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PubMed
Summary
This summary is machine-generated.

Hospital patient boarding, a growing crisis, strains emergency departments and hinders disaster response. Renaming it "hospital boarding" highlights systemic issues and calls for research and better mass casualty incident plans.

Keywords:
Emergency medicineHospital preparedness/responseMass casualty carePublic health preparedness/response

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Area of Science:

  • Healthcare Management
  • Public Health Preparedness
  • Emergency Medicine

Background:

  • Hospital patient boarding in emergency departments has reached crisis levels.
  • Boarding negatively impacts patient care and increases costs.
  • It critically compromises disaster preparedness due to space and staffing limits.

Purpose of the Study:

  • To address the escalating crisis of hospital patient boarding.
  • To reframe the issue from "emergency department boarding" to "hospital boarding" to identify root causes.
  • To advocate for increased research, leadership recognition, and improved mass casualty incident response planning.

Main Methods:

  • This is a commentary and call to action, not a research study.
  • It synthesizes existing literature on the effects of boarding.
  • It proposes a shift in perspective and actionable recommendations.

Main Results:

  • Hospital boarding significantly limits emergency department capacity for mass casualty incidents.
  • The problem is exacerbated by increasing disasters and decreasing healthcare resources.
  • The core issue lies with hospital and health system leadership.

Conclusions:

  • Hospital boarding requires a systemic approach, focusing on leadership and resource allocation.
  • Enhanced research funding and recognition of boarding's threat to disaster preparedness are crucial.
  • Development of effective hospital-based and regional mass casualty incident response plans is essential.