UvA-DARE ( Digital Academic Repository ) Emergency department crowding : Factors influencing flow

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ED gridlock
Simultaneous ambulance diversion at multiple emergency departments [2].

Input measures
Measures related to the number of patients seeking ED care [2].
Left without being seen Left without being seen (LWBS)/left without treatment (LWT)/ did not wait (DNW): when patients choose to leave the emergency department before their care has been completed [4].

Occupancy
Generally taken to mean the number of occupied beds divided by the total number of beds and expressed as a percentage. For example, hospital occupancy of 95% implies the beds have a patient in them 95% of the time [4].

Output measures
Measures of factors related to those processes that move patients out of the emergency department to other areas or to discharge. [2]. Factors influencing the decision to use nurse practitioners at the emergency department. Oral. 5 per year; 30 in total.
Detection of child abuse at the emergency department using a new protocol based on parental characteristics. Oral. 1 per year; 3 in total.
Prevalence of suicidal behaviour among the youth in the Hague and importance of secondary prevention at the emergency department.
Oral. 1 per 4 months, several symposia in the Netherlands, 15 in total.
The latest research shows that we really should do something with all this research. Oral, keynote speaker (Medical Science Day, the Hague).
Emergency department in the Netherlands: is the system sick? Oral, duo presentation with prof. dr. J.C. Goslings (symposium Evidence Based Practice).
Rate, characteristics and factors associated with high emergency department utilization. Oral. (

Teaching
Prevalence of suicidal behaviour among the youth in the Hague and importance of secondary prevention at the emergency department (1 per two months; 50 in total; hospitals and family health services, Region of the Hague).
Evidence-based practice for senior nurses (1 per year, 4 participating hospitals).
The effect of pharmacy-based medication reconciliation on unintentional medication discrepancies in acute hospital admissions of elderly patients (1 per year; 4 in total).
Client expectations and satisfaction surveys (National Academy, Ministry of Finance, the Hague).
Epidemiology at an emergency department: medication reconciliation at the emergency department (Academic Medical Centre, Amsterdam).
Epidemiology at an emergency department: Diagnostic accuracy of nurse practitioners versus physicians (Academic Medical Centre, Amsterdam, 1 per year).
Epidemiology at an emergency department: Walk-out patients at the emergency department, patient characteristics and follow-up (Academic Medical Centre, Amsterdam, 1 per year Walk-out patients at the emergency department: how to handle and findings of after care program (clinical lessons, 8 in total) Evidence-based practice for nurse practitioners (once per year, School of Health Professions, Rotterdam).
Evidence-based practice for nurse practitioners (once per year, the Hague.

A DANKWOORD (ACKNOWLEDGEMENTS)
Met de afronding van mijn proefschrift in zicht is het tijd om iedereen te bedanken die mij in de afgelopen jaren heeft gesteund.