Urgency classification methods for emergency department visits: do they measure up?

Publication/Presentation Date

12-1-2008

Abstract

Across the United States, emergency departments (EDs) are plagued by overcrowding and its deleterious effects. Consequently, investigators have attempted to identify a subset of nonurgent patients who could potentially be managed in alternative settings to help alleviate the burden of overcrowding. Previous authors have used several methods to define ED visit urgency; however, the lack of a single valid method has resulted in widely variable estimates of nonurgent ED use. Accurate identification of nonurgent ED visits is necessary to compare nonurgent populations across health care settings and design safe, effective interventions aimed at reducing ED overcrowding. In this paper, we review the currently used methods for the classification of ED visit urgency, discuss the implications of measurement of ED urgency for health care stakeholders, and suggest future directions for the feasible, practical measurement of ED urgency.

Volume

24

Issue

12

First Page

870

Last Page

874

ISSN

1535-1815

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

19092571

Department(s)

Administration and Leadership

Document Type

Article

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