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Related Experiment Videos

Reducing ambulance diversion: a multihospital approach.

Ronald J Lagoe1, Janis C Kohlbrenner, Leslie D Hall

  • 1Hospital Executive Council, Syracuse, New York 13235, USA. hospexcl@dreamscape.com

Prehospital Emergency Care
|January 24, 2003
PubMed
Summary
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Implementing new procedures significantly reduced ambulance diversion hours in Syracuse, New York, by over 33% despite increased emergency transports. Further efforts are needed to address remaining diversion time.

Area of Science:

  • Emergency Medicine
  • Healthcare Management

Background:

  • Ambulance diversion, a practice where emergency departments temporarily stop accepting ambulances, can delay patient care.
  • Reducing ambulance diversion is crucial for ensuring timely access to emergency services.

Purpose of the Study:

  • To assess the effectiveness of implemented procedures aimed at decreasing ambulance diversion in Syracuse, New York.
  • To evaluate both system-wide and hospital-specific strategies for managing ambulance diversion.

Main Methods:

  • A retrospective review of ambulance diversion data from January 1, 2001, to June 30, 2002.
  • Analysis of system-wide information exchange protocols and hospital-specific planning, diversion criteria, and resource allocation.

Main Results:

Related Experiment Videos

  • Combined Syracuse hospitals experienced a 24.8% reduction in ambulance diversion hours between 2000 and 2001.
  • A further 33.6% decrease in diversion hours was observed from January to June 2001 and 2002.
  • These reductions occurred alongside a 7% increase in ambulance transports and a 5% rise in emergency department visits.

Conclusions:

  • A combination of community-wide and hospital-specific strategies effectively reduced ambulance diversion.
  • Despite reductions, significant diversion time persists, requiring attention from healthcare payers and consumers.