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Table 2 Crowding solutions implemented by capacity

From: Implementation of crowding solutions from the American College of Emergency Physicians Task Force Report on Boarding

Capacity

 

Total

Under capacity

Good balance

At capacity

Over capacity

P

n

n

%

n

%

n

%

n

%

High-impact solutions

Inpatient full capacity protocols

68

7

10%

17

25%

17

25%

27

40%

0.03

Inpatient discharge coordination

196

21

11%

66

34%

53

27%

56

29%

0.21

Surgical Schedule Smoothing

110

10

9%

35

32%

31

28%

34

31%

0.63

Additional solutions

Bedside registration/eliminating triage

206

26

13%

70

34%

52

25%

58

28%

0.03

Fast track units

144

12

8%

23

16%

46

32%

63

44%

<0.001

Observations units

69

4

6%

26

38%

17

25%

22

32%

0.16

Physician triage

42

3

7%

7

17%

12

29%

20

48%

0.005

Cancelling elective surgeries

68

10

15%

22

32%

16

24%

20

29%

0.45

Non-effective solutions

ED bed expansion

108

9

8%

33

31%

31

29%

35

32%

0.20

Diverted patients

Left before being seen, median (IQR)

266

26

1 (1–2)

87

1 (1–3)

81

2 (1–3)

72

3 (2–4)

<0.001

Ambulance diversion hours/month, median (IQR)

134

15

10 (2–35)

26

4 (2–30)

41

10 (4–15)

52

18 (5–58)

0.08