Impact of Operational Staging to Improve Patient Throughput in an Inner-City Emergency Department During the Novel H1N1 Influenza Surge: A Descriptive Study

• 2012

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• Muhammad Waseem; Joan McInerney; Orlando Perales; Mark Leber
PMID: 22193699DOI: https://doi.org/10.1097/pec.0b013e31823f23fb

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About

This article discusses the response of a level 1 pediatric emergency department in South Bronx, NY during the 2009 H1N1 influenza outbreak. The study aimed to efficiently identify and treat patients with influenza-like illnesses while managing the increased patient census. By reorganizing patient flow and implementing staging measures, the department successfully handled the surge in visits without significant increases in walkout rates or 7-day asthma revisits. The results showed a substantial rise in ED visits during the outbreak, with no significant differences in admission rates compared to the previous year. The study highlights the importance of preparedness and resource allocation during public health emergencies.

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Tags

Focus Area: Infectious Disease

Audiences: Emergency Managers; EMS Clinicians

Emergency Management Stage: Response

Bundles: Disaster Research Literature Review

Keywords: Asthma; Comorbidity; Disaster Planning; Disease Outbreaks; Hospitals, Public; Hospitals, Urban; Influenza, Human; New York City; Patient Admission; Patient Readmission; Pediatrics; Personnel Management; Personnel Staffing and Scheduling; Time Factors; Triage; Urban Population; Resource Allocation; Emergency Service, Hospital; Influenza A Virus, H1N1 Subtype; Workflow

Institutions: New York City Health and Hospitals Corporation

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