Viccellio Peter, Zito Joseph A, Sayage Valerie, Chohan Jasmine, Garra Gregory, Santora Carolyn, Singer Adam J
Department of Emergency Medicine, Stony Brook University, Stony Brook, New York.
J Emerg Med. 2013 Dec;45(6):942-6. doi: 10.1016/j.jemermed.2013.07.018. Epub 2013 Sep 21.
Boarding of admitted patients in the emergency department (ED) is a major cause of crowding. One alternative to boarding in the ED, a full-capacity protocol where boarded patients are redeployed to inpatient units, can reduce crowding and improve overall flow.
Our aim was to compare patient satisfaction with boarding in the ED vs. inpatient hallways.
We performed a structured telephone survey regarding patient experiences and preferences for boarding among admitted ED patients who experienced boarding in the ED hallway and then were subsequently transferred to inpatient hallways. Demographic and clinical characteristics, as well as patient preferences, including items related to patient comfort and safety using a 5-point scale, were recorded and descriptive statistics were used to summarize the data.
Of 110 patients contacted, 105 consented to participate. Mean age was 57 ± 16 years and 52% were female. All patients were initially boarded in the ED in a hallway before their transfer to an inpatient hallway bed. The overall preferred location after admission was the inpatient hallway in 85% (95% confidence interval 75-90) of respondents. In comparing ED vs. inpatient hallway boarding, the following percentages of respondents preferred inpatient boarding with regard to the following 8 items: rest, 85%; safety, 83%; confidentiality, 82%; treatment, 78%; comfort, 79%; quiet, 84%; staff availability, 84%; and privacy, 84%. For no item was there a preference for boarding in the ED.
Patients overwhelmingly preferred the inpatient hallway rather than the ED hallway when admitted to the hospital.
急诊科收治患者滞留是导致拥挤的主要原因。急诊科滞留的一种替代方案是满负荷运转协议，即将滞留患者重新安置到住院病房，这可以减少拥挤并改善整体流程。
我们的目的是比较患者对急诊科滞留与住院病房走廊滞留的满意度。
我们对在急诊科走廊滞留并随后被转移到住院病房走廊的已收治急诊科患者进行了一项关于患者经历和滞留偏好的结构化电话调查。记录了人口统计学和临床特征以及患者偏好，包括使用5分制与患者舒适度和安全性相关的项目，并使用描述性统计来汇总数据。
在联系的110名患者中，105名同意参与。平均年龄为57±16岁，52%为女性。所有患者在转移到住院病房走廊床位之前最初都在急诊科走廊滞留。85%（95%置信区间75-90）的受访者表示入院后总体更喜欢的地点是住院病房走廊。在比较急诊科与住院病房走廊滞留时，以下百分比的受访者在以下8个项目上更喜欢住院病房滞留：休息，85%；安全，83%；隐私，82%；治疗，78%；舒适度，79%；安静，84%；工作人员可及性，84%；隐私，84%。没有一个项目显示患者更喜欢在急诊科滞留。
患者入院时绝大多数更喜欢住院病房走廊而非急诊科走廊。
