Use of the SONET Score to Evaluate High Volume Emergency Department Overcrowding: A Prospective Derivation and Validation Study
Joint Authors
Wang, Hao
Robinson, Richard D.
Garrett, John S.
Bunch, Kellie
Huggins, Charles A.
Watson, Katherine
Daniels, Joni
Banks, Brett
D’Etienne, James P.
Zenarosa, Nestor R.
Source
Emergency Medicine International
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-06-08
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Background.
The accuracy and utility of current Emergency Department (ED) crowding estimation tools remain uncertain in EDs with high annual volumes.
We aimed at deriving a more accurate tool to evaluate overcrowding in a high volume ED setting and determine the association between ED overcrowding and patient care outcomes.
Methods.
A novel scoring tool (SONET: Severely overcrowded-Overcrowded-Not overcrowded Estimation Tool) was developed and validated in two EDs with both annual volumes exceeding 100,000.
Patient care outcomes including the number of left without being seen (LWBS) patients, average length of ED stay, ED 72-hour returns, and mortality were compared under the different crowding statuses.
Results.
The total number of ED patients, the number of mechanically ventilated patients, and patient acuity levels were independent risk factors affecting ED overcrowding.
SONET was derived and found to better differentiate severely overcrowded, overcrowded, and not overcrowded statuses with similar results validated externally.
In addition, SONET scores correlated with increased length of ED stay, number of LWBS patients, and ED 72-hour returns.
Conclusions.
SONET might be a better fit to determine high volume ED overcrowding.
ED overcrowding negatively impacts patient care operations and often produces poor patient perceptions of standardized care delivery.
American Psychological Association (APA)
Wang, Hao& Robinson, Richard D.& Garrett, John S.& Bunch, Kellie& Huggins, Charles A.& Watson, Katherine…[et al.]. 2015. Use of the SONET Score to Evaluate High Volume Emergency Department Overcrowding: A Prospective Derivation and Validation Study. Emergency Medicine International،Vol. 2015, no. 2015, pp.1-11.
https://search.emarefa.net/detail/BIM-1063901
Modern Language Association (MLA)
Wang, Hao…[et al.]. Use of the SONET Score to Evaluate High Volume Emergency Department Overcrowding: A Prospective Derivation and Validation Study. Emergency Medicine International No. 2015 (2015), pp.1-11.
https://search.emarefa.net/detail/BIM-1063901
American Medical Association (AMA)
Wang, Hao& Robinson, Richard D.& Garrett, John S.& Bunch, Kellie& Huggins, Charles A.& Watson, Katherine…[et al.]. Use of the SONET Score to Evaluate High Volume Emergency Department Overcrowding: A Prospective Derivation and Validation Study. Emergency Medicine International. 2015. Vol. 2015, no. 2015, pp.1-11.
https://search.emarefa.net/detail/BIM-1063901
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1063901