View full text Add to dashboard Cite

show abstract

“… 1 It is also associated with long hospital LOS, 6 7 and high short-term and medium-term mortality rates. 8–10 Furthermore, overcrowding is linked with reduced timelines and quality of interventions and treatments, 11–13 including delayed analgesic administration, 14 15 particularly when pain is severe, 16 all of which contributes to the snowball effect of cumulating waits.…”

Section: Introductionmentioning

confidence: 99%

Is adequate pain relief and time to analgesia associated with emergency department length of stay? A retrospective study

et al. 2014

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ObjectivesEvaluate the association of adequate analgesia and time to analgesia with emergency department (ED) length of stay (LOS).Setting and DesignPost hoc analysis of real-time archived data.ParticipantsWe included all consecutive ED patients ≥18 years with pain intensity >6 (verbal numerical scale from 0 to 10), assigned to an ED bed, and whose pain was re-evaluated less than 1 h after receiving analgesic treatment.Outcome measuresThe main outcome was ED-LOS in patients who had adequate pain relief (AR=↓50% pain intensity) compared with those who did not have such relief (NR).ResultsA total of 2033 patients (mean age 49.5 years; 51% men) met our inclusion criteria; 58.3% were discharged, and 41.7% were admitted. Among patients discharged or admitted, there was no significant difference in ED-LOS between those with AR (median (25th–75th centile): 9.6 h (6.3–14.8) and 18.2 h (11.6–25.7), respectively) and NR (median (25th–75th centile): 9.6 h (6.6–16.0) and 17.4 h (11.3–26.5), respectively). After controlling for confounding factors, rapid time to analgesia (not AR) was associated with shorter ED-LOS of discharged and admitted patients (p<0.001 and <0.05, respectively). When adjusting for confounding variables, ED-LOS is shortened by 2 h (95% CI 1.1 to 2.8) when delay to receive analgesic is <90 min compared with >90 min for discharged and by 2.3 h (95% CI 0.17 to 4.4) for admitted patients.ConclusionsIn our study, AR was not linked with short ED-LOS. However, rapid administration of analgesia was associated with short ED-LOS.

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The Association of ED Crowding Factors with Quality of Pain Management

Cited by 2 publications

References 0 publications

The Effect of Emergency Department Crowding on Clinically Oriented Outcomes

The Effect of Emergency Department Crowding on Clinically Oriented Outcomes

Is adequate pain relief and time to analgesia associated with emergency department length of stay? A retrospective study

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