"It concludes that there will be one additional death for every 69 patients who experience more than a four-hour wait in ED after the decision to admit has been made. This is consistent with previous studies. It's appalling in and of itself. Crucially, the study also demonstrated that for every four hours a person waited for a bed, their length of stay, once they got into that bed, increased by 8.6 hours."
""This intricate study adds to the growing library of evidence and reinforces what RCEM has been saying for years, whilst the solutions have been languishing in the 'too hard' basket. "The problem in our Emergency Departments is primarily caused by an inability to find beds for our patients. One reason we are short of beds is that we are actively making things worse for ourselves by keeping patients for hours or days in EDs."
One additional death occurs for every 69 patients who wait more than four hours in ED after the decision to admit. For every four hours a patient waits for a bed, in-bed length of stay increases by about 8.6 hours. ED overcrowding directly contributes to ambulance hold-ups and prolonged inpatient stays. Inability to find hospital beds and keeping patients in ED create a self-reinforcing cycle that worsens capacity. The resulting patient harm, operational disruption, and extended admissions generate substantial financial costs that could be redirected to solutions.
Read at London Business News | Londonlovesbusiness.com
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