Cost of Emergency Department Boarding for Hospitalized Patients in a Statewide Medical System
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30,486
- 试验地点
- 1
- 主要终点
- Boarding time
研究概览
简要总结
The goal of this observational study is to learn about the risk factors, costs, and operational impacts of emergency department boarding (patients admitted to the hospital but remaining in the emergency department awaiting placement on an inpatient floor)
The main questions it aims to answer is:
- What characteristics of patients make them more likely to experience ED boarding?
- What is the impact of ED boarding on costs of health care?
- How do high-boarding environments affect the clinical care of all patients in the emergency department, including those that do not board themselves.
Data will be secondary in nature, collected in the regular Participants already taking intervention A as part of their regular medical care for RA will answer online survey questions about their joint pain for 5 years.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •adults (> 18 years old) presenting to UMMS system hospitals ED
- •Patients hospitalized by inpatient or observation status over study period (2022-2025)
- •Admitted to a service that directly manages boarding patient in the ED. At UMMC, patient should be admitted to an internal medicine team Med 1-4, Med 6, Med 5, med/surg/tele level (no IMC/ICU) and neurology floor level.
排除标准
- •Patients admitted to cardiology, cancer center, surgical services
- •Patients admitted to not floor level status (IMC/ICU)
研究组 & 干预措施
Patients Hospitalized from the ED to Boarding Services
Adult patients admitted to floor level services that directly manage patients in the ED (medicine, family medicine, neurology)
结局指标
主要结局
Boarding time
时间窗: During hospitalization encounter
Time between admission order placement and ED departure. Only patients admitted to services that routinely take primary care responsibility for boarding patients in the ED will be classified as boarders
次要结局
- Boarding Percentage(During hospital encounter)
- Direct variable cost(During hospitalization)
- Hospital length of stay(During hospitalization)
- Boarding Density Ratio(During patient's ED stay)
研究者
Daniel Gingold
Assistant Professor
University of Maryland, Baltimore