Case Management

Eliminate overcrowding in the ED

Case Management Monthly, January 1, 2009

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ED overcrowding is a problem almost every hospital faces. Many patients inappropriately come to the ED for nonurgent issues, but, by law, the ED is required to treat everyone. This puts hospitals in the difficult situation of having to care for all patients safely and efficiently.

Peter Moran, RN, C, BSN, MS, CCM, case manager at Massachusetts General Hospital in Boston, says his ED has been working diligently on resolving overcrowding issues during the past two years. “We’re running into systems issues and operational issues, and we’re trying to pinpoint where the problems are,” Moran says.

Specifically, these problems involved throughput issues, so Mass General hired consultants to look at patient flow in the department and find the bottlenecks.

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