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Developing models for patient flow and daily surge capacity research.
Brent R Asplin1, Thomas J Flottemesch, Bradley D Gordon
1Department of Emergency Medicine, Regions Hospital, 640 Jackson Street, St. Paul, MN 55101, USA. brent.r.asplin@healthpartners.com
Emergency department visits are rising while capacity shrinks. This study explores daily surge capacity and patient flow, proposing models for better hospital management and research.
Area of Science:
- Health Services Research
- Hospital Management
- Emergency Medicine
Background:
- U.S. emergency department (ED) visits increased 26% (1993-2003) to 114 million annually.
- Simultaneously, over 400 EDs closed, and nearly 200,000 inpatient beds were removed.
- This highlights critical concerns regarding daily surge capacity in healthcare systems.
Purpose of the Study:
- To examine the intersection of daily surge capacity and patient flow research agendas.
- To introduce novel models applicable to both daily surge capacity and hospital-wide patient flow.
- To identify future research directions based on these proposed models.
Main Methods:
- Literature review and conceptual analysis of surge capacity and patient flow research.
- Development of two theoretical models for surge capacity and patient flow.
- Identification of research questions stemming from model applications.
Main Results:
- Established the overlap between daily surge capacity and patient flow research.
- Proposed two models with potential applications for managing hospital patient flow and surge capacity.
- Outlined specific research questions for future investigation in this domain.
Conclusions:
- Daily surge capacity is a critical, under-researched area linked to patient flow.
- The proposed models offer a framework for advancing research in surge capacity and patient flow.
- Further research is needed to validate and apply these models for improved healthcare system efficiency.
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