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Overnight stay in Spanish emergency departments and mortality in older patients.
Intern Emerg Med
September 2024
Emergency Department, Hospital Clínico San Carlos, IDISSC, Complutense University, Madrid, Spain.
Article Synopsis
- A study evaluated the impact of older adults (aged 75+) spending a night in emergency departments (ED) on their risk of in-hospital mortality, comparing those who were admitted to wards before midnight versus those who stayed in the ED until morning.
- Despite slightly higher in-hospital mortality rates for those in the ED (10.7%) compared to the ward group (9.5%), the differences were not statistically significant, indicating that staying overnight in the ED did not conclusively increase mortality risk.
- The findings suggest that while older patients may face potential risks when waiting in an ED overnight, especially in non-academic hospitals, overall, there was no evidence of longer hospital stays or higher mortality rates tied to this practice
Impact of a general medicine consultant-led ward round in the emergency department.
Intern Med J
August 2024
General Medicine Unit, Eastern Health, Melbourne, Victoria, Australia.
Background: Patients requiring admission to the general medicine wards in a public hospital are usually assessed by a medical registrar. This study is based at a metropolitan public hospital in Melbourne where the majority of general medicine patients in the emergency department (ED) are not seen by a consultant physician until they are transferred to the ward.
Aims: To assess the impact of general medicine consultant-led ward rounds (CWRs) in the ED on patient length of stay (LOS).
Impact of mental health boarding on clinicians at a children's hospital: A qualitative analysis.
J Hosp Med
March 2024
Division of General Pediatrics, Clinical Futures, and PolicyLab, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Article Synopsis
- * A study conducted interviews with 48 healthcare professionals, revealing common themes such as frustrations with the mental healthcare system and feelings of helplessness during these prolonged patient stays.
- * Addressing these issues could not only enhance clinician well-being but also improve patient care and reduce burnout in the healthcare workforce.
Addressing the Pediatric Mental Health Crisis in Emergency Departments in the US: Findings of a National Pediatric Boarding Consensus Panel.
J Acad Consult Liaison Psychiatry
December 2023
Department of Psychiatry and Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI. Electronic address:
Background: In 2021, several professional organizations declared a national state of emergency in child and adolescent mental health. Rising volume and acuity of pediatric mental health emergencies, coupled with reduced access to inpatient psychiatric care, has caused tremendous downstream pressures on EDs resulting in long lengths of stay, or "boarding", for youth awaiting psychiatric admission. Nationally, boarding times are highly heterogeneous, with medical / surgical patients experiencing much shorter boarding times compared to patients with primary mental health needs.
View Article and Find Full Text PDFHospitalists' Perceptions of Pediatric Mental Health Boarding: Quality of Care and Moral Distress.
Hosp Pediatr
March 2023
Department of Pediatrics, Geisel School of Medicine at Dartmouth College, Hanover, New Hampshire.
Background: Acute care hospitals increasingly provide care for youth experiencing mental health crises while they await transfer for psychiatric hospitalization. To inform quality improvement efforts, we aimed to characterize hospitalists' perceptions of health care quality during pediatric mental health boarding and their experiences of moral distress in caring for this population.
Methods: In March 2021, we conducted a web-based survey of hospitalists who participate in the Pediatric Research in Inpatient Settings (PRIS) network.
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