Crowding in emergency departments (EDs) across the country and around the world has had an impact on care quality. There have been documented increases in patient mortality, medication errors, pain, length of hospital stay, and other negative effects. When an ED is overcrowded, all licensed beds may be occupied, and overflow patients are frequently treated in hallways. In such cases, emergency physicians (EP) are forced to provide care to patients with inadequate nursing support and a lack of privacy, which precludes a thorough history and physical examination. Placing new patients in the waiting room until a licensed ED bed becomes available introduces an additional risk because there is no way to directly observe or monitor patients. Some hospital administrators insist on providing care in the hallways but fail to provide the logistical support required to do so. By emphasizing metrics such as the number of patients seen per hour, some ED staffing groups indirectly force physicians to see patients in unlicensed areas. Patient care in ED hallways is fraught with delays and difficulties in initiating laboratory testing, providing medication, supervising intravenous lines, recording vital signs, monitoring cardiac activity, or responding to new patient symptoms, regardless of the cause. The problem is exacerbated when a physician must simultaneously care for an excess of patients in the hallway and in official ED beds, and extra physicians are frequently unavailable to share the burden. In addition to the risk of poor patient outcomes, physicians are at risk.
In most emergency rooms across the country, patients must wait for several hours before being evaluated, treated, and admitted to the hospital. Far too often, patients end up “boarding” in emergency room hallways while waiting for a hospital bed to become available. According to the Centers for Disease Control and Prevention, two-thirds of American hospitals boarded patients in the ED for more than two hours while waiting for an inpatient bed, affecting approximately 1 in every 5 patients. If you were injured because of medical malpractice or lost a loved one as a result of a preventable medical error, call our office today. Allow an experienced medical malpractice attorney to fight for your rights. At DeFrancisco & Falgiatano, our highly experienced medical malpractice attorneys may be able to help you collect the compensation you deserve. We help clients throughout Upstate New York, with offices in multiple convenient locations. Our extensive experience in the medical malpractice field is reflected in the results we have achieved for our clients.
Boarding has been identified as one of the most serious consequences of ED overcrowding by the American College of Emergency Physicians. Aside from the frustration of seeing a loved one waiting for care in a hallway, patients who are left in the hallways can become confused and disoriented, which are symptoms of delirium.